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Principles and Practice of Nursing M, , , , IMPORTANCE OF SAFE STAFFING, , Related to Patients, , Safe staffing leads to, , * Lower patient morbidity and mortality, Reduce incidences of adverse events, , * Shorten hospital length of stay, , * Increase patients satisfaction, , Related to Nurses, , * Safe staffing increases nurses’ job satisfaction, * It reduces stress among nurses and cases of burn out, , * Absenteeism and turnover rates are reduced, , * It has positive impact on continuity and quality of care by the, , , , nurses, , Cost Effective, Safe staffing is cost effective for the individual health system and, , society., , PHILOSOPHY OF STAFFING IN NURSING, , Nurse administrators of a hospital nursing department should, adopt the following staffing philosophy. Nurse administrators, believe that:, , * Itis possible to match employees’ competency to patient care, needs in a manner that optimizes job satisfaction and care, quality., , * The technical and humanistic care needs of critically ill patients, are so complex that all aspects of that care should be provided, by professional nurses., , * The health teaching and rehabilitation needs of chronically, ill patients are so complex that direct care for chronically ill, patients should be provided by professional and technical, nurse., , * Patient assessment, work load and job analysis should be, used to determine the number of personnel in each category, to be assigned to care for Patients of each type (such as, coronary care, renal failure, chronic arthritis, paraplegia,, cancer, etc), , oA, master staffing plan and policies to implement the plan in, all units should be developed centrally by the nursing heads, and staff of the hospital., , ° The staffin i i ;, aoe co haees putt duty rotation plan,, : Olidays, and number of, employees assigned to each shift can be calculated to, accommodate the units’ workload and workflow,, , 5B, , z, =, , Principles of Nursing Staffing, , According to ANA, Safe staffing is very important to im eG, patient satisfaction, nurse retention, and Productivity at 7 a, reduces hospital-acquired infections, length of stay, nur, , ; Nurse, , dm, Janagement and Ac, , inistration, , , , 6 | costs, It can only b, yver, and hospita, ale si s that account for the individual n¢, ae unit, These staffing plans sh, care Ween., some principles. The following are the, ANA, Patient Care Unit Related, + Appropriate staffing levels for a patient, of individual and aggregate patient ne, ¢ There is a critical need to either retire ;, the usefulness of the concept of nursi, day (HPPD), * Unit functions necessary to support d, care must also be considered in det., Staff Related, * The specific needs of various, determine the appropriate clinical co:, , the nurse practicing in that area, ¢ Registered nurses must have nursi, and representation at both the oj, , , , , , executive level, * Clinical support from experienced RN, available to those RNs with less proficic, , Institution/Organization Related, , * Organizational policy should reflect an or, that values registered nurses and other ¢, assets and exhibit a true commitment t, positions in a timely manner., , * All institutions should have document, nursing staff, including agency or supplement, RNs, for those activities that they have be«, perform., , * Organizational Policies should recognize the, of both patients and nursing staff., , SYSTEM APPROACH TO STAFFING, , Gillies DA has used a system approach to determin, : includes the input, process and output. Howev:, leedback loop is also important variables in systen, , Inputs, , , , Inputs of Staffing System include the information abou! °°, , average census; Patient's needs, and staff capabilities, Z, , ran Je, peibe of supervision required, patients’ classification ‘ 1, 'ursing care standards and other activities required time, , Process, , ast, The process of system would include all those calculation® Ms, , on i, the various approaches for staff requirements., , ceedbae, shifts. We, , component, , staffing oe, through qua", The cc, , cals., , from manpov, perso, steps, , Manpower |, , This is the fir, number and, hospitals., , nnel rec, in staffi, , od