A Community of Exceptional Nurses
Re: Page 8 in August AACN Bold Voices
I agree with Theresa Brown’s concern about reimbursement and patient satisfaction. Although I believe patients have the right to have a say about their care, I do not think reimbursement decisions should be based only on subjective data.
Objective data should be measured whether or not a patient was pleased with the care. The goal is for a patient to improve and be able to go home.
When people are sick, many of them only think of how they feel at the moment. They do not care if the discomfort caused by nurses and doctors will make them feel better tomorrow or next week.
Explaining the reason for the discomfort does not make a person comfortable, which is all he or she cares about. Does a hospital maintain average or better-than-average length of stay for measurable illnesses?
This would be a better measure to determine hospital reimbursement. However, it would still have to allow for patients who are frequently readmitted because of noncompliance.
Even when, such as with patients who have chronic obstructive pulmonary disease, noncompliance is because they can’t afford an air conditioner or its high electric bill.
Woolwich Township, N.J.
Healthcare is a service industry and patients are consumers with choices. I work in a Level 1 trauma center in a city where people can choose from four other hospitals in a two-block radius.
We need to compete for high patient satisfaction scores so our hospital is also chosen for other than trauma care. As healthcare providers we need to make invasive, painful and sometimes dehumanizing experiences as tolerable as possible.
This is what former patients will most remember when the survey comes in the mail. If people are treated with respect and dignity, they will comment favorably about it.
Accepting this year’s Dare To challenge, my CVICU’s educator and I asked every team member to consider identifying his or her own Dare To. It’s a yearlong project.
With their dare written on the front and their name on the back, team members place a cardboard shooting star on a Dare To theme bulletin board.
When the Dare To is achieved, they place the star in a box from which, at the end of the year, we’ll have a random drawing for a $100 gift card.
So far, Dare To’s include CCRN certification, applying for the professional advancement ladder and developing an abstract to submit for next year’s NTI.
Some are working in groups. Excitement has spilled over to the PCU which has started its own campaign.
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