Chapter 5 Flashcards
Patient workforce management includes:
- Establishment of a patient care delivery model
- Patient needs and nurse interventions identification
- Creation of a core staffing schedule to support patient needs
- Daily staffing process to match available staff with identified patient care needs
- Evaluation of value and outcomes
Describes the structure and process by which responsibilities for patient care are assigned and the means by which the work is coordinated among caregivers
Workforce management (staffing plan)
A method or system for organizing and delivering nursing care; encompasses work delegation, resource utilization, communication methodologies, clinical decision making processes, and management structure
Patient care delivery model
Work is assigned by tasks
Functional nursing
A nurse is assigned as the lead caregiver to plan and coordinate care
Primary nursing
Similar to functional nursing in which a team provides care based on tasks, skill levels, and competence
Team nursing
A two-person team providing care to a group of patients
Modular nursing
A nurse coordinates care using clinical pathways and quality criteria
Case management nursing
Includes practice partnerships, primary care partnerships
Interdisciplinary model
Four areas of focus must be addressed to get work done in a complex, digital world
- division of divide knowledge work into discrete, assignable tasks
- recruitment of specialized workers based on their contributions
- assurance of work quality
- integration of work pieces
The ordering of entities into groups or classes on the basis of their similarity, minimizing within-group variance and maximizing between-group variance
Classification
The level of need or dependency of an individual patient, measure in hours of care needed by skill level
Patient acuity (intensity)
A process of grouping patients into homogeneous mutually exclusive groups to determine their dependency on caregivers or to determine patient
Patient classification
The long-range plan that combines the organization’s goals, legislation, regulation, and accreditation requirements and planned patient demand
Scheduling
The real-time adjustment of the schedule based on census, acuity, and the mix of available resources
Staffing
