For these good reasonsBMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c1861 (Published 01 April 2010) Cite this as: BMJ 2010;340:c1861
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Dr Hill's good reasons seem to be predicated on the logic that
handwashing will be negated by sitting on beds. However, until we can
truthfully and consistently say that we have handwashing under control,
banning the sitting on beds may be one of those "simple solutions" that
might go down with the banning of mobile phones and the banning of flowers
in hospitals that may be without adequate foundation.
There is a second and very important angle to sitting on beds - it is
often an attempt to redress the disparity in power that occurs when one
party to the conversation is several feet higher than the other. Armies
latched on to this useful angle many years ago when they started wearing
peaked (and in some countries, very peaked) caps.
I look forward to the day that some researcher conducts a trial of a
ward round where the consultant is moved from bed to bed in a wheelchair -
would the leveling of heads result in the leveling of the power ratios?
Competing interests: No competing interests