staffing and scheduling Flashcards
1
Q
staffing process
A
- A nurse staffing model
- Patient outcomes
- Canadian Nurses Association’s Staffing Decisions for the Delivery of Safe Patient Care (2003)
- No “gold standard” exists for the measurement of nurse staffing
2
Q
patient factors: staffing process
A
- acuteness of pt illness (age, dx, comorbidities, tx stage)
- pt classification systems (prototype and factor)
3
Q
nurse staffing
A
- Nursing-sensitive indicators
- Quality of work life
- Quality of patient care
- Relations with management
- Cumulative effect of work conditions
- Mandated nurse–patient ratios
- Staffing plan to project nursing needs on a unit over a specific period of time
4
Q
staffing plan
A
Conceptual approach of accomplishing the work to be done on a unit
5
Q
external factors influencing staffing
A
- Provincial/territorial regulatory bodies
- National organizations; for example, Accreditation Canada
- Patient and family expectations
- Organizational policies
6
Q
nursing characteristics affecting staffing
A
- Age, education, skill mix, employment status, nurse work satisfaction, autonomy, nurse–physician relationship, and experience
- Local supply of nurses
- Certification
7
Q
hospital factors affecting staffing
A
- Size of the hospital
- Type of hospital
- hospital location
- Volume of patients and acuteness of illness
- use of technology
8
Q
forecasting unit staffing requirements
A
- budget
- protect staffing needs
9
Q
unit of service
A
- measure of work being produced by organization
- units of service X volume for clinical area = number of staff needed in given period
10
Q
calculations of FTEs
A
- Determine correct number of full-time and part-time positions that will be needed
- calculate direct and indirect care hours
- Nurse manager needs competencies in finances, information technology, and automated staffing and scheduling programs
11
Q
considerations for distribution of FTE
A
- Hours of operation of the unit
- Basic shift length
- Known activity patterns
- Maximum work stretch for each employee
- Shift rotation requirements
- Weekend requirements
- Personal and professional time requests
12
Q
variable affecting staff schedules
A
- Hours of operation
- Shift and weekend rotations
- Approved benefit time, leaves of absence, orientation, and continuing education
- Scheduled meetings
- Current filled positions
- Number of part-time employees
13
Q
evaluating unit staffing and productivity
A
- average daily census
- percentage of occupancy
- average length of stay
- nursing productivity
14
Q
variance in staffing
A
- between projected and actual staff
- labour costs per unit of service
- effect of leadership on productivity
