Browsing by Subject "staffing"

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    Nursing activities and factors influential to nurse staffing decision-making
    (Sciedu, 2015) Young, Judith; Lee, Mikyoung; Sands, Laura Prouty; McComb, Sara; IU School of Nursing
    Objective: There is limited published research supporting the effectiveness of nursing workload measurement to comprehensively measure nursing workload and to formulate nurse resource need. Predictive accuracy is impaired due to variation in direct and indirect care-related activities across measurement instruments. This study aimed to (1) identify common nursing activities considered by nurse managers for staffing decision-making, (2) systematically review such nursing activities in relation to existing nursing workload instruments and Nursing Intervention Classification taxonomy, and (3) describe challenges perceived by managers in staffing decision-making. Methods: A survey was developed from an inclusive review of 20 nursing workload instruments collectively measuring 502 nursing activities. Nurse managers in 13 medical-surgical and two intensive care units at a Midwest healthcare organization identified nursing activities considered daily for staffing decision-making. Results: Twenty-one activities were commonly considered by at least 90 percent of managers (n = 13) for daily staffing decisionmaking, although none of the instruments reviewed included all 21 activities. Conclusions: Lack of a standardized framework for nursing workload measurement might have led to nurse managers’ different perceptions about appropriate determinants of these measurements. A standardized approach for measuring nursing workload would facilitate benchmarking for estimating nurse resource need. Further research is needed to design a systematic infrastructure that ensures staffing to meet patient care need. A process is also needed to alleviate the challenges in staffing decision-making that nurse managers face, such as fluctuations in census and patient acuity, nurse competency-based patient assignments, and limited information resources for staffing estimation.
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    Staff Turnover in Statewide Implementation of ACT: Relationship with ACT Fidelity and Other Team Characteristics
    (2010-09) Rollins, Angela L.; Salyers, Michelle P.; Tsai, Jack; Lydick, Jennifer M.
    Staff turnover on assertive community treatment (ACT) teams is a poorly understood phenomenon. This study examined annual turnover and fidelity data collected in a statewide implementation of ACT over a 5-year period. Mean annual staff turnover across all observations was 30.0%. Turnover was negatively correlated with overall fidelity at Year 1 and 3. The team approach fidelity item was negatively correlated with staff turnover at Year 3. For 13 teams with 3 years of follow-up data, turnover rates did not change over time. Most ACT staff turnover rates were comparable or better than other turnover rates reported in the mental health and substance abuse literature.