Module 8 Flashcards
What is the goal of staffing?
- Provide the RIGHT number of nurses
- Deliver safe, high-quality , cost-effective care to patients
- Positive health outcomes
True/False: There is NO perfect staffing method.
True! JCO/CMS just tells you to have the right amount of people on staff, NOT how to staff.
What does conceptual framework for nursing staffing and patient outcomes tell you?
How complex staffing is.
Topics in the Conceptual Framework?
- Patient Factors
- Nurse Characteristics
- Nurse Staffing
- Nurse Outcome
- Hospital Factors
- Organizational Factors
- Patient Outcomes
- Medical Care
- Length of Stay
Conceptual Framework: Nursing Staffing
Hours/patient day
- delivered care hours
- total paid hours
Skill mix
Nurse staffing ratio
Conceptual Framework:
Patient Factors
Age
Primary diagnosis
Acuity and severity
Co-morbidities
Treatment stage
Conceptual Framework:
Nurse Characteristics
Education
Experience
Age
Contract nurses
Internationally trained nurses
Conceptual Framework:
Hospital Factors
Size
Volume
Teaching
Technology
Conceptual Framework:
Nurse Outcome
Satisfaction
Retention rate
Burnout rate
Conceptual Framework:
Organizational Factors
Clinical units
Duration of shifts
Shift rotation
Conceptual Framework:
Patient Outcomes
Mortality
Adverse drug events
Patient satisfaction
Nurse quality outcomes
Name 8 adequate staffing outcomes.
- Reduce medical/medicine errors and potential for errors
- Decreased patient complaints
- Decreased mortality
- Improved patient satisfaction
- Reduced nursing fatigue
- Increased job retention
- Decreased length of stay for patients
- Reduced readmissions
What is staffing?
Process of identifying and allocating nurses on a unit. (daily shift to shift operation)
Staffing does NOT focus on _____ but ____?
Does NOT focus on numbers, but acuity of patients.
Skill mix is…
the combination of categories of workers employed to take care of the patients
Skill mix includes what staff? What hospital has a good idea of a skill mix?
Includes RN, LPN, CNA; Methodist University
What is a staffing pattern?
Total number of direct-care staff by level of skill scheduled for each day and each shift
How is staffing pattern determined?
Forecasted workload and recommended standard
What does average daily census (ADC) tell you?
Forecasted Workload
What does the hour per patient day (HPPD) tell you?
Recommended Standard
What is the HPPD?
Hours of nursing care provided per patient by various levels of nursing personnel
How do you get the HPPD?
Add all staff hours (RN+CNA+US+NM) and divide by # of patients
How do you get the average daily census?
sum of daily census for the year divided by 365 days
Example of someone with 1 FTE.
UTHSC Professors
