NURS 351 FINAL EXAM ACTUAL COMPLETE EXAM|WITH
ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED
A
Health Human Resource Planning and Optimization Ans✓✓✓ A
complex healthcare system
Rising healthcare costs
Health human resource shortages
Increasing demands for healthcare services
Increasing quality and safety concerns
Plan and optimize health human resources
Health Human Resources: Planning and Optimization Ans✓✓✓
Decisions affecting the health workforce.
How many health workers, of what types, with what qualifications, are
required for effective and efficient patient care delivery?
How should the health workforce be distributed?
,What should they do and how should they be managed?
Conceptual Frameworks Ans✓✓✓ Patient Factors (indirectly effects)
Nurse Staffing (directly effects)
Nurse Characteristics (indirectly effects)
Hospital Factors (indirectly effects)
Nurse Outcome (indirectly effects)
Organization Factors (indirectly effects)
Medical Care (directly effects)
All contribute (directly or indirectly) to:
Patient outcomes and length of stay
CNA Framework Ans✓✓✓ Assess and Evaluate:
- Client: what their needs are, acuity
- Staff: type of staff (how many RNs, LPNs, RPNs etc)
- Organizational: nurse care delivery model
,Nurse Characteristics Ans✓✓✓ Education (e.g., BSN vs. diploma
prepared)
- More degree prepared RNs = lower 30-day mortality and failure to
rescue- ability to detect subtle changes and intervene early
- Nurse specialty certification is associated with more positive patient
outcomes e.g. Bachelors + CC training
Experience (e.g., new grad vs. experienced)
- For every additional year of RN experience = 1% lower rates of falls
and .7% lower rates of pressure ulcers
Classification (NPs, RNs, RPNs, LPNs)
- An increase in number of RNs is associated with more positive patient
outcomes
- What are some differences between various nurse classifications?
- LPN's: certain meds they can't administer, less acute patients, no blood
transfusions, less training (18 months)
- NP's: many years experience, scope is different (prescribe, diagnose)
Nurse Staffing: Staffing Levels Ans✓✓✓ Number of personnel
- Number of nurses (nurse : patient ratios)
Hours per patient per day (HPPD)
, - Example: 5 RNs responsible for 10 patients in an ICU setting during 24
hours
- 12HPPD (number of hours of nursing per patient per day)
Full-time equivalents (FTEs)
- In BC: 1 FTE=37.5 hours per week or 1950 hours per year
- Use forecasted workload to compute the required FTEs
- Use this to determine how many nurses you want to hire (pool of
nurses for unit)
FTE Breakdown Ans✓✓✓ Productive hours
- Paid hours actually worked
Direct care hours
- Examples? Direct tasks done for patient care
Non direct care hours
- Examples? Charting, communication w/team
Non-productive hours
- Paid hours but not worked
- Examples? Vacation time, sick time
ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED
A
Health Human Resource Planning and Optimization Ans✓✓✓ A
complex healthcare system
Rising healthcare costs
Health human resource shortages
Increasing demands for healthcare services
Increasing quality and safety concerns
Plan and optimize health human resources
Health Human Resources: Planning and Optimization Ans✓✓✓
Decisions affecting the health workforce.
How many health workers, of what types, with what qualifications, are
required for effective and efficient patient care delivery?
How should the health workforce be distributed?
,What should they do and how should they be managed?
Conceptual Frameworks Ans✓✓✓ Patient Factors (indirectly effects)
Nurse Staffing (directly effects)
Nurse Characteristics (indirectly effects)
Hospital Factors (indirectly effects)
Nurse Outcome (indirectly effects)
Organization Factors (indirectly effects)
Medical Care (directly effects)
All contribute (directly or indirectly) to:
Patient outcomes and length of stay
CNA Framework Ans✓✓✓ Assess and Evaluate:
- Client: what their needs are, acuity
- Staff: type of staff (how many RNs, LPNs, RPNs etc)
- Organizational: nurse care delivery model
,Nurse Characteristics Ans✓✓✓ Education (e.g., BSN vs. diploma
prepared)
- More degree prepared RNs = lower 30-day mortality and failure to
rescue- ability to detect subtle changes and intervene early
- Nurse specialty certification is associated with more positive patient
outcomes e.g. Bachelors + CC training
Experience (e.g., new grad vs. experienced)
- For every additional year of RN experience = 1% lower rates of falls
and .7% lower rates of pressure ulcers
Classification (NPs, RNs, RPNs, LPNs)
- An increase in number of RNs is associated with more positive patient
outcomes
- What are some differences between various nurse classifications?
- LPN's: certain meds they can't administer, less acute patients, no blood
transfusions, less training (18 months)
- NP's: many years experience, scope is different (prescribe, diagnose)
Nurse Staffing: Staffing Levels Ans✓✓✓ Number of personnel
- Number of nurses (nurse : patient ratios)
Hours per patient per day (HPPD)
, - Example: 5 RNs responsible for 10 patients in an ICU setting during 24
hours
- 12HPPD (number of hours of nursing per patient per day)
Full-time equivalents (FTEs)
- In BC: 1 FTE=37.5 hours per week or 1950 hours per year
- Use forecasted workload to compute the required FTEs
- Use this to determine how many nurses you want to hire (pool of
nurses for unit)
FTE Breakdown Ans✓✓✓ Productive hours
- Paid hours actually worked
Direct care hours
- Examples? Direct tasks done for patient care
Non direct care hours
- Examples? Charting, communication w/team
Non-productive hours
- Paid hours but not worked
- Examples? Vacation time, sick time
