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CE Home Study Course
Scripting and Rounding
Impact of the Corporate Care Model
on RN Autonomy and Patient Advocacy
This home study CE is part two of a two-part series.
The first installment appeared in the October 2010 issue
of National Nurse and is required reading for successful
completion of this home study course.
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Description
his home study course examines the
impact of scripting and rounding on the
autonomous practice of registered nurses that
interferes with their critical role as patient
advocates. Scripting and rounding schemes are
being aggressively marketed, incentivized, and
implemented in a variety of acute-care and outpatient settings using deceptively reassuring
terms on embracing change, transforming care
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N AT I O N A L N U R S E
at the bedside, and increasing customer satisfaction designed to create and influence the public's "perception" of quality.
It describes a new restructuring model for nursing, which is
aimed at deskilling and automating RN interactions with patients.
Under these new schemes, patient outcomes are secondary to
patient satisfaction scores based on customer service and hospitality
as practiced by companies such as Disney and five-star hotels. These
schemes are being mandated by hospital policy over the objections
of direct-care RNs despite the fact that there is a dearth of evidence
linking patient satisfaction to positive clinical healthcare outcomes.
Objectives
upon completion of this home study RNs will be able to:
Articulate their major advocacy role in the delivery of safe, therapeutic, and effective patient care where the patients' individual
W W W. N A T I O N A L N U R S E S U N I T E D . O R G
NOVEMBER 2010
