Staffing Matrix and Reflection Case Essay Project
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages
Staffing Matrix and Reflection Case Essay Project
*EXAMPLE* Benchmark – Staffing Matrix and Reflection
Performance management of a healthcare institution depends on the efficient management of human resources. Having the availability of qualified personnel, productively working in the appropriate areas enhances both outcomes and quality of patient care (Thériault et al., 2019). The paper aims to discuss the benefit of adopting a staffing matrix in a healthcare setting, describes a staffing matrix plan and the changes that might be required compared to the patient census, and creating a variance report to reallocate resources according to needs.
Importance of a Staffing Matrix
A staffing matrix is an essential and indispensable aspect of the allocation and resource utilization within the healthcare setting. Numerous units adopt various staffing matrices to certify there are no replications within the unit’s employees and resources. The staffing matrices offer the advantage of providing a clear vision concerning the management of the unit’s personnel. Also, the requirements of the unit together with the policies of financial management and the allocation and resource utilization ((Dagestad & Grassley, 2019). Staffing matrix assists in determining and assigning the daily patient care and duties required in a nursing unit. It offers a clear image of the working personnel schedule to permit for an appropriate mix of nursing care to patients’ requirements instead of being reactive for each shift (Johnson-Carlson et al., 2017).
A staffing matrix assists in budget determination associated with human resources and allocation of finances and assists in preventing funds wastage. Financial principles are applied to obtain a more robust understanding of the allocation of the unit’s finances. Another importance of the staffing matrix is that it ensures enhanced patient care quality by providing highly skilled trained nursing personnel that equals patient’s understanding.
Staffing Matrix Description
The staffing matrix shown in the provided excel template lists the daily census for a week and achieves a 90% occupancy percentage. With staffing established at twelve hours shifts, the Full-Time Equivalent (FTE) direct nursing coverage aspect for a twenty-four hours duration is 4.7 nursing FTEs. Fixed staffing for this section comprises the manager, nursing in charge, and the health unit coordinator. Therefore, unit staffing will be based on the patient occupancy percentage, hours per patient day (HPPD) based on the patient understanding in this context approximated at 360, and a nurse-to-patient ratio based on patient acuity and occupancy. The initial five days of the matrix reduce the daily tally by one patient per day, commencing with 30 patients and reducing by one to 26 patients. Staffing on these five days could exhibit the requirement of one health unit coordinator (HUC), seven registered nurses (RNs) per shift, and three certified nursing assistants (CNAs). Skill blend is not a problem for the matrix since the primary nurses are RNs. The matrix will enable a nurse-to-patient ratio of one registered nurse to five patients (1:5), one RN as a resource and for patient admissions, release, and transfers (ATDs), and one CAN to ten patients (1:10). The remaining two days of the matrix on the patient a day reduces to 25 and 24 correspondingly. Staffing for the two days will result in a decline in RN and CNAs handling to six and two, respectively. The staffing decline will level the occupancy rate and continue to permit the same RN staffing ratio.
The usage of the staffing matrix should enable improved patient safety by ensuring adequate staffing and an additional increase of RN personnel. The RN will help when the need arises in the unit and allow the primary care RNs to remain on the unit instead of dealing with patient transfers. The staffing matrix improves staff morale and job satisfaction by minimizing the nurse-to-patient ratio. It will ensure that the nurse doesn’t consider they are being stretched to their limits. Hence, it can lead to colossal personnel retention, overcoming the need for agency nurses that will incur the unit a substantial budgetary cost. The financial management principles to design the matrix involves staffing (number of staffs needed per day), patient capacity, and utilization in terms of HPPD.
Variations in patients’ numbers need changes to the staffing matrix. Patient census happens at midnight each night to reflect the minimal patient activity. Full patient bed capacity requires a single in-charge nurse, seven RNs, one resource RN, three CNAs, and one HUC. Staffing will differ depending on the daily patient acuity and number. To sustain the nurse-to- patient staffing ratio, a reduction of five patients will decline the RN personnel by one nurse. The nurse who isn’t required for the day might be shifted to another section or in charge of calls if patient acuity is required. Adjustments in inpatient acuity might be a patient on extracorporeal membrane oxygenation (ECMO) that would need a ratio of one nurse to two patients.
Budgetary issues also influence the staffing matrix. A minor patient census could demand a decline in staff or floating nurses to other sections or placement of nurses on-call when necessary. A nurse placed on-call approximately earns $5 per hour while receiving calls and earns time and a half when called in. such scenarios have two side effects on the budget. 1) personnel are paid for not going to work, meaning the funds coming from the budget minus productivity to account. 2) If the staff reports to work, they no longer earn at the base rate but are paid at a time and a half rate. It indicates that a nurse is usually paid $33 per hour, and currently, they will earn $49.50 per hour minus formerly accomplishing their forty hours to attain over time.
Reallocation of Resources Based on Staffing Variance
Restructuring of personnel and alteration for variances are usually essential to continue within the budgetary limits for staffing. The initial step to make when encountering exploitation of FTEs is the evaluation of the staffing matrix to guarantee the in-charge nurse compliance with the unit plan for staffing to certify appropriate staffing resources are utilized based on the patient acuity and census. Personnel utilization for the suitable role should be reviewed since an individual could not desire an RN in the role of a sitter. In contrast, it will be more sensible to allocate the duty to the CAN. Another section that should be reviewed is the employee expenditure report. Actual performance should mirror the proper usage of HPPD over time. Direct care that is a surplus of HPPD might indicate the patient acuity is more significant than the original budget or nursing care isn’t being delivered correctly. Focus on the unit of service could also be needed. An upsurge or decline in inpatient days should reflect an effective incline or decline in personnel hours and expenditures (Penner, 2017).
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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