NCM 119: NURSING LEADERSHIP & MANAGEMENT

(LECTURE)
PROF. CONSTANTINO MENDOZA
STAFFING

STAFFING  Words of mouth: This can be very effective

 The process of determining and providing however it may lead to hiring of friends and
the acceptable number and mix of nursing relative which may lead to favoritism and
personnel to produce a desired level of care nepotism
and to meet the patient’s demand for care.  Employee recommendation
 Job fair
Purpose:
Contacts with schools graduating class
 To provide each nursing unit an Nursing convention
appropriate and acceptable number of
worker in each category to perform the 2. SCREENING
nursing task required. THREE PHILOSOPHIES:
FACTORS AFFECTING STAFFING  Screen out applicants who do not fit with
the job
 Try to fit the job to a promising applicants
1. The type, philosophy and objectives of the
hospital and nursing service  Try to fit the applicants to the job
2. The population served or the kind of patient 3. INTERVIEW
served PURPOSE:
3. The number of patient, severity of their  To obtain further information about the
illness and the ability of nursing personnel applicant
are matched with the actual care needs of  To give information
the patient  To determine if the applicant qualifies for
4. Administrative policies such as rotation, the position
weekends, holidays and off duties Suggested principles when doing a pre-
5. Availability and characteristics of nursing employment interview:
staff  Create and maintain a comfortable
6. Standard of care desired which should be environment throughout the interview
available and clearly spelled out  Conduct the interview according to pre
planned outline
7. Layout of the various nursing units and
 Explore the applicant’s background and
resources available within the department
future plans before describing the available
8. Budget position
9. Expected hours of work per annum of each  Encourage the applicant to talk freely by
employee asking non directive, open ended questions
10. Pattern of work schedule  Listen attentively and talk sparingly while
the applicant describes his/her background
and future plans
STEPS IN SELECTION OF PERSONNEL  Be aware of your own and the applicant’s
non verbal communication
1. RECRUITMENT  When describing the available position, give
information about job responsibilities and
It is the process of enlisting personnel for
working environment
employment
 Identify the positive and negative aspects of
the job in details
METHODS:  In concluding the interview, clarify
1. ADVERTISING/ ADVERTISEMENT subsequent steps in selection procedure
 Most common method of informing the 4. SELECTION
public of vacant position o The process of choosing from several
available candidates/applicants
DEGRACIA, JOHN NOEH D. BSN 4-E
 NCM 119: NURSING LEADERSHIP & MANAGEMENT
(LECTURE)
PROF. CONSTANTINO MENDOZA
STAFFING

5. PLACEMENT o The nurse ids assisted by a non nursing

o the process of choosing from number of member of the health care team such as
possible jobs nursing assistant to give nursing care to 8 to
12 patients
6. ORIENTATION o It’s a combination of primary and team
o Process of becoming familiar with a new nursing
environment and adopting well to it.
WELL DESIGNED ORIENTATION PROGRAM
INCLUDE:
o A tour of the physical facilities
o Introduce to co-worker SCHEDULING
o Description of the organizational structure
o Preparing a time table showing planned
of the institution
o Information on the philosophy, goals, work days and shifts for nursing personnel
policies and standards of the institution OBJECTIVES:
o Functions of the member of the health care o Provide adequate patient care while
team avoiding overstaffing
o Achieve a desirable distribution of off days
7. STAFF DEVELOPMENT o Treat individual members of nursing staff
fairly
o it include trainings and seminars
o Let the personnel know ell in advance what
their schedules are.
SYSTEM OF ASSIGNMENT OF NURSING
PERSONNEL GUIDELINES IN PREPARING A
1. CASE METHOD SCHEDULE
o Let it present a balance between the needs
o In this method each patient is assigned to a
of the employee and the recipient of care
nurse for total patient care including
o Distribute fairly the “good and bad days”
medicine and treatment
off among all employees
2. FUNCTIONAL METHOD o Advance posting of time schedule
o Nurses are assigned to perform specific o Make all employees adhere to the
tasks based on the employee’s education established rotation
and experience o Do not make time schedule a mystery nor
3. TEAM METHOD use them as a tool of control or discipline
o Come up with mechanism for emergency
o Health care professionals are group
changes to accommodate both employee
together as a team to give total care to a
and the recipient of care
selected group of patient.
o Make schedule conform with all labor laws,
4. PRIMARY METHOD hospital and department policy
o The primary nurse is given the full o Provide correct numbers and mix personnel
responsibility of planning, implementing o Be consistent in scheduling
and evaluating the nursing care for 4 to 5
patient
METHODS OF STAFFING SCHEDULE
o Make ncp for 24 hour continuity in nursing
care
5. MODULAR METHOD 1. CENTRALIZED SCHEDULING

DEGRACIA, JOHN NOEH D. BSN 4-E

 NCM 119: NURSING LEADERSHIP & MANAGEMENT
(LECTURE)
PROF. CONSTANTINO MENDOZA
STAFFING

o based on a master staffing pattern that is o Help develop a more accountable,

carried out by one person who plans and responsible and professional staff
coordinates the schedule of nurses o Increase perception of autonomy, job
o prepared by the nursing supervisor or the satisfaction and cooperation atmosphere
chief nurse o Improve team spirit and morale
ADVANTAGES: o Decreases absenteeism and reduces turn
over
o The coordinator( Nsg supervisor/Chief
nurse) knows how many staff nurses are DISADVANTAGE:
there and their availability o Time consuming on scheduling and
o The coordinator is able to make necessary negotiation among staff
changes in rotation in case of illness or 4. ALTERNATING OR ROTATION
emergencies that may unexpectedly arise WORKSHIFT
DISADVANTAGE: o rotation on different shifts
o Lack of individual treatment of employee o Provide nurses with opportunities to
o Results to some organizational and experience varied work schedule
managerial problems 5. PERMANENT SCHEDULE
2. DECENTRALIZED SCHEDULING o Applicable for those who have 2 jobs
o allows the nurse manager to staff his /her
own unit
o prepared by the head nurse ADVANTAGES:
o Relieves nurses from stress and health
ADVANTAGES:
related problems
o Personnel feel that they get more o develops sense of belongingness and work
personalized attention better because the shift suits her/ him
o Staffing is easier and less complicated o Less tardiness, absenteeism and turn over
o Each head nurse learns the responsibility
DISADVANTAGE:
and challenges of staffing
o Chief nurse are free from staffing o Nurse may not develop an appreciation for
responsibility. the workload or problem with other shift
DISADVANTAGES:
o Some staff members may receive PATIENT CLASSIFICATION SYSTEM
individualized treatment at the expense of o Is a means of categorizing present patients
others on the basis of certain care needs that can
o Work schedule can be used as reward- be clinically observed by the nurse
punishment system 3 METHODS OF CLASSIFFYING A PATIENT
o Time consuming on the part of the head
nurse
DESCRIPTIVE METHOD
3. SELF SCHEDULING
o Most common means of patient
o It is the process by which staff nurses in a
classification, the nurse classifies/ assigns
unit collectively decide and implement the
the patient to a category that closely
monthly work schedule
describe the level of care needed.
ADVANTAGES:
1. MINIMAL CARE
o Help create a climate where professional
o given to a patient who are recovering and
nursing can be practiced
who are no longer require intensive,
o Saves the CN/HN considerable scheduling
moderate or maximum care
time
DEGRACIA, JOHN NOEH D. BSN 4-E
 NCM 119: NURSING LEADERSHIP & MANAGEMENT
(LECTURE)
PROF. CONSTANTINO MENDOZA
STAFFING

2. MODERATE CARE
o given to patient who are moderately ill or
recovering from immediate effect of serious
illness or an operation
o Recovering from diarrhea with IV or IV
meds
o Ambulatory for short period
3. MAXIMUM CARE
o given to a patient who needs close attention
throughout the shift that is, complete care
for patient who require to initiate, supervise
and perform most of their activities or who
require frequent and complex medication
or treatment
o with NGT, under Oxygen therapy
o 3x in 8 hour monitoring of V/S
4. INTESIVE CARE
o given to acutely ill patient who have high
level of nurse dependency
o Checklist of nursing task method
o Patient needs method

DEGRACIA, JOHN NOEH D. BSN 4-E