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CE2_Oct REV 11/6/10 1:38 PM Page 18 invalid to assume that these two measures alone, reduction in falls and increased patient satisfaction scores, could or should serve as a proxy for measuring patient safety and quality-of-care indicators. Any study that boils down quality care to two or three variables that are measurable is highly suspect. The nursing care process is a highly complex and interdependent process involving many participants and variables. Any meaningful measure of quality should take this into account. A more holistic and scientific study of patient care which takes into account whether or not the care provided is safe, therapeutic, effective, and beneficial to the patient in terms of measurable physiologic and functional outcomes is clearly a more academic approach to research for determining reliable, valid, useful, replicable, and generalizable findings. References Agency for Healthcare Research and Quality (AHRQ). (2008). The CAHPS hospital survey (H-CAHPS). (2008). Retrieved September 8, 2010, from http://www.cahps.ahrq.gov/content/products/HOSP/PROD_HOSP_Intro.asp Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H., (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288: 1987-93. Aiken, L. H., Sloane, D. M., Cimiotti, J. P., Clarke, S. P., Flynn, L., Seago, J. A. , Spetz, J. , & Smith, H. L., (2010). Implications of the California nurse staffing mandate for other states. Health Services Research, 45 (4). 904-21. Berwick, D.M. (2002). A User's Manual for the IOM's 'Quality Chasm' Report. Health Affairs, 21 (3): 80 – 90. Dall, T. M., Chen, Y. J., Seifurt, R. F., Maddox, P. J., & Hogan, P. F. (2009). The economic value of professional nursing. Medical Care, 47 (1), 97-104. Dumpel, H. (2010). Hospital magnet status: Impact on RN autonomy and patient advocacy. National Nurse. pp. 22-27. Eastabrooks, C. A., Midodzi, W. K., Cummings, G. C., Tickler, K. L., & Giovannetti, P. (2005). The impact of hospital nursing characteristics on 30 day mortality. Nursing Research 54 (2); 74-84. Ford, B. (2010). Hourly Rounding: A Strategy to Improve Patient Satisfaction Scores. Med/Surg Nursing, 19 (3). 188-191. Guadagnino, C. (2003). Role of patient satisfaction. Physician's News Digest; pp 1-12. Retrieved on July 25, 2010, from http://www.physicansnews.com/cover/1203.html HCAHPS: Hospital Care Quality Information from the Consumer Perspective. Centers for Medicare and Medicaid Services, Baltimore, MD. Website accessed on September 10, 2010, from http://www.hcahpsonline Institute of Medicine (IOM). (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. Jha, A. K. , Orav, E. J. , Zheng, J. , & Epstein, A. M., (2008). Patients' perception of hospital care in the United States. New England Journal of Medicine, 359:1921-31. 18 N AT I O N A L N U R S E What is scripting and rounding and where does it come from? one of the expensive consultants hired by hospital administrators is called the Studer Group. Its founder and CEO, Quinton "Quint" Studer is described by business news interviewers and in company profiles as a former teacher with a master's degree in special education. Studer started his career in healthcare as a community relations liaison at a substance abuse hospital in Janesville, Illinois. From there he worked his way up the corporate ladder in a variety of hospital administrative positions to eventually become president of Baptist Hospital, Inc., in Pensacola, Florida. Studer evidently took his leadership cue from contacts at Southwest Airlines, who told him to "focus on the employees, not the Kohn LT, Corrigan JM, Donaldson MS. (1999). Committee on Quality of Healthcare in America. Institute of Medicine of the National Academies. To err is human: building a safer health system. Washington, DC: National Academy Press. McCue, M., Mark, B.A., & Harless, D. W. (2003). Nurse staffing, quality, and financial performance. Journal of Healthcare Finance, 29, 54-76. McGillis-Hall, L., Doran, D., & Pink, G. (2004). Nurse staffing, care delivery model, and patient care quality. Journal of Nursing Care Quarterly, 19 (1), 27-33. Meade, C. M., Bursell, A. L., & Ketelsen, L. (2006). Effects of nursing rounds: On patient call light use, satisfaction, and safety. American Journal of Nursing, 106 (9), 58-70. Melnyk, B. M., (2007). The latest evidence on hourly rounding and rapid response teams in decreasing adverse events in hospitals. World Views on Evidence-Based Nursing: Evidence Digest, (Fourth Quarter) . 220-223. Needleman, J., Buerhaus, P., Mattke, S., Stewart, M., & Zelevinsky, K. (2002). Nurse staffing and the quality of care in hospitals. New England Journal of Medicine, 346; 1715-22. Needleman, J, Buerhaus, P. I., Stewart, M., Zlevinsky K., & Mattke, S. (2006). Nurse staffing in hospitals: Is there a business case for quality? Health Affairs, 25 (1); 204-211. Outzen, R. (2005). Quint Studer: The story of a fire starter. Fire Starter, 5(27). Accessed September 8, 2010 from http://www.inweekly.net/article.asp?artID=1624 Stanton M.W. & Rutherford M. K. , (2004). Hospital nurse staffing and quality of care. Rockville (MD): Agency for Healthcare Research and Quality; Research in Action Issue 14. AHRQ Pub. No. 04-0029. Studor Group (2010). The Nurse Leader Handbook: The Art and Science of Nurse Leadership. Gulf Breeze, Florida: Firestarter Publishing. Tourangeau, A. E., Cranley, L. A., & Jeffs, L. (2006). Impact of nursing on hospital patient mortality: A focused review and related policy implications. Quality and Safety in Healthcare, 15 (1); 4-8. Vahey, D.C., Aiken, L.H., Sloane, D.M., Clarke, S.P., & Vargas, D. (2004). Nurse burnout and patient satisfaction. Medical Care, 42 (2)11-57, 11-66. 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