NCM 119: NURSING LEADERSHIP & MANAGEMENT (LECTURE)
PROF. CONSTANTINO MENDOZA
STAFFING
STAFFING relative which may lead to favoritism and
nepotism
The process of determining and providing the Employee recommendation
acceptable number and mix of nursing
Job fair
personnel to produce a desired level of care and
to meet the patient’s demand for care. Contacts with schools graduating class
Nursing convention
Purpose:
2. SCREENING
To provide each nursing unit an appropriate and
acceptable number of worker in each category THREE PHILOSOPHIES:
to perform the nursing task required. Screen out applicants who do not fit with the job
FACTORS AFFECTING STAFFING Try to fit the job to a promising applicants
Try to fit the applicants to the job
3. INTERVIEW
1. The type, philosophy and objectives of the
hospital and nursing service PURPOSE:
2. The population served or the kind of patient To obtain further information about the
served applicant
3. The number of patient, severity of their illness To give information
and the ability of nursing personnel are To determine if the applicant qualifies for the
matched with the actual care needs of the position
patient Suggested principles when doing a pre-
employment interview:
4. Administrative policies such as rotation,
Create and maintain a comfortable environment
weekends, holidays and off duties
throughout the interview
5. Availability and characteristics of nursing staff Conduct the interview according to pre planned
6. Standard of care desired which should be outline
available and clearly spelled out Explore the applicant’s background and future
7. Layout of the various nursing units and plans before describing the available position
resources available within the department Encourage the applicant to talk freely by asking
8. Budget non directive, open ended questions
Listen attentively and talk sparingly while the
9. Expected hours of work per annum of each
applicant describes his/her background and
employee
future plans
10. Pattern of work schedule Be aware of your own and the applicant’s non
verbal communication
STEPS IN SELECTION OF PERSONNEL When describing the available position, give
information about job responsibilities and
working environment
1. RECRUITMENT Identify the positive and negative aspects of the
It is the process of enlisting personnel for employment job in details
In concluding the interview, clarify subsequent
steps in selection procedure
METHODS:
4. SELECTION
1. ADVERTISING/ ADVERTISEMENT
Most common method of informing the public of o The process of choosing from several available
vacant position candidates/applicants
Words of mouth: This can be very effective 5. PLACEMENT
however it may lead to hiring of friends and o the process of choosing from number of
possible jobs
DEGRACIA, JOHN NOEH D. BSN 4-E
NCM 119: NURSING LEADERSHIP & MANAGEMENT (LECTURE)
PROF. CONSTANTINO MENDOZA
STAFFING
6. ORIENTATION SCHEDULING
o Process of becoming familiar with a new o Preparing a time table showing planned work
environment and adopting well to it. days and shifts for nursing personnel
WELL DESIGNED ORIENTATION PROGRAM INCLUDE: OBJECTIVES:
o A tour of the physical facilities o Provide adequate patient care while avoiding
o Introduce to co-worker overstaffing
o Description of the organizational structure of o Achieve a desirable distribution of off days
the institution o Treat individual members of nursing staff fairly
o Information on the philosophy, goals, policies o Let the personnel know ell in advance what
and standards of the institution their schedules are.
o Functions of the member of the health care
team GUIDELINES IN PREPARING A SCHEDULE
o Let it present a balance between the needs of
7. STAFF DEVELOPMENT the employee and the recipient of care
o Distribute fairly the “good and bad days” off
o it include trainings and seminars
among all employees
o Advance posting of time schedule
SYSTEM OF ASSIGNMENT OF NURSING PERSONNEL o Make all employees adhere to the established
1. CASE METHOD rotation
o Do not make time schedule a mystery nor use
o In this method each patient is assigned to a them as a tool of control or discipline
nurse for total patient care including medicine o Come up with mechanism for emergency
and treatment changes to accommodate both employee and
2. FUNCTIONAL METHOD the recipient of care
o Nurses are assigned to perform specific tasks o Make schedule conform with all labor laws,
based on the employee’s education and hospital and department policy
experience o Provide correct numbers and mix personnel
o Be consistent in scheduling
3. TEAM METHOD
o Health care professionals are group together as
a team to give total care to a selected group of METHODS OF STAFFING SCHEDULE
patient.
4. PRIMARY METHOD 1. CENTRALIZED SCHEDULING
o The primary nurse is given the full responsibility o based on a master staffing pattern that is
of planning, implementing and evaluating the carried out by one person who plans and
nursing care for 4 to 5 patient coordinates the schedule of nurses
o Make ncp for 24 hour continuity in nursing care o prepared by the nursing supervisor or the chief
5. MODULAR METHOD nurse
o The nurse ids assisted by a non nursing member ADVANTAGES:
of the health care team such as nursing o The coordinator( Nsg supervisor/Chief nurse)
assistant to give nursing care to 8 to 12 patients knows how many staff nurses are there and
o It’s a combination of primary and team nursing their availability
o The coordinator is able to make necessary
changes in rotation in case of illness or
emergencies that may unexpectedly arise
DISADVANTAGE:
DEGRACIA, JOHN NOEH D. BSN 4-E
NCM 119: NURSING LEADERSHIP & MANAGEMENT (LECTURE)
PROF. CONSTANTINO MENDOZA
STAFFING
o Lack of individual treatment of employee ADVANTAGES:
o Results to some organizational and managerial o Relieves nurses from stress and health related
problems problems
2. DECENTRALIZED SCHEDULING o develops sense of belongingness and work
o allows the nurse manager to staff his /her own better because the shift suits her/ him
unit o Less tardiness, absenteeism and turn over
o prepared by the head nurse DISADVANTAGE:
ADVANTAGES: o Nurse may not develop an appreciation for the
o Personnel feel that they get more personalized workload or problem with other shift
attention
o Staffing is easier and less complicated PATIENT CLASSIFICATION SYSTEM
o Each head nurse learns the responsibility and
o Is a means of categorizing present patients on
challenges of staffing
the basis of certain care needs that can be
o Chief nurse are free from staffing responsibility.
clinically observed by the nurse
DISADVANTAGES:
3 METHODS OF CLASSIFFYING A PATIENT
o Some staff members may receive individualized
treatment at the expense of others
o Work schedule can be used as reward- DESCRIPTIVE METHOD
punishment system o Most common means of patient classification,
o Time consuming on the part of the head nurse the nurse classifies/ assigns the patient to a
3. SELF SCHEDULING category that closely describe the level of care
o It is the process by which staff nurses in a unit needed.
collectively decide and implement the monthly 1. MINIMAL CARE
work schedule o given to a patient who are recovering and who
ADVANTAGES: are no longer require intensive, moderate or
o Help create a climate where professional maximum care
nursing can be practiced 2. MODERATE CARE
o Saves the CN/HN considerable scheduling time o given to patient who are moderately ill or
o Help develop a more accountable, responsible recovering from immediate effect of serious
and professional staff illness or an operation
o Increase perception of autonomy, job o Recovering from diarrhea with IV or IV meds
satisfaction and cooperation atmosphere o Ambulatory for short period
o Improve team spirit and morale
3. MAXIMUM CARE
o Decreases absenteeism and reduces turn over
o given to a patient who needs close attention
DISADVANTAGE:
throughout the shift that is, complete care for
o Time consuming on scheduling and negotiation patient who require to initiate, supervise and
among staff perform most of their activities or who require
4. ALTERNATING OR ROTATION WORKSHIFT frequent and complex medication or treatment
o rotation on different shifts o with NGT, under Oxygen therapy
o Provide nurses with opportunities to experience o 3x in 8 hour monitoring of V/S
varied work schedule 4. INTESIVE CARE
5. PERMANENT SCHEDULE o given to acutely ill patient who have high level
o Applicable for those who have 2 jobs of nurse dependency
o Checklist of nursing task method
o Patient needs method
DEGRACIA, JOHN NOEH D. BSN 4-E