The following are the steps of staffing:
Determine the number and types of personnel needed to fulfill the philosophy, meet fiscal planning responsibilities, and carryout the chosen patient care management organization.
Recruit, interview, select, and assign personnel based on established job description performance standards.
Use organizational resources for induction and orientation.
Ascertain that each employee is adequately socialized to organizational values and unit norms.
Use creative and flexible scheduling based on patient care needs to increase productivity and retention.
Develop a program of staff education that will assist employees meeting the goals of the organization.
Objectives of Staffing in Nursing
The following are the main objectives of staffing in Nursing:
Provide an all professional nurse staff in critical care units, operating rooms, labour and emergency room
Provide sufficient staff to permit a 1:1 nurse- patient ratio for each shift in every critical care unit
Staff the general medical, surgical, obstetrics and gynaecology, paediatric and psychiatric units to achieve a 2:1 professional- practical nurse ratio.
Provide sufficient nursing staff in general, medical, surgical, obstetrics and gynaecology, paediatric and psychiatric units to permit a 1:5 nurse patient ratio on a day and afternoon shifts and 1:10 nurse- patient ratio on night shift.
Involve the heads of the nursing staffs and all nursing personnel in designing the department’s overall staffing program.
Design a staffing plan that specifies how many nursing personnel in each classification will be assigned to each nursing unit for each shift and how vacation and holiday time will be requested and scheduled.
Hold each head nurse responsible for translating the department’s master staffing plan to sequential eight weeks time schedules for personnel assigned to her/ his unit.
Post time schedules for all personnel at least eight weeks in advance.
Empower the head nurse to adjust work schedules for unit nursing personnel to remedy any staff excess or deficiency caused by census fluctuation or employee absence.
Inform each nursing employee that requests for specific vacation or holiday time will be honoured within the limits imposed by patient care and labour contract requirements.
Reward employees for long term service by granting individuals special time requests on the basis of seniority.(culled from American Nurses Association principles of Nursing Staffing).
ITQ
What are some of the objectives of staffing in nursing?
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The objectives of staffing in nursing entails providing an all-professional nurse staff in critical care units, operating rooms, labour and emergency room. It also involves providing sufficient staff to permit a 1:1 nurse- patient ratio for each shift in every critical care unit. Similarly, there is a need to staff the general medical, surgical, obstetrics and gynaecology, paediatric and psychiatric units to achieve a 2:1 professional- practical nurse ratio.
The nine principles are:
I. Patient Care Unit Related
a) Appropriate staffing levels for a patient care unit reflect analysis of individual and aggregate patient needs.
b) There is a critical need to either retire or seriously question the usefulness of the concept of nursing hours per patient day (HPPD).
c) Unit functions necessary to support delivery of quality patient care must also be considered in determining staffing levels.
II. Staff Related
a) The specific needs of various patient populations should determine the appropriate clinical competencies required of the nurse practicing in that area.
b) Registered nurses must have nursing management support and representation at both the operational level and the executive level.
c) Clinical support from experienced RNs should be readily available to those RNs with less proficiency.
III. Institution/Organization Related
a) Organizational policy should reflect an organizational climate that values registered nurses and other employees as strategic assets and exhibit a true commitment to filling budgeted positions in a timely manner.
b) All institutions should have documented competencies for nursing staff, including agency or supplemental and travelling RNs, for those activities that they have been authorized to perform.
c) Organizational policies should recognize the myriad needs of both patients and nursing staff.
Norms of Staffing (S I U- staff inspection unit)
Norms- are standards that guide, control, and regulate individuals and communities. For planning nursing manpower we have to follow some norms.
Steps Involved In Staffing Process
1. Manpower requirements 2. Recruitment
3. Selection
4. Orientation and Placement 5. Training and Development 6. Remuneration
7. Performance Evaluation
Types of Recruitment
Internal Recruitment
Internal sources are primarily 3:
i. Transfers
ii. Promotions (through Internal Job Postings) and iii. Re-employment of ex-employees
External Recruitment
Difference between Recruitment and Selection
Basis Recruitment Selection
Meaning It is an activity of establishing contact between employers and applicants
It is a process of picking up more competent and suitable employees
Objective It encourages large number of
candidates for a job It attempts at rejecting unsuitable
candidates
Process It is a simple process It is a complicated process
Hurdles The candidates have not to cross
over many hurdles Many hurdles have to be crossed
Approach It is a positive approach It is a negative approach
Sequence It precedes selection It follows recruitment
Economy It is an economical method It is an expensive method
Time Consuming Less time is required More time is required
ITQ
What constitute the Internal Recruitment Process?
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The internal recruitment process includes Transfers, Promotion and Re- employment of ex-employees.