...CHAPTER ONE: STAFFING MODELS AND STRATEGY Learning Objectives * Define staffing and consider how, in the big picture, staffing decisions matter * Review the five staffing models presented, and consider the advantages and disadvantages of each * Consider the staffing system components and how they fit into the plan for the book * Understand the staffing organization model and how its various components fit into the plan for the book * Appreciate the importance of staffing strategy, and review the 13 decisions that staffing strategy requires * Realize the importance of ethics in staffing, and learn how ethical staffing practice is established Introduction * Staffing is a critical organizational function concerned with the acquisition, deployment, and retention of the organization’s workforce. * Staffing is arguably the most critical function underlying organizational effectiveness, because “the people make the place,” because labor costs are often the highest organizational cost, and because poor hiring decisions are not easily undone. * Five models * The first model shows how projected workforce head-count requirements and availabilities are compared to determine the appropriate staffing level for the organization. * The next two models illustrate staffing quality, which refers to matching a person’s qualifications with the requirements of the job or organization. * The person/job match model is the foundation of all staffing...
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...Case Study 2 Jasmine Howard Liberty University Case Study 2 Part I Kaiser Manufacturing Company has been in business for over 50 years using the standard method staffing. Hiring its own employees, training, managing and all human resources issues were all handled in house. The option is now arising to use an employment agency, FSS, to relieve the burden from Kaiser Manufacturing Company. It is important to weigh the advantages and disadvantages of this option before changing the entire business plan Kaiser Manufacturing Company has worked so long. The advantages include, flexible staff numbers, as of current Kaiser Manufacturing Company has a workforce of 725 production workers, 30 clerical workers, 32 engineer and professional workers, and 41 managers, who are all full time employees. This number was a perfect fit for the company when the sales were at an all-time high but as of 2008 the sales have stayed at 175 million annually. Cutting back on the cost of the workforce would be very beneficial to Kaiser Manufacturing Company’s bottom line. If and when sales are to peak or employees call out it is great to have the option to bring in more employees or decrease the number of employees staffed when necessary without adding more work to management. A second advantage would be the caliber of workers available to the company. Though the current workers are adequate to keep the business running, it may be advantageous to bring in someone temporary to help understand why...
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...Addressing the Nursing Workforce Shortage After researching the current and future state of the nursing workforce, there are many issues regarding the nursing workforce that should be addressed at the upcoming retreat. To begin, the reason for emphasis on the nursing workforce is that nurses constitute the largest group among the health service providers (Barton, 2010), as you very well may be aware. Without considering implications that affect the largest group of the workforce, the organization will not be able to strategically plan for the shift of the nursing shortage currently at-hand. First, we must consider the current workforce distribution of nurses. A national survey by the National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers in 2013, indicates roughly 55% of the RN workforce being at the age of 50 years old or older (American Association of Colleges of Nursing, 2014). With the current demographic makeup of this group, it is inevitable that a majority of the nursing population will be retiring soon from practice and teaching. While the Affordable Care Act tries to address the projected shortage by increasing the supply of workforce, increase the support of training, and establishing loan and grant payments, the shortage of nurses may very well be still be an issue. If issues regarding the lack of faculty and training continue, similar to the rate as reported in 2010 with 80,000 qualified applicants being denied entry to...
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...intended to create a rhythm of practicing by working together in groups and then proving your individual knowledge by producing your own writing. Assignments: 1. Group email (informative). Email to the instructor describing the company. 2. Individual email (invitation). Email to other individuals in the company inviting them to a brainstorming meeting about how to resolve a staffing shortage. 3. Group memo (information report). Memo written to the company’s CEO reporting options generated in the brainstorming meeting. 4. Individual memo (persuasive memo). Memo written to all departments asking them to share information on their best employees for the purpose of reassigning those employees to solve staffing shortages in certain departments. 5. Group business letter (request for information). Letter written to a temp agencies requesting information on temp workers to help solve staffing shortage. 6. Individual business letter (request for information). Letter written to a college requesting information about internship programs for the company to help solve staffing shortage. 7. Group negative reply letter. Letter written to the college explaining a negative decision about unpaid internships. 8. Individual negative reply letter. Negative reply letter written to a college student who had applied for an unpaid internship. 9. Group request for proposal. Letter written as a request for a proposal...
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...Nursing Shortages and Solutions Seketha Silas Walden University Nurs 3001-6, Issues & Trends in Nursing September 8, 2013 This assignment is about the concerns of the nursing shortage locally, nationally and globally. It will address some of the reasons and solutions for the nursing shortages. The purpose of this paper is to understand the nursing shortages and discuss some implementations that may help to resolve the shortages. Although, the country is experiencing an economic recession, think about January 2014 when millions of Americans will be able to get health insurance. Nursing may be the answer to some of the key healthcare and employment problems the US is struggling with right now. Lindsey (2013) states “with the graying of America has come a shortage of healthcare professionals, especially nurses. From 2009 to 2011, 85 percent of Associate Degree Nursing programs turned away qualified applicants.” (para 1) Nursing programs at some schools are closed due to funding cuts. There is lack of faculty at schools to train nurses. The lack of faculty to train new nurses definitely can cause concern for nursing shortages. Applicants are being turned away. Nurse educators have to endure lower salaries along with unrealistic expectations about their academic roles. Some nursing faculty is expected to balance their academic roles along with advancing their expertise and managing clinical practice. The lower salaries are sometimes lower than their colleagues working in...
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...Business Case Analysis - Nursing Second Shift Staffing Business Case Analysis - Second Shift Staffing Monarch General Hospital has recently experienced short staffing of the nursing workforce for the second shift (15:30 to 23:30). This report was commissioned to examine options for the Healthcare Chief Officers involved, which will provide valuable guidance toward a reliable business solution based on currently available evidence. Background Monarch is currently experiencing a deficit in the supply of nurses. In particular, the deficit is on the second shift. But, overall, the actual problem to address is a less than optimal supply of nurses. The plan to remedy the problem for the actual shift involved will be addressed in the strategy and implementation. This deficit of nurses will cause delayed delivery of care to patients and/or adverse events. This will likely lead to patient dissatisfaction, lawsuits and the hospital absorbing unnecessary and unplanned for costs. These factors will ultimately lead to a reduced number of hospital admissions. Monarch must achieve the ability to control the shortage instead of surrendering to it. This report will examine two of the four currently considered options. The first option is hiring additional permanent personnel and the second is hiring short-term, temporary personnel to be used on an as needed basis. Business and Operational Impacts The factors leading to a reduced numbers of hospital admissions will affect...
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...Staffing Strategies for Tanglewood Staffing Quantity and Staffing Quality Yu Gao Yuting Dai Xiaoman Hu Yuzhu Guo Jan, 15, 2013 Yu Gao Yuting Dai Xiaoman Hu Yuzhu Guo Jan, 15, 2013 Memo To: Daryl Perrone, Staffing Services Director Marilyn Gonzalez, Vice President of Human Resource Department From: Yu Gao, Staffing Services Consultant Xiaoman Hu, Staffing Services Consultant Yuting Dai, Staffing Services Consultant Yuzhu Guo, Staffing Services Consultant Date: January 15, 2013 Subject: Staffing Strategies for Tanglewood Tanglewood is facing a big change in staffing strategy, considering the company’s plans for expansion. In this report, we analyze the company’s situation, concentrate on staffing quantity and staffing quality strategies and give a general recommendation on a series of strategic staffing decisions. Staffing Quantity Acquire or Develop Talent Acquire refers to acquire new employees who can “hit the ground running” and be at peak performance the moment they arrive. These employees would bring their talents with them to the job, with little or no need for training or development. A pure development strategy would lead to acquisition of just about anyone who is willing and able to learn the KSAOs (KSAOs is used to describe person’s qualifications that needed to perform the job. It refers to Knowledge, Skill, Ability...
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...over multiple units (Curtin, 2001). Nurse managers responsible for multiple units are severely challenged to maintain the needed blend and balance of clinical and business management, which is essential to staff nurse retention. Report after report identifies the importance of the nurse manager in retaining nursing staff (Boyle, Bott, Hansen, Woods, & Taunton, 1999; Corser, 1998; Cullen, 1999; Flannery & Grace, 1999; Fletcher, 2001; Kerfoot, 2000; Leveck & Jones, 1996; Slaughter, 2002; Taunton, Boyle, Woods, Hansen, & Bott, 1997). Further, staff nurses report burnout and dissatisfaction with their jobs and a concern about decreasing quality of care (Aiken et al., 2001; First Consulting Group, 2002). The data on the nursing shortage portends a health care delivery system in severe crisis. According to the American Hospital Association...
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...on resources and public expectations the health care arena is constantly changing at a quick pace (Nowicki, p. 338). The Bureau of Labor statistics reported in April 2011 that despite the recent economic downturn and high unemployment health care is continuing to grow. It was estimated that approximately thirty seven thousand jobs were added in March 2011 alone (AACN). The staffing of registered nurses has been a long time concern due to the fact the shortage greatly affects patient safety as well as quality of care (nysna.org). Studies have shown that adverse patient outcomes have been related to the ineffective nurse staffing as patients have had longer hospital stays, increased infections, and higher mortality rates (Needleman, et al, 2002). To relieve the pressures put on an organization with the shortage many have begun to substitute people who are not as prepared to care for patients. This has been done by hiring temporary nursing services or recruiting foreign nurses who are not familiar with the facility, policies and procedures or the patients ( nysna.org). The ineffective nurse staffing also leads to retaining issues as nurses experience decreased morale, increased stress and anxiety, increased physical ailments, and burnout. DEFINE THE PROBLEM The problem is that hospitals cannot recruit and/or retain healthcare professionals such as nurses and physicians fast enough in the ever growing healthcare field. With the baby boomers reaching retirement...
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...Nursing Shortage and Nursing Turnover Nursing shortage is a phenomenon that is affecting nurses and the provision of adequate patient care in today’s health care industry. Nursing shortage is said to occur when the demand for employment of nurses is far greater than the number of nurses willing to be employed at that time (Huber, 2010). According to the American Association of Colleges of Nursing (A.A.C.N.), “the nursing shortage is expected to increase as baby boomers age, and the need for health care increases” (A.A.C.N., 2013, Para 1). In the United States, Registered Nurses (R.N.) make up the largest recorded working population of the health care profession, and the Bureau of Labor Statistics estimates that 2.7 percent of the workforce comprises of nurses compared to 3.6 percent in the last 6 years (A.A.C.N., 2013). This decrease is attributed to the current shortage and high turnover of nurses. This current trend in the nursing profession has a great effect on the provision of health care because it has reduced the quality of care of patients, increased accidents amongst patients, absenteeism rates and staffing among others. The purpose of this paper is to discuss the causes of nurse turnover and shortage, find out ways nurse leaders and managers may resolve this problem, and also to discuss the writer’s own personal and professional philosophy of nursing regarding this issue. Nursing shortage is also evident by the reduction in the availability of new nurses, inadequate...
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...Staffing patterns and nurses’ working conditions are risk factors for healthcare-associated infections as well as occupational injuries and infections. Staffing shortages, especially of nurses, have been identified as one of the major factors expected to constrain hospitals’ ability to deal with future outbreaks of emerging infections. These problems are compounded by a global nursing shortage. A recent evidence-based practice report sponsored by the Agency for Healthcare Quality and Research concluded that a relationship exists between lower levels of nurse staffing and higher incidence of adverse patient outcomes . Nurses’ working conditions have been associated with medication errors and falls, increased deaths, and spread of infection . RN staffing levels have been associated with the spread of disease during outbreaks. However, increasing nurse-to-patient ratios alone is not adequate; more complex staffing issues appear to be at work. Many studies have found that the times of higher ratios of “pool staff” (i.e., nursing staff who were members of the hospital pool service or agency nurses) to “regular staff” (i.e., nurses permanently assigned to the unit) were independently associated with healthcare-associated infections . The skill mix of the staff, that is, the ratio of RNs to total nursing personnel (RNs plus nurses’ aides), is also related to healthcare-associated infections; increased RN skill mix decreases the incidence of healthcare-associated infections . In a recent...
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...Strategic Action Budget Having adequate staffing is a continual problem in nursing. Having the right quantity of nurses to care for the patients without going over the budget is difficult. According to Roussel, strategic staffing is an approach to analyze the problem. Strategic staffing analyzes the staffing needs based on long-term objectives for the unit and tries to find a combination of permanent and temporary employees with the best skills to meet these needs. Strategic staffing also requires an understanding of the different types of staffing. The purpose of this request is to obtain qualified nurses utilizing in-house or temporary staffing services to fill short-term nursing needs. Finding qualified individuals for interim placement is necessary because of the increased census of this facility as a result of the current hiring freeze. Leaving the facility understaffed is having a negative effect on the staff morale and quality of patient care, and must be addressed. According to Roussel, each patient care unit should have a master staffing plan that includes the basic staff needed to cover the unit for each shift. Basic staff is the minimum number of personnel needed to staff the unit and they need to be fully oriented full and part time employees (Roussel, 2013). Options are a) the staff already in place, b) using a short-term contingency staff or a temporary agency, or c) long term temporary nurses or travel nurses. With limited resources...
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...5. The consequences of nursing turnover 6.1. Loss of patients * Healthcare organizations have reported having to turn away patients to other healthcare facilities due to lack of available staff resulting from high level turnover. This is a particularly significant concern for healthcare organization operating in states that mandate minimum nurse to patient staffing ratio (xxx). 6.2. Decreased quality of patient care * Staff shortages caused by nursing turnover are associated with significant decreases in the general quality of patient care, increases in the length of patients stays within hospital and greater number of hospital acquired infection (xxx). 6.3. Increased contingent staff costs * Many healthcare organizations are forced to rely on contract nurses to overcome staff shortages caused by high level of nurse turnover. Such contract nurses can cost twice as much to employ as nurses employed directly by the company (xxx). 6.4. Increase nurse turnover * Nurse turnover creates staffing shortages that increase the work demands placed on the organizations remaining nurses. This heightens the risk of the remaining nurses quitting due to excess workload and constantly increasing nurse turnover within organization (xxx). 6.5. Increased turnover of medical support staff * High level of nurse turnover creates disruptive, unstable work environments that negatively impact the retention of other medical service providers that...
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...Literature Review One nursing issue that I am passionate about is the shortage of nurses. This has been a long standing problem, even in the days of Ms. Florence Nightingale, when she and her nurses "used limited resources to address unlimited wants for healthcare (Cherry & Jacob, 2014)". They did the best they could and were able to improve the soldiers' condition dramatically. Agreeably, the situation is far better today. This topic is of great importance because, a shortage of nurses means that the ratio of patient to nurse increases and this can result in nurses being overwhelmed. It also affects the every aspect of patients’ care and it increases the risk of negative patients’ outcomes. It makes nurses apprehensive when they are going to work and that is not a good way to feel on a regular basis. Some of the reasons listed as causes of shortage of nurses include lack of good role models and early professional socialization, unrealistic workload, an aging workforce, negative work environment, retention problem, and insufficient nursing faculty staff. I chose the first article "Becoming a nurse: a meta-study of early professional socialization and career choice in nursing," because it attempts to deal with the issue of nursing shortage by investigating what motivates young people to choose nursing as a career and early professional socialization (Price, 2009). It highlighted the need to have good mentors, peers and role models, especially as new nurses are transitioning...
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...hospital and clinical staffing. Proposed nurse to patient staffing ratios has become a huge discussion in the healthcare field. It has developed a huge concern that patients and nursing staffs are being harmed related to the inadequate nurse to patient ratio staff. This issue alone has caused an increase in severity of illness, fatigue, hospital stay, and harm to patients. With the increase in complexity of care per patients, nurses grow weary thus increase the negative impact of the inability to improve the quality of hospitalization outcomes for the patients. It is prominent that we identify and maintain the appropriate number of the nurse to patient staffing ratio, as it is critical key of delivering the optimal quality patient care. In the pass few years and even up until now, there has been a massive growth in need for more registered nurses in hospitals and clinics due to the rising acuity of patients and shorter lengths of stay. More and more patients appear looking for healthcare assistance. The safety and quality of the care patients are looking for are becoming difficult to find as registered nurses grow exhausted and drained out of energy. Inpatient working conditions has weakened in various facilities, as hospitals cannot fulfill the necessity of the rising demand for nurses. As these scenarios repeatedly appear in multiple facilities, patients and nurses are looking for ways to motivate state legislature to regulate adequate nurse staffing in hospitals and clinics...
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