AIDET, the acronym that has taken hospitals by storm, usually accompanied by the hourly rounding phenomenon. Nurses beware, they come highly saturated with micromanagement. Side effects may include, excessive worrying about HCAHPS score, psychosis if hourly rounding not signed, and may cause you to sound ingenuine and scripted.
WHAT IS AIDET?
If you haven't heard of AIDET, be glad. Once your hospital or healthcare facility rolls out the AIDET card, there's a whole sequence of events that follow. AIDET is an acronym that stands for The acronym that stands for five communication behaviors; Acknowledge, Introduce, Duration, Explanation, and Thank You.
AIDET is a registered trademark of the STUDER group (a group that your hospital pays A LOT OF MONEY to come in and harass you about their "evidenced-based leadership" tactics). STUDER was bought by Huron Consultants in 2015 for $325 million.
AIDET is an approach tactic that pushed for effective patient communication by nurses, physicians, technicians and other hospital departments, but mainly nursing... STUDER claims it's not a script (but you have to memorize what to say).
Quint Studer wrote "The HCAHPS Handbook: Hardwire Your Hospital for Pay-For-Performance Success," and their purpose seems to be just so, to "hardwire".
Nurse scripting to impact the value-based purchasing and patient satisfaction survey projects to the patients a fantasy of care, and it the actual patient care.
With AIDET, the STUDER group introduces the Ps of hourly rounding. Pain, Potty, Position, and Possessions. Scripting nurses to perform the 8 behaviors of hourly rounding, again, hardwiring staff behaviors.
1. Use opening keywords to reduce anxiety.
2. Perform scheduled tasks.
3. Address the 3 P's: pain, potty, position, and possessions
4. Assess additional comfort needs.
5. Conduct an environmental assessment.
6. Prior to leaving, ask, "Is there anything else I can do for you? I have time."
7. Tell each patient when you will be back.
8. Document the round on the patient chart.
They claim it's not scripting, but every in-service they do, they tell you what you should say, or not say.
Is it necessary for hospitals to pay tens of thousands of dollars to hire STUDER group to determine what it's needed to satisfy patients? (Like adequate staffing). They bring about "innovation" in healthcare, by creating more work for staff.
It would be best if the money were spent keeping the staff happy, upgrade equipment used daily. It would be cost-effective and provide a great outcome if decision makers of the hospital systems ask their nurses, techs, pharmacists, physicians, what is needed, where change is needed, why and how they feel changes should be made.
Some may argue (myself) that some hospitals administrators can't really think for themselves, and have to hire consultants that have not ever stepped foot inside their hospitals, to call the shots. Instead, they can allocate those funds to other, more urgent, necessities. (But what do I know?)
The Dude Nurse
Klaus Campos, BSN-RN