Scripting?

Nurses General Nursing

Published

Everything is about patient experience. Not about actual care. It actually hurts a little.

On my unit, as well as hospital wide, we have patient satisfaction scores. Our unit is continually in the bottom 3. Our manager has morning huddles and writes people's names on the board that were positively mentioned by a patient. I'm all for recognition and rewarding those that are deemed "excellent," but that doesn't mean that people who weren't mentioned weren't excellent as well. On top of that, they make you feel bad if your name wasn't mentioned. The management is always sending emails saying we need to script the word "excellent" into conversations with a patient so we can get the credit we deserve.

In my mind, I don't do the job I do for recognition or rewards. I do it because I care. It does not sit right in my conscious to "script" to my patients. Patients compliment me all the time and thank me numerous times and it just feels so not genuine to say "thanks for the compliment, make sure you tell my manager I was excellent!" It's just not in my heart. I know my patients love me. I don't need recognition from my manager. She especially wants it from night shifters (my shift) because she isn't following us around all day to see how we are. It's just frustrating.

We have 31 patients on our unit. At night we get 9 nurses, one being a free charge. We have 2 cnas. Each nurse gets a max of 4 patients unless they are assigned a vent or insulin drip then they get 3. I used to float and this is hands down the busiest floor in the entire hospital (aside from ER). Our unit has three hallways and are shaped like a T. So one long hallway and a shorter one that meets in the middle of the long one. Day shift has 3 cnas (one in each hallway) and 10 nurses. We used to get 10 but they took away our 10th nurse to give day shift an extra CNA (they used to get 2). Nurses are consistently getting high scores for courtesy, respect, education and explaining, etc. but the score that continuously brings our entire score down is call lights. Not being answered in a timely fashion. You would think management would get the hint but they don't.

Specializes in Critical Care, Education.

As a professional nurse, I believe in evidence-based practice. Does anyone have any evidence that these techniques... scripting & subliminal messages .... actually work? If not, maybe we should round up some nurse researchers to do that very thing. Otherwise, we're all stuck in "guru-land" founded by Quint Studer upon the backs of nursing staff. If subliminal messaging does prove to be effective, maybe we could invest in new technology - pillow speakers? Hidden messages on the shopping channel?

Specializes in LTC Rehab Med/Surg.
Will the higher ups ever come to terms with the fact that nurses and healthcare personnel are NOT in the customer service industry? We are not sales people. We are here to make sure people are safe and get better or allow them to die with their family around them.

We get into the field to get people better and save lives. Leave the scripting to fast food restaurants (one that specializes in delicious chicken comes to mind lol..."it's my pleasure.")

Of course we're a service industry. My hospital calls the patients customers, or at least they use the terms interchangeably. I don't like it and I rail against the whole idea, but to deny it is pointless.

Specializes in ICU.
As a professional nurse, I believe in evidence-based practice. Does anyone have any evidence that these techniques... scripting & subliminal messages .... actually work? If not, maybe we should round up some nurse researchers to do that very thing. Otherwise, we're all stuck in "guru-land" founded by Quint Studer upon the backs of nursing staff. If subliminal messaging does prove to be effective, maybe we could invest in new technology - pillow speakers? Hidden messages on the shopping channel?

All you have to look at to know subliminal messaging of this sort is effective is polysci research. Really. Political scientists have shown over and over that people will often vote based on what candidates they see the most, i.e. who have the deepest pockets and have the most TV/billboard/magazine adverts. People are ridiculously easily manipulated.

There are probably thousands of similar studies, but this is the one I found first:

Evidence for the influence of the mere-exposure effect on voting in the Eurovision Song Contest

Basically, if the study is TL;DR - finalists who appeared in certain countries did better in the finals in that particular country than finalists that appeared in other countries, i.e. people voted for others just based on the fact that they'd seen them before, although a pretty significant limitation of this study was that people were more likely to watch the semifinals that their own countries participated in than other semifinals.

However, it's not too far-fetched to extrapolate the results of a study like this into the hospital setting. Just look at the references for that article to find tons more like it. I have no doubt repeating the word "excellent" over and over again will result in more patients rating their care as "excellent."

Does this mean I'm going to use that word? Of course not. I detest this whole process, but I can't deny that it (probably) works.

All you have to look at to know subliminal messaging of this sort is effective is polysci research. Really. Political scientists have shown over and over that people will often vote based on what candidates they see the most, i.e. who have the deepest pockets and have the most TV/billboard/magazine adverts. People are ridiculously easily manipulated.

I don't care what you post :) I will never vote for Donald Trump!

Specializes in Med/Surg/ICU/Stepdown.

I was told today by my superior that nursing involves a large amount of acting. This person actually compared our jobs to "being on stage" (and yes, that is a direct quote).

Specializes in PCCN.

I thought the key word was " very good" we strive to give you very good care, very good food, very good pain meds, etc.

Funny , if its subliminal, how come we still get crap scores? or at least thats what we are being told.

I think we should all get sent to Disney world or land and get some special training from there. I'd go:woot:

Oh, VERY SPECIAL training.

Specializes in PCCN.

I wish we could get feed back as to what the bad scores are caused by?

maybe call lights not getting answered cause they keep taking PCTs away?

maybe hospital food? you know, everyone wants burgerking or surf and turf.I could just see the acting skills:" Tonight , we have a nice flavorful steak with tasty red pepper, buttery whipped potatoes, and a side of garden picked fresh green beans (cube steak, fake potatoes, and not cooked enough green beans) But hey, I tried :)

maybe dilaudid drips around the clock ? ( and of course I am not referring to hospice or ca, chronic pain pts). "I'd be happy to enhance your medication experience. Would you like me to give this slow or fast? "

maybe getting d/c'd with 5 minutes of the written order so they can go out to smoke, drink, whatever?

We will never have good scores if this is what people want.

Dont get me wrong, I know there are nice appreciative pts out there too, but they are the minority.

Specializes in Cardiac, Home Health, Primary Care.
Of course we're a service industry. My hospital calls the patients customers, or at least they use the terms interchangeably. I don't like it and I rail against the whole idea, but to deny it is pointless.

Currently I agree with you that we are a service industry BUT I do not think we should be. We provide healthcare which is a service but we have patients not customers.

In my area there are some surgeons who are nice guys to talk to but I wouldn't want cutting on me. Other surgeons who are awesome at what they do but bedside manner sucks. Give me a rude surgeon but who does great surgery over the other any day. I will always choose the best healthcare provider over the best customer service provider any day.

We provide healthcare NOT customer service.

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