Staffing

Definition of staffing

Staffing refers to the numbernumber 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

care to the patients in the nursing units at a

particular time.

Staff classification 1-Professional nurse: Baccalaureate degree.

2-Technical nurse: Secondary Technical Nursing

School . ( Diploma degree).

3-Auxiliary: messenger and transport personnel.

Components of Staffing

1- Staffing pattern:

it is the number and mix of personnel that should

be on duty per each unit per shift, per day.

2- Staffing plan:

It determines the number of nursing personnel that

must be hired to deliver nursing care on the

nursing units.

Methods of determining the staffing pattern

1- The traditional system

1 - The number of beds per unit ( one

nurse per 4-6 beds), or

2 - The average census of patients per

unit ( one nurse per 4 patients).

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.

2- The advanced system

A- PATIENT CLASSIFICATION.

B- TASK QUANTIFICATION.

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 careGroup 2: Partial or intermediate careGroup 3: Intensive or total care

For example:-Determining nursing care hour by patient For example:-Determining nursing care hour by patient

classification system in medical-surgical unit byclassification system in medical-surgical unit by

No of pts Acuity level of care Associated hours of care Total No of hr needed

3 I 2 6

10 II 6 60

11 III 7 77

2 IV 9 18

36 161

Task quantification system

Focuses on nursing tasks. To be performed. Common

nursing tasks are either direct nursing care ( in the

presence of the patient as in giving medication,

measuring vital signs…..) or indirect nursing care ( away

from the patients as in preparing medication ,

documentation in patients'

files, giving instructions or educative sessions……)

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:Nursing organization factors:

1-Patient care objectives.1-Patient care objectives.

2-Determined level of patient care.2-Determined level of patient care.

3-Assignment system.3-Assignment system.

* * Patient factorsPatient factors

1- Acuity and general health status1- Acuity and general health status

2-Length of stay2-Length of stay

3-Patient number.3-Patient number.

4-Age group (pediatrics or adult)4-Age group (pediatrics or adult)

5-Care expectations of patients5-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.

The staffing planMethods of determining the staffing plan

Using calendar days

Divide the number of days in a year by the number of days actually worker per nurse per year. Nurses are not working the 364 days of the year , but actually working 272 days only in a year, because the rest 92 days are considered as follows:

-Number of days off (1 day off per week) 52 days.

-Number of vacation days 20 days.

-Number of ill days ( hosp.policy) 10 days.

-Number of holidays 10 days.

-------------------------------------------------------------------------

92 days

Total actual work days = 364-92=272 days

Number of nurses needed to fill one position of staff nurse=

Number of days in year

------------------------------------

Number of actually worked days

364 /272 =1.33 nurses that means you will need 1.33 nurse to fill one position. Then calculate the total number needed for staffing pattern for all units.

A system of shift differential is

established to compensate for

hours worked in evening and night

(30% more salary). The same

compensation applies to work

during holidays.

Using the care hours for developing staffing pattern

Hospitals used the patient care hours for developing staffing pattern,

can calculate the staffing plan using the care hours methods.

For example:----------------------------------------------------------X

Estimating a core staff per shift

Bed number in surgical unit= 25 bed

The average daily census for 6 month = 19 patients

The average daily care hour to be provided= 5 hour per pt/24 hour.

Total hours of care will be needed= 19x5= 95 hours.

If the work day is 8 hours , then 95 divided on 8

= 11.9 or 12 FTE staff needed to unit for 24 hour.

Total of 12 EFT x 7 days / week = 84 shift / work--------------------------------xIf 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

CategoryDayEveningNightTotal

RNsRNs

LPNLPN

OtherOther

4

2

2

3

2

1

1

1

-

8

5

3

Total86216