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Definition of staffing
Staffing refers to the number and mixture of personnel assigned to work in nursing units at a given time. Goal of staffing The goal of staffing is to provide an adequate number and mixture of personnel to give proper
Staff classification
1-Professional nurse: Baccalaureate degree.
2- Staffing plan:
It determines the number of nursing personnel that must be hired to deliver nursing care on the nursing units.
The distribution of nurses is based on the nurse manager' opinion of the proportion of care that is needed on each shift and the adequate staff number to provide that care.
Example: Days: 45% of the staff Evenings 35% of the staff Nights 20% of the staff
The traditional system ignored that the group of patients might need more care than another group of the same number.
Focuses on patient needs. Patients are grouped according to the acuity of their needs and the degree of their dependency on nurses. The patients grouped according to their nursing needs into 3 or more groups: Group 1: Self care Group 2: Partial or intermediate care Group 3: Intensive or total care
For example:-Determining nursing care hour by patient classification system in medical-surgical unit by
No of pts Acuity level of care 3 I 10 11 II III Associated hours of care Total No of hr needed 2 6 6 7 60 77
IV
18
36
161
Methods for use of supplementary staff 1- Borrowing method 2- Floating staff ( floating pool)
3- On-call staff
Factors affecting staffing pattern determination * Nursing organization factors: 1-Patient care objectives. 2-Determined level of patient care. 3-Assignment system. * Patient factors 1- Acuity and general health status 2-Length of stay 3-Patient number. 4-Age group (pediatrics or adult) 5-Care expectations of patients
Staff factors 1-Educational level of the nurses. 2-Experience level of the nurses. 3-Staff number. 4-Job description of each category of nurses.
* Health organization factors 1-Budget available. 2-Personnel policies regarding work time. 3-Support services with the organization. 4-Number of beds. 5-Architecture design of the units.
20 days.
10 days. 10 days. 92 days
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is
established
to
compensate
for
hours worked in evening and night (30% more salary). The same compensation during holidays. applies to work
Total of 12 EFT x 7 days / week = 84 shift / work-------------------------------x If the employee work 5 hours shift / week, then 84 5 = 16.8 the number of EFT needed.
The needed on each shift and the adequate staff number to provide that care. Example: days: 45% of staff 45x16.8/100=7.56=8 Evenings 35% of the staff 35x16.8/100=5.88=6 Nights 20% of the staff 20x16.8/100=3.34=3
Category Day
Evening Night
Total
RNs
LPN
Other Total
2
2 8
2
1 6
1
2
5
3 16