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Scheduling and Staffing in Management.pptx

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Scheduling and Staffing in Management.pptx

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Scheduling and
Staffing in
Management
Presented by: Areeba, sheza
,Lyba , Laraib , walliullah
Objectives:
 Define staffing.
 Discuss Philosophy of staffing in nursing.
 Define staffing plan.
 Define staffing strategy.
 Determine factors affecting staffing
pattern.
 Describe Types of staffing.
 Define scheduling.
 Discuss Objectives of scheduling.
 Describe Types of scheduling.
STAFFING:
“Is defined as human resources planning to
fill positions in an organization with qualified
personnel.”
NURSE staffing has three main components:
 Planning
 Scheduling
 Allocation
 Planning: refers to determining the number of
nursing personnel needed over a long term
period.
 Scheduling: is assigning nursing staff for
specific time period.
 Allocation: refers to making adjusted
assignments or reallocations on a daily or
shift by shift basis.
Philosophy of staffing in
nursing:
 Matching employees knowledge and skills to
patient care needs in a manner that optimizes
job satisfaction and care quality.
 Technical and humanistic care needs of
critically ill patient are so complex that care
should be provided by professional nurses.
 Health teaching and rehabilitation needs of
chronically ill patient are so complex that care
should be provided by professional and
technical nurses.
 Patient assessment, work quantification and job
analysis should be used to be assigned to care for
patient of each type (such as coronary care, renal
failure, chronic arthritis, cancer.) –
 Staffing plan and policies in all units should be
developed by the head nurse and staff of the
hospital.
 Staffing plan should be administrated at the unit
level by the head nurse so that shift start time,
number of staff assigned on holidays, and number
of employees assigned to each shift can be
modified to accommodate the unit workload and
workflow.

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Scheduling and Staffing in Management.pptx

  • 1. Scheduling and Staffing in Management Presented by: Areeba, sheza ,Lyba , Laraib , walliullah
  • 2. Objectives:  Define staffing.  Discuss Philosophy of staffing in nursing.  Define staffing plan.  Define staffing strategy.  Determine factors affecting staffing pattern.  Describe Types of staffing.  Define scheduling.  Discuss Objectives of scheduling.  Describe Types of scheduling.
  • 3. STAFFING: “Is defined as human resources planning to fill positions in an organization with qualified personnel.” NURSE staffing has three main components:  Planning  Scheduling  Allocation
  • 4.  Planning: refers to determining the number of nursing personnel needed over a long term period.  Scheduling: is assigning nursing staff for specific time period.  Allocation: refers to making adjusted assignments or reallocations on a daily or shift by shift basis.
  • 5. Philosophy of staffing in nursing:  Matching employees knowledge and skills to patient care needs in a manner that optimizes job satisfaction and care quality.  Technical and humanistic care needs of critically ill patient are so complex that care should be provided by professional nurses.  Health teaching and rehabilitation needs of chronically ill patient are so complex that care should be provided by professional and technical nurses.
  • 6.  Patient assessment, work quantification and job analysis should be used to be assigned to care for patient of each type (such as coronary care, renal failure, chronic arthritis, cancer.) –  Staffing plan and policies in all units should be developed by the head nurse and staff of the hospital.  Staffing plan should be administrated at the unit level by the head nurse so that shift start time, number of staff assigned on holidays, and number of employees assigned to each shift can be modified to accommodate the unit workload and workflow.
  • 7. Staffing plan: The staffing plan is a written plan that specifies the number and classification type of staff personnel who are needed to implement to care delivery model for each unit on a shift-by-shift basis.  Short-term plans involve filling existing positions.  Long-term plans are concerned with determining the gap between the present and a desired future human resources status.
  • 8. Staffing strategy: “It is a set of actions undertaken to determine the organization’s future human resources needs, recruit qualified applicants, and select the best of the applicants as a new employees.”
  • 9. Staff classification:  Professional degree nurse: Baccalaureate.  Technical nurse: Secondary Technical Nursing School. (Diploma degree).  Auxiliary: messenger and transport personnel.
  • 10. Factors affecting staffing pattern: Nursing organization factors include: 1-Patient care objectives. 2-Determined level of patient care. 3-Assignment system.
  • 11. Methods of determining staffing pattern:  The traditional system  The advanced system  The traditional system: • The number of beds per unit ( one nurse per 4-6 beds)  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
  • 12.  The advanced system: Focuses on patient needs during a shift and nursing tasks to be performed through: a -patient classification system b- Task quantification a. Patient classification system - Also known as patient acuity systems - A patient classification system (PCS) is a measurement tool used to determine the nursing workload for a specific patient or group of patients over a specific period of time.
  • 13. The patients grouped according to their nursing needs into 3 or more categories. Level 1 (Minimal Care) • Patient can take a bath on his own, feed himself, feed perform his activities of daily living, and requires little treatment, observation • Average amount of nursing care hours per patient per day is 1.5 . Level 2 (Moderate Care) • Patients under this level need some assistance in assistance in bathing, feeding, or ambulating for short periods of time. Vital signs ordered up to three times per shift Average nursing care hours per patient per day is 3 hour
  • 14. Level 3 care (maximum care): • Requires frequent, close nursing observation and intervention . • Requires moderate medical intervention . • The nursing care hours per patient per day are 4.5 hours. Level 4 (Critical Care): • Requires continuous treatment and observation . • The nursing care hours per patient per day may range from 6 or more.
  • 15.  . Task quantification system - Focuses on nursing tasks to be performed. Common nursing tasks are either: 1. direct nursing care (in the presence of the patient as in giving medication, measuring vital signs.) 2. indirect nursing care (away from the patients as in preparing medication, documentation in patients' files, giving instructions or educative sessions).
  • 16. Types of staffing:  Basic permanent staffing:  Supplementary staff  In call staff.  Float staff.
  • 17.  Basic permanent staff: Which is determined based on average Patient care requirements using (Patient classification system) and nursing tasks (task quantification) to be performed by different levels of nursing staff.  Supplementary staff: This is needed when demands for patient care exceed the capabilities of the basic staff a) Borrowing method: It is borrowing staff from units that have the most to help those who have too little. The problem here that the staff often resists being transferred from unit to unit and head nurse never permits that she has more nurses
  • 18.  Float staff: A pool of nurses who are permanent workers but do not belong to any special unit care . This methods help to manage the day to day variations in work volume , but some nurses like this method since it gives a chance to work with different types of patients.  On call staff: On call staff is regular employees who receive extra pay for being on call whether or not they are called. This is useful in OR, ICU, and other special care units
  • 19. Scheduling: Scheduling means planning patterns of on duty hours for employees in a particular unit for a given period of time. It is a timetable showing planned work days and shift for nursing personnel. • “Scheduling is to assign working days and days off to the nursing personnel so that adequate patient care is assured.”
  • 20. Objectives of scheduling:  To provide adequate staffing to meet patient care needs during 24 hours For a certain time .To maintain staff morale , through: a-To treat fairly individual members in their distribution. b- To satisfy personnel both as to work hours and as to perceive sense of equity. c- To maximize the use of nursing of nursing staff power and optimize the use of professional expertise. d- To organize work in the unit and prevent confusion by avoiding periods of understaffing or over staffing . To define responsibilities of personnel.
  • 21. Types of scheduling:  Block scheduling.  Cyclical scheduling.  Self-scheduling.  Computerized scheduling.
  • 22. Block scheduling: Means that the work schedule for a unit is planned in a “block” of week, i.e. days to be worked by staff are blocked together. Block scheduling is done for 4-8 weeks at a time. • It can be calculated easily and has flexibility. • This type of scheduling does not provide for maximum level of care seven days a week.
  • 23. Cyclic scheduling:  Schedule patterns are set for a certain number of weeks and are repeated (every two, four, six, or more weeks as desired) within the given cyclical period. • Taking in consideration the need of proper number and mixes of personnel, continuity of care. • Is an improvement on block scheduling in that it has repetitive work patterns.
  • 24. Self scheduling:  Self-scheduling is a system that is coordinated by staff nurses.  Is the process by which staff nurses on a unit collectively decide and implement the monthly work schedule, each staff nurse chooses which day and shift he or she will work .
  • 25. Computerized scheduling: This type enables the user to devise a plan, which considers more variables than schedules done by individuals . • Computerized scheduling allows for maintaining the patterns to be used and the choice of employee and the planning of holidays, days off and vacations. All data necessary for time planning are fed to the computer and a program for scheduling is designed based on the fed data . • The computerized scheduling is more effective than the other types.
  • 26. System of developing time planning schedules:  Centralized scheduling.  Decentralized scheduling.
  • 27. Centralized scheduling:  Staffing coordinator created schedules based on the approved staffing plans for individual units. Advantages: 1.Fairness 2.Cost control Disadvantages: 1. lack of individual treatment. 2. Un-recognized organizational and managerial problem.
  • 28. Decentralized scheduling: Nurse manager develop the schedule for their units in isolation from all other units. The manager approves all schedule changes. Advantages:  manager have authority.  personnel feels that they get more personalized attention.  staffing is easier.
  • 29. Disadvantages:  It carries the risk that employees will be treated unequally or inconsistently.  It is time consuming for the manager .  There is difficulty in Adjustment in case of emergency.  It may be lead to over staffing in some hospital unit.