STAFFING

Deblina Roy2nd Year M.Sc NursingKGMU Institute of Nursing

OBJECTIVESAt the end of the discussion, group will be able to,• Define staffing• Understand the Meaning of staffing• Enlist mission of staffing• Explain philosophy of staffing• Describe Importance of staffing • Safe staffing • Describe the nature of staffing • Identify the Feature of staffing • Enlist the Importance of safe staffing • Describe the System approach to staffing • Enlist the Components of staffing • Discuss the Staffing patterns• Enumerate Factors influencing staffing• Discuss a research input regarding staffing .

INTRODUCTION

DEFINITION

It is a process of planning, employing and

developing human resources at different

levels of an organization for carrying out

the various managerial and other

functions required.

MISSION

1. To ensure maximum utilization of human

resources.

2. To discover & obtain competent personnel

for various jobs.

3. To ensure the continuity & growth of the

enterprise through adequate staffing.

5. To be able to meet crisis/emergency

situations.

6. To deliver good quality of care & attain

job & patient satisfaction

7. To improve job satisfaction & morale of

the employees through objective

assessment.

PHILOSOPHY OF STAFFING• Nurse administrator believes that1. The knowledge & skill of the staff can

adequately fulfill the needs of the patient & thereby ensure both job satisfaction & quality care.

• Only professional trained nurses can provide a high quality of patient care & handle critically ill patients by providing both technical & intrapersonal skills.

3. A professional nurse cannot only treat chronically ill patients, but also provide health education & rehabilitative care, which is more complex.

4. Job quantification & analysis could be done

based on patient needs & doing assignments.

• 5. All sorts of nursing-related problems, e.g. master rotation plan, duty roster, etc., should be done only by nursing heads.

6. A staffing plan should be delegated to each unit-level head nurse so that the activities of each ward & details of each shift are planned well.

IMPORTANCE OF STAFFING PATTERN

.

Utilization of

resources efficiently

Makes stronger organization

Efficient Human Resources

Organizational performance

Managerial functions

Achieve the objectives

Safe staffing

• safe staffing means that an appropriate staff with a suitable mix of skill levels is available at all the times to ensure the patient care needs are met and are hazard free working environment and working conditions are maintained .

( International Council of Nurses)• safe staffing is appropriate levels of Registered

nurses (RNs) to always meet the care as per needs of the patients. (ANA)

Nature of staffing • Staffing is staff centered• It is applicable for all types of organization.• It is concerned with all the categories of personnel from top

to operational levels.• Its basic function of management ; like management also

needs the directing , organizing coordinating the controlling functions.

• Manager in each level is engaged in performing the staffing function.

• Staffing is a continuous activity as the manager is to guide and train the subordinates and also evaluate their performance.

• Each manager is required to have human relation skills in performing the staffing functions.

FEATURES OF STAFFING:

• Staffing is management of manpower or human resource.

• Staffing function is related to the employment of nursing personnel of all types.

• It includes various type of activities to get the right type of nurses on the right job.

• It is concerned with the filling of various type of positions or jobs in the nursing organization with suitable nursing personnel.

• Its every nurse managers Job.

Need for staffing

Advancement of knowledge

and technology.

Specialization.

Increasing size of the health organization

Health awareness

and awareness

of consumer rights

Shortage of staff.

Emphasis on human relations

Occurrence of major

crisis.

Importance of safe staffing

• RELATED TO THE PATIENTS:Staffing leads tolower patient mortality and morbidity.Reduce incidents of adverse events Shorten the hospital length of stayIncrease the patient satisfaction.

Importance of safe staffing

• RELATED TO NURSES :• Safe staffing increases the nurse’s Job

satisfaction.• It reduces the stress among the nurses and the

cases of Burn out .• The absenteeism and the turn-over rates are

reduced.• It has a positive impact on the continuity and

the quality of care by the nurses.

Importance of safe staffing

• COST OF CARE

System approach to staffing

Input Process

Output

Controls and feedback

Components / steps of staffing MONPOWER

PLANNING

JOB ANALYSIS

RECRUTMENT

SELECTION

PLACEMENT

INDUCTION AND

ORIENTATIONTRAINING AND DEVELOPMENT

REMUNERATION

PERFORMANCE APPRAISAL

PROMOTION AND TRANSFER

Staffing pattern

Factors effecting staffing pattern

Types of nursing services

Number of

patients

Standard of care:

Role defined by profession

Qualification and Job

specification

Supply of the

personnelPatient’

s conditi

on

Fluctuation of the

work load

Method of assignment

Nursing unit

Supporting staff

Policies

Budget

NORMS & ACTIVITIES

• Recommendations of the Staff Inspection Unit.

• Recommendations of the Patient Classification System.

Nurse staffing, burnout, and health care–associated infectionpublished online : NCBI HHS

Jeannie P. Cimiotti, Linda H. Aiken, Douglas M. Sloane, Evan S. Wu,

• Background• Each year, nearly 7 million hospitalized patients acquire infections while being treated for other conditions. Nurse

staffing has been implicated in the spread of infection within hospitals, yet little evidence is available to explain this association.

• Methods• We linked nurse survey data to the Pennsylvania Health Care Cost Containment Council report on hospital infections

and the American Hospital Association Annual Survey. Examined urinary tract and surgical site infection, the most prevalent infections reported and those likely to be acquired on any unit within a hospital. Linear regression was used to estimate the effect of nurse and hospital characteristics on health care–associated infections.

• Results

• There was a significant association between patient-to-nurse ratio and urinary tract infection (0.86; P = .02) and surgical site infection (0.93; P = .04). In a multivariate model controlling for patient severity and nurse and hospital characteristics, only nurse burnout remained significantly associated with urinary tract infection (0.82; P = .03) and surgical site infection (1.56; P < .01) infection. Hospitals in which burnout was reduced by 30% had a total of 6,239 fewer infections, for an annual cost saving of up to $68 million.

• Conclusions• We provide a plausible explanation for the association between nurse staffing and health care–associated infections.

• Reducing burnout in registered nurses is a promising strategy to help control infections in acute care facilities.

Summary

ANY QUESTION

CONCLUSION• Staffing is one of the most important

activities of the administration it decides who, when, how ,where will do what type of work for the organization. the staffing decides how efficiently the organization will be able to achieve the desired outcomes

REFRENCE• 1. I Clement. Management of nursing services and education.1st ed.

Elsevier; New Delhi,2011:Pp-47-53,143-47• Vasavanthappa BT. Nursing Management and administration. 6th ed.

Jaypee brothers medical publishers;New Delhi, 2010.Pp-78-84, 145.• Hospital Nurse Staffing and Quality of Care | AHRQ Archive available

from: https://archive.ahrq.gov/research/findings/factsheets../nursestaffing/nursestaff.html

• Jeannie P. Cimiotti,  Linda H. Aiken, Douglas M. Sloane, Evan S. Wu.Nurse staffing, burnout, and health care–associated infection.Am J Infect Control. 2012 Aug; 40(6): 486–490.doi:  10.1016/j.ajic.2012.02.029 available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3509207 /.

• Vati J. Principles and practice of the nursinf management and administration. 1st ed . jaypee brothers medical publishers ;New Delhi, 2013Pp-218-27.

• Lucita M. Nursing: practice and public health administration . 2nd ed . Elsevier ; New Delhi, 2013 Pp-57-63

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