Postion Controls: A Case Study

Improved Essays
Position Controls

Postion controls are a human resource tool used to allocate the number of nursing resources necessary for a respective unit (Dent, 2015). The paper or electronic document speficies how many full-time equivalent (FTE) personnel are assigned, their positions, and the total hours of work per year for each FTE (Liberty University, 2015). For many organizations 2,080 hours are allocated for each RN FTE. Organizations, however, may use a different numerical value. Midland Memorial Hospital in Midland, TX alocates each RN FTE only 1,872 annual hours because estimates that nurses spend about 9% of their time non-productive tasks (Dent, 2015). Nursing leaders have the liberty to combine full-time, part-time, and as needed personnel
…show more content…
Investing in the retention of proficient leaders is just as important as investing nursing retention because leaders set the tone for an organization (liberty University, 2015). Leaders promote staff engagement and empowerment by upholding a culture of open communication and positive reinforcement. Organizations should consider implementing formal leadership programs because “when nurse leaders use structural and psychological empowerment strategies, the results are safer work environments and better nurse outcomes” (MacPhee, Skelton-Green, Bouthillette, Suryaprakash, 2011). Leadership development programs result in nurse managers having a better understanding of the importance of staff recognition and more confidence in their ability to execute efficient leadership both of which lead to improved staff satisfaction with management (MacPhee et al., 2011). After allocating sufficient resources to leadership development, organizations should invest in nursing retention strategies such as new nurse orientation programs. Nurse residency programs can cost an organization anywhere from $39,000 to $60,000 (Liberty University, 2015). However, sufficient evidence now exisists to …show more content…
Staffing shortages have been associated with increased staff turnover, increased medical errors and adverse events, and poorer patient outcomes (Liberty University, 2015). The undesireable effects of inadequate staffing will effect an organizations bottom line. Studies now show a direct relationship between staffing and nurse-sensitive patient outcomes and link nursing overtime to increased falls, pressure ulcers, medication eorros, hospital-acquired pneumonia and urinary tract infections when nurse-patient ratios are high (Kutney-Lee et al., 2015). These findings are extremely important for organizational leadership because CMS no longer reimburses for these adverse

Related Documents

  • Improved Essays

    Any order received has to be entered in the computer system, the appropriate nurse has to be notified of updates, pharmacies have to be called, lab draws have to be ordered, etc. These tasks are considered clinical, therefore only a clinical staff member can do them. Out of the 30 employees at this agency most of them are field nurses. A field nurse goes out and sees the patients in their home. A field nurse can do the tasks of an intake nurse, and it has gotten so busy there have been many times the intake nurses have needed the field nurses help.…

    • 913 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    When there are delays with discharge such as awaiting transportation, medical equipment, etc. the facility now has a discharge hospitality center that patients can be discharged to while they wait on a ride or needed medical equipment. The discharge center is open non-sat 8a-8p. Baptist Health also have case coordinators and social workers to assist in combating discharge issues that arise. During times of staffing shortages due to vacancies or call-ins the facility utilizes the In House Agency staff, PRN staff, and staff working overtime to fill areas where staff is needed.…

    • 586 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    This style of leadership has been shown to improve patient outcomes, reduce staff turnover, and reduce medical errors. (Gardener, 2005; Joint Commission, 2008; Pearson, 2007) For the needed changes in the U.S. healthcare system to take place all nurses from nursing students through Chief Nursing Officers must develop competencies in leadership and become partners with physicians and others to improve our healthcare system and delivery of…

    • 996 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The Registered Nurse Staffing Act (2015) will address all the concerns of the stakeholders, hospitals, patients and registered nurses in regards to safe staffing practices. The Registered Nurse Safe Staffing Act of 2015 amends the title XVII Medicare of Social Security Act to mandate that each hospital funded by Medicare, implements a hospital-wide staffing plan for all nursing services provided by the institution. This plan requires that an appropriate, yet not fixed, number of registered nurses provide direct care on each of the hospital’s unit during each shift. The staffing plan will allow for variation in the number of nurses on each unit/shift based on the characteristics of the patients and the unit. This will result in the delivery of safe quality care.…

    • 966 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Along with supervisory and delegation authority of LVNs and unlicensed personnel; while maintaining responsibility for the safety of the assigned task performance ("Texas board of nursing - practice - registered nurse scope of practice,"…

    • 443 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Nursing Unions

    • 774 Words
    • 4 Pages

    Along with being adequately staffed, hospitals also have to make sure their nurses are not being overworked. Proper staffing and better hours are two of the most common issues nursing unions fight for. Staffing is one of the most important contributing factors to a nurse being able to provide safe, quality patient care. According to the Agency for Healthcare Research and Quality (2004) “hospitals with low nurse staffing levels tend to have higher rates of poor patient outcomes such…

    • 774 Words
    • 4 Pages
    Superior Essays
  • Great Essays

    Nurse Staffing Paper

    • 629 Words
    • 3 Pages

    Since 2005, without much success, the Minnesota Nurses Association (MNA) has been encouraging hospital chief executive officers and/or administrators to set a baseline minimum staffing standard or create policy to protect patient safety (Minnesota Nurses Association, 2017). In 2010, the Affordable Care Act (ACA) implemented a new model of healthcare delivery and payment that was designed to improve quality and reduce costs, but as a result, cost control pressures have been put on nurse staffing levels in order to reduce nurse labor hours and their associated costs (Avalere, 2015). With a goal of making a case for sufficient nurse staffing levels and/or models, the American Nurses Association (ANA) teamed up with Avalere to conduct a targeted review of published literature, government reports, and other publicly available evaluations of nurse staffing and patient outcomes (Avalere, 2015). Their key findings with appropriate nurse staffing included: nurse staffing models should consider the number of nurses, the nurse-to-patient ratios and staffing should be adjusted to account for unit and shift level factors; helps to achieve clinical and economic improvement in patient care; improves patient satisfaction and patient quality of life; decreases/reduces: medical and medication errors, patient mortality,…

    • 629 Words
    • 3 Pages
    Great Essays
  • Decent Essays

    Nursing studies show that nurse staffing affect patient outcomes. As an evidenced-based research study, this article includes six individual research studies to reference. Synthetization of the six studies were created by concentrating on methods, samples and settings, major variables, data collection and analysis, and results and findings. Methods include correlational, cross-sectional and longitudinal designs. Samples comprised of patients and nursing staff in medical, surgical, critical and dialysis settings.…

    • 122 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    The workforce staffs availability are vital to bestow nursing care services to the patient populace in the ED…

    • 1398 Words
    • 6 Pages
    Great Essays
  • Decent Essays

    Ms. Greene was involved in presenting a specific section of the staffing methodology for nursing personnel on the Mental Health Behavioral Science (MHBS) inpatient department. This methodology is intended to determine full-time equivalent (FTE) employees for long-range planning and budget projections. This directive defines the steps that all VHA facilities must follow to determine appropriate levels of nursing staff (numbers and types) at all points of care. Staffing requirements determined through this methodology support and maintain a standardized approach to ensuring adequate nursing personnel across the organization.…

    • 143 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Nursing Shortage Analysis

    • 1800 Words
    • 8 Pages

    Nurses no longer sleep in wards near their patients. The 24-hour clock has been split into shift work. Initially the split was three 8-hour shifts, but in the 1970s to aid in the alleviation of the nursing shortage 24-hour staffing was changed to two 12-hour shifts (Rollins, 2015). Most nurses found the 12-hour shifts appealing. The 12-hour shifts led to less work hours and less work days, allowing nurses to better balance their job and family life.…

    • 1800 Words
    • 8 Pages
    Improved Essays
  • Superior Essays

    Introduction Trying to find a theory that can be used and have been used to help with such great problem such as nurse shortage was a challenge. After studying and reading many of the theorist models, Jean Watson nursing model stood out the most. The nurse literature reveals when supporting nurse staffing, it can warrant a quality of care from the nurses for their patients (Douglas, K. 2011). This task for the hospital administrator all the way down to the nurse manager, has come a great challenge and difficult task to achieve.…

    • 1088 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    The argument I will be addressing in my persuasive essay will be about the unfair workload of nurses. I will be arguing that nurses are overworked and do not have the support of the administrators. My main argument is to have the administrators hiring more nurse staff or to lower the ratio of nurse to patient. This argument is derived from my field of work. I am an RN, and I work in the same circumstances.…

    • 943 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The dynamic and challenging nature of the nursing profession has meant that that leadership is a priority in today’s healthcare environment. The nursing leadership concept is complex and multi-dimensional such that it influences the working environment. The leadership method adopted will have a direct bearing on the nursing staff satisfaction, retention and organizational performance (Schwartz, Spencer, Wilson, & Wood, 2011). For quality healthcare provision, it is therefore prudent that an organization adopts the right leadership mechanism and criteria. As a result, numerous theories have been developed to try and address leadership theories that would be prudent in the nursing profession.…

    • 839 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In 1998, a nursing shortage began due to the confluence of several factors that were, at the time, unknown. The lack of nurses is becoming apparent and putting out negative effects for the world to see through the registered nurses habits in caring for these patients. Hospital administrators suggested higher wages and increased training for nurses; however, efforts to provide these did not end the shortage. The controversy here is higher wages cannot make up for being intensely overworked, causing severe exhaustion and job dissatisfaction…but some people are still trying to increase wages without reducing workload. Because many aspects of society are affected, the nursing shortage has become a concern among hospital administrators.…

    • 1446 Words
    • 6 Pages
    Improved Essays

Related Topics