Other Titles

Clinical Session: Creative Staffing Strategies

Abstract

Session presented on Saturday, April 13, 2013: Dynamic, shared decision making models of nurse staffing that incorporate both patient factors and nurse characteristics provide a process where frontline nurses have direct input into staffing decisions. Innovative methods of blending staffing solutions such as nurse patient ratios with more dynamic models (like Synergy Professional Practice Model) create systems that rely on direct and ongoing input from front line nurses. This presentation, based on recent research by the Canadian Federation of Nurses Unions on workload and patient care, will review the effects of excessive workload and how staffing models can help by taking the dynamic nature of nursing and patient care into consideration. American and Australian research and policies have shown that nurse-patient ratios not only provide patients with better quality care, they also save lives. This presentation will identify valuable lessons learned from the implementation of unique staffing models in Canada, including the importance of engaging frontline staff in the day-to-day decision making with respect to patient assignments. Positive results observed from the research include improved engagement and empowerment of frontline staff, which are linked to lower nurse turnover and better patient care. The ability of nursing staff to maximize their leadership skills, decision-making abilities, professional competencies and judgement is enhanced by this intervention. Excessive nurse workload is dangerous and an issue that health leaders can not afford to ignore. Cuts to nurse staffing are common, despite the fact that they are not supported by the evidence. Research suggests that nursing workload issues can be effectively addressed in a cost-effective manner by focusing on safe staffing mechanisms that are dynamic and collaborative. Access to real-time, responsive mechanisms that give nurses the autonomy and authority to ensure the delivery of safe, quality patient care, while also contributing to the viability of health care systems, is critical to appropriate staffing.

Authors

Linda Silas

Author Details

Linda Silas, RN, BScN

Sigma Membership

Non-member

Lead Author Affiliation

Canadian Federation of Nurses Unions, Ottawa, Ontario, Canada

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Staffing, Safety, Dynamic

Conference Name

Creating Healthy Work Environments 2013

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2013

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Additional Files

download (472 kB)

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Mandatory nurse staffing models for patient safety

Indianapolis, Indiana, USA

Session presented on Saturday, April 13, 2013: Dynamic, shared decision making models of nurse staffing that incorporate both patient factors and nurse characteristics provide a process where frontline nurses have direct input into staffing decisions. Innovative methods of blending staffing solutions such as nurse patient ratios with more dynamic models (like Synergy Professional Practice Model) create systems that rely on direct and ongoing input from front line nurses. This presentation, based on recent research by the Canadian Federation of Nurses Unions on workload and patient care, will review the effects of excessive workload and how staffing models can help by taking the dynamic nature of nursing and patient care into consideration. American and Australian research and policies have shown that nurse-patient ratios not only provide patients with better quality care, they also save lives. This presentation will identify valuable lessons learned from the implementation of unique staffing models in Canada, including the importance of engaging frontline staff in the day-to-day decision making with respect to patient assignments. Positive results observed from the research include improved engagement and empowerment of frontline staff, which are linked to lower nurse turnover and better patient care. The ability of nursing staff to maximize their leadership skills, decision-making abilities, professional competencies and judgement is enhanced by this intervention. Excessive nurse workload is dangerous and an issue that health leaders can not afford to ignore. Cuts to nurse staffing are common, despite the fact that they are not supported by the evidence. Research suggests that nursing workload issues can be effectively addressed in a cost-effective manner by focusing on safe staffing mechanisms that are dynamic and collaborative. Access to real-time, responsive mechanisms that give nurses the autonomy and authority to ensure the delivery of safe, quality patient care, while also contributing to the viability of health care systems, is critical to appropriate staffing.