Consider factors that impact efficient staffing models and work practices within health care organizations. Select one of the two scenarios at the end of Chapter 5 in Leadership in Nursing Practice: Changing the Landsc
Eight common areas have been identified as sources of non-value-added work and result in wasted time (Jones, 2014; Storfjell et al., 2009): • Admission, discharge, and transfer activity • Shift report • Supplies/equipment • Pharmaceuticals • Diagnostics • Documentation • Communication • Staffing Within each of these areas are opportunities to eliminate wasteful work. Examples of wasteful work include inefficient hand-offs in which informa-tion is incomplete, searching for information or reports, waiting for oth-ers to complete their work, fixing equipment, and repeating calls to fill
using the specific number within the range of relevant numbers_in s case a number between 3 and 9—rather than the average of 5 for each shift results in more accurate staffing. The wide range of time required for similar—but different—patient situations is often significant. Discussion Questions 1. Examine two to three 4-week schedules and compare the projected core schedules with the actual numbers of staff worked. 2. What are the differences between scheduled and worked hours for personnel, including percentages over and under the core scheduled numbers? 3. What is the range (from lowest to highest) of differences? 4. What are the implications of examining both averages and ru•ges? 5. List three strategies to decrease the differences.
