Staffing In Health Care Organization

Appropriate nurse staffing is a complex topic that has arisen as a nationwide healthcare issue within the profession of Registered Nurses (RN). To truly understand the concept of staffing one must understand that staffing and scheduling are often at times used interchangeably although Mensik (2014) noted a distinct difference between the two (p. 2). The American Nurse Association [ANA] (2012) has defined appropriate nurse staffing “as a match of registered nurse expertise with the needs of the recipient of nursing care services in the context of the practice setting and situation” (p. 6). Scheduling, in contrast, involves taking into account factors such as a unit’s historical census numbers along with anticipated surgical volumes

The most challenging area Mrs. Dukes faces is staffing. For a well- developed health care system, sufficient, highly motivated and skillful employees are essential components (Saleem, 2015). It is important that we remember people are the most important and valuable asset of an organization. Every position is an important position and it takes skillful and effective people to fill those spots. “Staffing is the managerial function concerned with the procurement and maintenance of human resources” (Dunn, 2010). Having the right staff members is key in running an organization. If you hire individuals who are

As a healthcare provider we have to ensure we have the correct amount of staff as well as staff with the right skill set and qualifications on shift which meets the needs of the people we are supporting.

Providing the best care to each patient starts with providing the proper amount of staff members to each unit. Looking at the needs of different units not only allows administration to see areas for improvement, but also areas that are being handled correctly. Utilizing the indicators provided by The Joint Commission, 4 East, a pediatric medical/surgical floor, has a high rate of falls and nosocomial pressure ulcers that appears to be related to the increase overtime nurses have been working for that floor (Nightingale, 2010). Research has shown increases in adverse events have been related to nurses working over 40 hours a week (Bae, 2012).

Theresa Magana Ms. Nauls-Jones AP English 3 26 November 2015 A Rhetorical Analysis of Jonathan Edwards’s Sinners in the Hands of an Angry God, Widely regarded as “One of America’s most important and original philosophical theologians”, Jonathan Edwards, in his sermon, Sinners in the Hands of an Angry God, provides a glimpse into the theology of the great awakening. Edwards’s purpose is to awaken audiences to the horrific reality that he believed awaited them should they continue life without devotion to Christ. He adopts an ominous tone with a sense of urgency in order to spread fear in the minds of puritans so that they may repent for their sins and turn to God before it is too late for them. Edwards opens his sermon to the puritans by stating, “So that thus it is that natural men are held in the hand of God; over the pit of hell; they have deserved the fiery pit and are already sentenced to it.”

Dr. Linda Aiken is the leading researcher in nursing staffing rates within the United States (Kerfoot & Douglas, 2013). She suggests that each state follows California’s example of conducting research to determine a minimum staffing ratio and making it a law (Kerfoot & Douglas, 2013). The California legislation enhanced nurse staffing in hospitals across the state and improved the patient care results of millions of patients (Kerfoot & Douglas, 2013). After the bill went into effect, job satisfaction increased, and the nursing shortage ended (Kerfoot & Douglas, 2013).

In order to make the best decision for the staffing of both locations it is essential to 1st understand the requirements required at the locations. To do this the current job functions must be analyzed, and documented for all positions. After documentation is done it the job duties of each position will be reviewed. At this point I can decide if the current job functions meet the requirements for the location, or if new duties need to be added. So for this scenario I have made a list of the required main positions for the locations:

Staffing models play a significant part in the deliverance of care in a health system as it allows systems to put forth adequate staffing to provide a high level of care. The quality of care providers deliver is influenced by individual provider characteristics such as knowledge and experience, as well as human factors such as fatigue. The quality of care is also influenced by the health care organization or system, which involve not only staffing levels, but also patient need, the availability and organization of other staff and support services, and the climate and culture created by leaders in that setting. The same nurse may provide care of differing quality to patients with similar needs under variable staffing conditions and in different work environments. According to The National Center for Biotechnology Information, staffing and patient care quality and safety are directly related. Figure 1 generically illustrates staffing model framework and

Mandatory staffing ratios have been suggested as a way to meet nursing staffs’ concerns of high nurse to patient ratios. Mandatory staffing ratios are used as a way to reduce workload and patient mortality and are aimed at addressing the perceived imbalance between patient needs and nursing resources. (American Nursing Association, 2014). However, issues have been raised on applicability of staffing ratios since it could lead to increased costs without the guarantee of improvement in the quality of health care and could also lead to unintended consequences including unit closures, limited infrastructural development and limited access by patients (American Nursing Association, 2014).

I am writing this letter to confirm that Meri Algarni has requested tutor assistance and the letter of the cost in the course Thermo and Statistical Mechanics ( CPHY 520). This course will cost him 1500 $ with rating 60 $ per hour for the total of 25 hours.The tutor is beginning from 13 to 29 in April.

The American Nurses Association supports a legislative model in which nurses are encouraged to create staffing plans specific to each unit. This approach will aide in establishing staffing levels that are flexible and can be changed based on the patients needs, number of admissions to the unit, discharges and transfers during each shift (“Nurse staffing plans,” 2013). This model will assist in keeping the unit staffed appropriately and organized in need of a change during each shift. Without an organized plan like this, a nurse may be required to take on a new admission and already have too big of a workload.

In recent years, the healthcare industry has seen a significant decline in the quality of patient care it provides. This has been the result of reduced staffing levels, overworked nurses, and an extremely high nurse to patient ratio. The importance of nurse staffing in hospital settings is an issue of great controversy. Too much staff results in costs that are too great for the facility to bear, but too little staffing results in patient care that is greatly hindered. Moreover, the shaky economy has led to widespread budget cuts; this, combined with the financial pressures associated with Medicare and private insurance companies have forced facilities to make due with fewer

Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses (Jooste, 2013). The nurse manager has to explain to the management of the benefits of change in providing adequate staffing all the time. Adequate staffing helps staff retention. Staff retention saves a lot of money in terms of orienting new people to the unit. Safe staffing always helps in the reduction of falls, infection rates, pressure ulcers, decrease hospital stays and death. Flexible and creative scheduling is essential for retaining staff and promoting a positive work climate (Grohar-Murray & Langan, 2011). Adequate staffing with good staffing ratio will help nurses to concentrate on their patient care which may help in a reduction in medical errors and lawsuits to the hospital.

As an early childhood educator, in an effort to support families who have a lack of extended family support, I will make sure to provide them with resources that support their family needs. Resources that are based in the school setting could be childcare, tutoring or expanded learning programs in the afternoons. These school based resources can help the development of their children and offer parents more support. Other resources are more community based, such as parenting classes, enrichment programs and many more. These community resources can provide families with the support of others that may help them deal with issues or concerns they are facing. Sometimes families just need to know they are supported and

Staffing deficits pose a direct threat of manifesting negative outcomes associated with the delivery of patient care. Anything or anyone that compromises patient care should be eradicated immediately. This author believes that staffing deficits remain a consistent issue due to lack of solutions that actively address the issue. This author believes that inadequate staffing is a major concern due to the degree of harm it can impose on patients. Adverse events associated with