NURS414 - Week 9.2 Exam Latest
Update
Staffing - Answer planning for recruiting, hiring, deploying, and retaining qualified
human resources to meet the needs of a group of patients
Scheduling - Answer assigning unit personnel to work specific hours and days of the
week
Patient care delivery models - Answer how healthcare professionals organize, manage
and provide care to patients - reflective of patient needs, available resources,
healthcare setting (unit) and goals
what is included in resource management - Answer •Budgets
•Human resources, including personnel problems
What is Safe nurse staffing - Answer an appropriate number of nurses and other staff is
available at all times across the continuum of care, with a suitable mix of education,
skills and experience to ensure that patient care needs are met and that hazard-free
working conditions are maintained
(right number, right skill, right position)
Guiding principles: Staffing Mix - Answer Decisions concerning staff mix respond to
clients' health-care needs and enable the delivery of safe, competent, ethical, quality,
evidence-informed care in the context of professional standards and staff
competencies.
What is decision-making regarding staff mix guided by - Answer nursing care delivery
models based on the best evidence related to (1) client, staff and organizational factors
influencing quality care and work environments and (2) client, staff and organizational
outcomes.
what is staff mix decision making supported by - Answer the organizational structure,
mission and vision and by all levels of leadership in the organization.
•Information and knowledge management systems support effective staff mix
decision-making
who is engaged in decision making about the staff mix - Answer Direct care nursing staff
and nursing management
Staffing framework - Answer Assessment
•Baseline client, staff and organizational factors
, Planning
•Engagement, support, policies, competencies
Implement
•Change management
Evaluate
•Nurse sensitive outcomes
Myth or reality: To save money, need to cut nursing budgets - Answer MYTH
Reality = Increasing nursing care hours saves money.
Myth or reality: RNs save health care dollars. - Answer TRUE
Myth = Registered nurses are too expensive.
Myth or reality: Nurse-led care is more expensive than traditional care. - Answer MYTH
Reality: Nurse-led community-based care is a cost-effective alternative to traditional
care with better patient outcomes.
Myth or reality: Health care facilities cannot afford to hire more nurses. - Answer MYTH
Reality: Health care facilities can hire more nurses at no extra cost.
Nurse Staffing and Patient Outcomes - Answer - Lower mortality associated with higher
nurse education levels, higher RN to non-RN skill mix, better nurse-physician
relationships, and less use of casual and temporary employees
- reductions in adverse events and length of stay and did not increase patient care costs
- Staffing improvement of one fewer patient per nurse associated with improvements in
mortality, readmissions and length of stay
How do we measure and assess nurse staffing? - Answer Workload measurement and
management
•Nurse-patient ratios
•Nursing hours of direct patient care
•Full-time equivalents (FTEs)
•Nurse workloads
What are Standardized Nurse Patient Ratios mandated by - Answer •Minimum staffing
ratios mandated by law in California in 1999
Update
Staffing - Answer planning for recruiting, hiring, deploying, and retaining qualified
human resources to meet the needs of a group of patients
Scheduling - Answer assigning unit personnel to work specific hours and days of the
week
Patient care delivery models - Answer how healthcare professionals organize, manage
and provide care to patients - reflective of patient needs, available resources,
healthcare setting (unit) and goals
what is included in resource management - Answer •Budgets
•Human resources, including personnel problems
What is Safe nurse staffing - Answer an appropriate number of nurses and other staff is
available at all times across the continuum of care, with a suitable mix of education,
skills and experience to ensure that patient care needs are met and that hazard-free
working conditions are maintained
(right number, right skill, right position)
Guiding principles: Staffing Mix - Answer Decisions concerning staff mix respond to
clients' health-care needs and enable the delivery of safe, competent, ethical, quality,
evidence-informed care in the context of professional standards and staff
competencies.
What is decision-making regarding staff mix guided by - Answer nursing care delivery
models based on the best evidence related to (1) client, staff and organizational factors
influencing quality care and work environments and (2) client, staff and organizational
outcomes.
what is staff mix decision making supported by - Answer the organizational structure,
mission and vision and by all levels of leadership in the organization.
•Information and knowledge management systems support effective staff mix
decision-making
who is engaged in decision making about the staff mix - Answer Direct care nursing staff
and nursing management
Staffing framework - Answer Assessment
•Baseline client, staff and organizational factors
, Planning
•Engagement, support, policies, competencies
Implement
•Change management
Evaluate
•Nurse sensitive outcomes
Myth or reality: To save money, need to cut nursing budgets - Answer MYTH
Reality = Increasing nursing care hours saves money.
Myth or reality: RNs save health care dollars. - Answer TRUE
Myth = Registered nurses are too expensive.
Myth or reality: Nurse-led care is more expensive than traditional care. - Answer MYTH
Reality: Nurse-led community-based care is a cost-effective alternative to traditional
care with better patient outcomes.
Myth or reality: Health care facilities cannot afford to hire more nurses. - Answer MYTH
Reality: Health care facilities can hire more nurses at no extra cost.
Nurse Staffing and Patient Outcomes - Answer - Lower mortality associated with higher
nurse education levels, higher RN to non-RN skill mix, better nurse-physician
relationships, and less use of casual and temporary employees
- reductions in adverse events and length of stay and did not increase patient care costs
- Staffing improvement of one fewer patient per nurse associated with improvements in
mortality, readmissions and length of stay
How do we measure and assess nurse staffing? - Answer Workload measurement and
management
•Nurse-patient ratios
•Nursing hours of direct patient care
•Full-time equivalents (FTEs)
•Nurse workloads
What are Standardized Nurse Patient Ratios mandated by - Answer •Minimum staffing
ratios mandated by law in California in 1999
