Improving the Patient Experience
- 1 March 2014
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in JONA: The Journal of Nursing Administration
- Vol. 44 (3), 142-151
- https://doi.org/10.1097/nna.0000000000000042
Abstract
Patients spend more time with nurses during an admission than with any other profession in the hospital. Nurses and their interactions with patients are central to shaping and improving the patient’s experience. Patient experience, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, drives 30% of value-based purchasing (VBP) scores and incentive payments, as prescribed under the Patient Protection and Affordable Care Act. Hospital performance on the communication with nurses’ domain within HCAHPS predicts performance on several other domains. In addition, nurses at the bedside have significantly lower engagement scores than nurses who are not involved in direct patient care. Considering the relationship between nurse engagement and patient experience and the relationship between patient experience and hospital success under VBP, pursuing strategies and tactics that will foster and sustain nurse engagement is critical for nurse executives.Keywords
This publication has 4 references indexed in Scilit:
- The Influence of Interpersonal Relationships on Nurse Managers’ Work Engagement and Proactive Work BehaviorJONA: The Journal of Nursing Administration, 2012
- Communication at the bedside to enhance patient care: A survey of nurses' experience and perspective of handoverInternational Journal of Nursing Practice, 2011
- The Relationship between Patients' Perception of Care and Measures of Hospital Quality and SafetyHealth Services Research, 2010
- The Effect of Emergency Department Crowding on Patient Satisfaction for Admitted PatientsAcademic Emergency Medicine, 2008