Patients in the treatment group had a higher proportion of top-box HCAHPS scores in the following fields : nursing communication ( 33 of 36 , 92 % [ 95 % CI , 78 % -98 % ] versus 69 % , 25 of 36 [ 95 % CI , 52 % -84 % ] , p = 0.035 ; risk ratio , 1.3 [ 95 % CI of risk ratio , 1.0-1 .7 ] ; risk difference , 23 % [ 95 % CI of risk difference , 5 % -40 % ] ) , pain management ( 34 of 36 , 94 % [ 95 % CI , 81 % -99 % ] , versus 26 of 36 , 72 % [ 95 % CI , 55 % -86 % ] , p = 0.024 ; risk ratio , 1.3 [ 95 % CI of risk ratio , 1.1-1 .6 ] ; risk difference , 18 % [ 95 % CI of risk difference , 5 % -39 % ] ) .