This is the Stuff Nightmares are made of

Nurses are very stubborn creatures by nature.  We claim that we adapt to change easily and can work in the ever-changing environment, but when you tell us you're starting some non-sensical evaluation tool like HCAPS in the ED setting and then tying ED provider reimbursement to the HCAPS you bet we're gonna be angry.  I'm debating how long to stay at the bedside.  My lofty aspirations continue to draw me to Flight Nursing.  In-hospital, I'd like to do PACU or maybe OR.  Completely non-bedside I would seriously consider Legal Nurse Consultant, Clinical Toxicology Specialist, or simply Nurse Consultant.  I could pimp myself out to patients and families agreeing to visit them in the hospital and review their care with them to make sure that the care they receive is appropriate and actually indicated, not just care that the doctor wants to give or the care that the government mandates.



Below are just some of the articles that explain why those of us that work at the bedside think that patient satisfaction is a bad metric:

http://www.kevinmd.com/blog/2014/03/patient-satisfaction-hospitals-car-dealerships.html

http://archinte.jamanetwork.com/article.aspx?articleid=1108766

http://www.forbes.com/sites/kaifalkenberg/2013/01/02/why-rating-your-doctor-is-bad-for-your-health/

http://www.kevinmd.com/blog/2014/06/patient-satisfaction-surveys-riddled-problems.html

http://www.kevinmd.com/blog/2014/06/hold-patient-satisfaction-scores-done-right.html

http://www.kevinmd.com/blog/2013/06/doctor-guilty-fraud-great-patient-satisfaction-scores.html

http://archsurg.jamanetwork.com/article.aspx?articleid=1679648

http://www.kevinmd.com/blog/2012/02/patient-satisfaction-kill.html

http://www.kevinmd.com/blog/2010/04/oped-patient-satisfaction-medical-care.html