NUR 3846 BSU Importance of Using Staffing Matrix Health Care Setting Reflection

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Gvahxr2

Health Medical

NUR 3846

Bowie State University

NUR

Description

The purpose of this assignment is to prepare students to make staffing decisions based on sound financial management principles and compliance guidelines.

Scenario: You are the nurse leader of a 30-bed medical surgical unit and have to account for all staffing, including any discrepancies. Using sound financial management principles, complete the Staffing Matrix" in the provided excel template.

After completing the matrix, compose an 1,250-word reflection answering the following questions:

  1. Why is it important to use a staffing matrix in your health care setting?
  2. Briefly describe your staffing matrix. How many FTEs (full-time equivalent) on the staffing roster are required to cover daily needs? What units of services or work measurement did you use and why? What financial management principles did you use to determine your staffing matrix?
  3. Explain how you adjusted your staffing based on changes in the patient census.
  4. You receive your financial report for the month. You have used more FTEs than what was budgeted for your census. How will you make up the variance? How would you reallocate resources to make up for the variance and still comply with guidelines?

Include 4 peer-reviewed references in your essay, including the textbook.

Prepare this assignment according to the guidelines in the APA Style

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Resources:

Read "A Micro-Costing or 'Bottom-up' Approach to Measuring Nursing Costs Using Data From Electronic Health Records," by Welton, from Nursing Economic$ (2018).

Read "Staffing Is More Than a Number: Using Workflow to Determine an Appropriate Nurse Staffing Ratio in a Tertiary Care Neurocritical Care Unit," by Hill and DeWitt, from Journal of Neuroscience Nursing (2018).

Read "Engaging Staff to Create a Blended Unit and Efficient Staffing Matrix," by Brooks et al., from Journal of PeriAnesthesia Nursing (2016).


Unformatted Attachment Preview

Staffing Matrix Census Direct Caregivers 30 Scheduled Shift Hours Length RN NA Health Unit Coordinator Night Shift NA Health Unit Coordinator 28 27 Number of Staff Day Shift RN 29 26 aff 25 24 Course Code Class Code Criteria Group 1 Percentage 70.0% Importance of a Staffing Matrix 10.0% Staffing Matrix Description (C6.4) 10.0% Staffing Adjustments 10.0% Variance 10.0% Matrix 30.0% Organization and Effectiveness 20.0% Thesis Development and Purpose 7.0% Argument Logic and Construction 8.0% Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Format 10.0% Paper Format (Use of appropriate style for the major and assignment) 5.0% Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Total Weightage 100% Assignment Title Benchmark - Staffing Matrix and Reflection Unsatisfactory (75.00%) The reflection does not sufficiently describe why it is important to use a staffing matrix in a health care setting. The reflection does not adequately describe the staffing matrix, FTEs should be on the staffing roster to cover daily needs, the units of services or work measurement that were used, and the financial management principles that were used to determine the staffing matrix. The reflection does not adequately explain what adjustments were made to the staffing based on changes in the patient census. The essay does not include a sufficient description about what will help make up the variance or how to reallocate resources to make up for the variance while complying with guidelines. The matrix is not completed with appropriate staffing numbers Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Template is not used appropriately or documentation format is rarely followed correctly. Sources are not documented. Total Points 100.0 Less Than Satisfactory (80.00%) The reflection provides an incomplete description of why it is important to use a staffing matrix in a health care setting. The reflection vaguely describes the staffing matrix, how many FTEs should be on the staffing roster to cover daily needs, the units of services or work measurement that were used, and the financial management principles that were used to determine the staffing matrix. The reflection vaguely explains what adjustments were made to the staffing based on changes in the patient census. The essay includes a vague description about what will help make up the variance or how to reallocate resources to make up for the variance while complying with guidelines. Not Applicable Thesis is insufficiently developed or vague. Purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Satisfactory (88.00%) The reflection provides a basic description of why it is important to use a staffing matrix in a health care setting. The reflection clearly describes the staffing matrix, how many FTEs should be on the staffing roster to cover daily needs, the units of services or work measurement that were used, and the financial management principles that were used to determine the staffing matrix. The reflection clearly explains what adjustments were made to the staffing based on changes in the patient census. The essay includes a credible description about what will help make up the variance along with how to reallocate resources to make up for the variance while complying with guidelines. The matrix is completed with mostly appropriate staffing numbers. Thesis is apparent and appropriate to purpose. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Template is used, and formatting is correct, although some minor errors may be present. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Good (92.00%) The reflection clearly describes why it is important to use a staffing matrix in a health care setting. The reflection thoroughly describes the staffing matrix, how many FTEs should be on the staffing roster to cover daily needs, the units of services or work measurement that were used, and the financial management principles that were used to determine the staffing matrix. The reflection thoroughly explains what adjustments were made to the staffing based on changes in the patient census. The essay includes a realistic description about what will help make up the variance along with how to reallocate resources to make up for the variance while complying with guidelines. Not Applicable Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Template is fully used; There are virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Excellent (100.00%) The reflection substantially describes why it is important to use a staffing matrix in a health care setting. The reflection comprehensively describes the staffing matrix, how many FTEs should be on the staffing roster to cover daily needs, the units of services or work measurement that were used, and the financial management principles that were used to determine the staffing matrix. The reflection comprehensively explains what adjustments were made to the staffing based on changes in the patient census. The essay includes a creative and realistic description about what will make up the variance, including how to reallocate resources to make up for the variance while complying with guidelines. The matrix is completed with appropriate staffing numbers. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Comments Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Points Earned
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Explanation & Answer

Attached. Please let me know if you have any questions or need revisions.

Reflection - Outline
I.

Importance of using Staffing Matrix Health Care Setting
A. The staffing matrix is critical in every healthcare setting since it assists in the allocation
of various resources.
B. The staffing matrix has enabled several healthcare facilities to grow and meet their goals
since no resource duplication and ambiguity are experienced.

II.

Description of the Staffing Matrix
A. The healthcare setting involved is a 30-beds surgical unit with various healthcare
providers such as the registered nurses, nursing assistants, and health unit coordinator.
B. This staffing matrix has a total of 18 professionals, whereby sixteen are nurses, and two
are health unit coordinator.

III.

Adjusting Staffing based on Changes in the Patient Census
A. For the required staffing to be achieved, various adjustments are necessary.
B. The adjustments were conducted in such a way that the staffing will comply with the
budget requirement set to cater to the practices performed by various employees.

IV.

Reallocating Resources to Make Up For the Variance
A. The nurse is first supposed to conduct routine auditing and rounding to identify the nurses
who are supposed to be eliminated from the unit to meet the required budget.
B. The nurses who are supposed to be eliminated are those who are reluctant and do not
commit themselves to their duties.


Staffing Matrix
Census
Direct Caregivers

30

Scheduled Shift
Hours
Length

28

27

Number of Staff
Day Shift

RN

24 hours
per day

12 hours

1

NA

24 hours
per day

12 hours

2

Health Unit Coordinator

29

1
Night Shift

RN

24 hours
per day

12 hours

2

NA

24 hours
per day

12 hours

3

Health Unit Coordinator

24 hours
per day

12 hours

1

26

aff

25

24


Running head: REFLECTION

1

Reflection
Name
Institution

REFLECTION

2
Reflection
Importance of using Staffing Matrix Health Care Setting

The staffing...


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