NUR 621 Staffing Models Presentation

NUR 621 Staffing Models Presentation


  • Introduction to the presentation
  • The description of the Staffing model
  • The Description of the quality metrics
  • The Budgetary implications
  • A continuous monitoring plan
  • Conclusion
  • Indicators are used for hospital quality
  • Nurse staffing is one of the indicators Among such indicators is nurse staffing
  • Patient safety and Nurse staffing are closely connected.
  • A relevant staffing model is key

Nursing care is key in a patient’s life and well-being. Therefore, the workforce should be appropriate to ensure that patients receive the needed care. As such, various models have been applied to help in allocating the work force to boost patient outcomes. As part of quality in hospitals, nurse staffing is applied since the patients outcomes and nurse staffing are closely related. Therefore, when a facility has the right number of qualified nursing staff, then the performance is usually good and at respectable and acceptable standards. It is worth noting that appropriate deployment is key, and the leadership have to ensure that nurses work in enabling environments. Therefore, staffing models are key in appropriate accomplishment of nursing staff deployment. One of the reasons that make them important is that they offer basic principles that guide staffing. As such, this presentation focuses on a relevant staffing model for a thirty bed acute inpatient unit.


  • Staffing- To acquire, deploy and retain a workforce
  • The workforce should be of good quality and quantity and bring effectiveness.

    NUR 621 Staffing Models Presentation
    NUR 621 Staffing Models Presentation
  • The following are done part of staffing:

üAcquisition, deployment and retention.

üThe process of staffing

üQuality and quantity concerns

üAn organization’s functionality

Nurse staffing is a process that has various actions. Acquisition as a part refers to the external staffing system use in guiding every

NUR 621 Staffing Models Presentation
NUR 621 Staffing Models Presentation

action in the care setting. The implication is that the organization’s leaders have to ensure that the staff who come in are most qualified to work in the environment. Deployment can entail actions of placing the new staff recruits to the respective unites and movement of the current nursing staff within the setting through an internal staffing process. Usually, this is best accomplished by following a relevant model. Central to deployment is the act of taking into consideration the needs of every unit. Again a plan for staff retention should be put in place to avoid cases of high staff turnover.

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  • The patient acuity staffing model is relevant for acute inpatient.
  • Patient acuity staffing model bases on patient needs.
  • Through the number of nurses on the shift is regulated based on the patient needs and not numbers.
  • The model assumes that using patient numbers is not accurate.

In the cases of an acute inpatient unit, among the most relevant staffing models is the patient acuity staffing model. This model gets its name from the meaning of acuity. Acuity is a measure of the nursing care intensity required by a patient. The implication is that this model is based on the patient needs. In some instances, patient acuity is used interchangeably with the patient needs, underlining the importance of the model in addressing patient needs. The patient acuity staffing model can be applied to regulate the number of nursing staff to attend to patient during a particular shift based on the patient needs and not the total number of patients. The argument is that the total number of patient is an untrue reflection of the needed or required nurse workforce during a specific shift. As a demonstration, some patients may be closer to getting well hence a discharge hence needing little care if any, some other patients may be in more critical condition, therefore needing more nursing care. Hence acuity is the most accurate measure.


  • Nurse workload is calculated as the assigned number of patient for every shift.
  • The workload also contains the needed patient care.
  • By studying the patient data, the nurse managers can identify the staff patterns.
  • The model can be more useful when applied through the use of a a computer software.

It is usually a good idea to compute the nurse workload to avoid cases of overload as over load gas been associated with various negative impacts such as lower job satisfaction, reduced staff retention and poor patient outcomes which result from nurse burnout. The nurse work load is computed as the total number of patients that has been assigned to a nurse to attend to in every single shift. Part of the work load is also the care needed by a patients. Through this model, nurses have a reproducible means to ascertain the nursing care needed or the patient acuity. Again the model allows nurse patient assignment after a thorough patient acuity level assessment. The staff patterns for the shifts can be identified through a keen study of the data. Central to the improved use of the model is the use of a suitable computer software.


  • Selection of an appropriate model requires a range of considerations.
  • The following metrics are considered:



üLabor costs



The nature of outcomes in a care environment is heavily dependent on whether the right staffing model is in use or not. Therefore, it is important to choose the right model. In choosing the patient acuity staffing model, various metrics were considered. Such metrics include retention, recruitment, satisfaction, productivity and labor costs. A range of techniques are often applied when quantifying the metrics. For example the labor costs must remain affordable to help the facility keep the healthcare costs to the minimal and manageable. Productivity was also taken into an account. In acute inpatient settings, the nursing care should be to the optimum I f better outcomes are to be realised, therefore productivity is used as an indicator. Again patent satisfaction is another metric that was considered as it is a key part of the patient care.


  • The other data that was key during the model selection are:

üActivities for fulfilling patient needs

üSatisfaction among the nursing staff

üThe quality of service.

The quality of the patient service is arguably the most important metric. The acute care patient settings need a deliberate attention on the side of the nursing staff. As such, it is important to pick on a model which will allow an enabling environment for such. Therefore, this model entails a focus on the patient needs to be attended to and not the number of patients in need of the nursing services. Through a careful study of the patient’s condition. A nurse can easily attend to the specific needs of the patient and give an appropriate and needed care. The other one is the satisfaction of the nursing staff.  Patient outcomes have been shown to be closely related or connected to the staff satisfaction. This model gives the nurses a chance to focus on individual patients hence leading to nurse satisfaction