Question

What have you perceived to be the best staffing plan you have been a part of? What made it the best? What was the skill mix? What was the care delivery model?

Answer 1

The best staffing plan involves manning the organizational structure through proper and effective selection, appraisal, estimation and development of personnel to fill the roles designed into the structure. There are many factors influencing staffing plans:

• Pattern of delivery of services
• Standard of nursing care
• Size and type of medical staff

Examples of staffing in different areas of health care system.

• Assistant nursing super intent 1:150 beds
• Ward sister/ Supervisor 1:25 beds
• Staff nurse in wards 1:3 + 30 % leave reserve
• Staff nurse in ICU 1:1

Skill mix is a great ability of proficiency. The skill mixing is how and why to new employer in carrying out the Obsighted function. Skill mixing may range from simple to complex or general to specific. The importance of skill mixing and orientation of new employees to provide close relationships between good nursing care and good ward management.

There are some objectives for skill mix:

• It enhances the employee standard of working performance.
• It lessens the direct supervision needed by the employer.
• Promotes the job satisfaction.

Care Delivery Model is led by a triad - a nurse a physician and administrator, that function as a team and has the operational responsibility and accountability for patient care quality, service excellence and overall efficiency of care delivery. In so far as possible, patient populations are cohort in service lines that represents the continuum of critical, progressive and acute care.

Care delivery model roles that make up the nursing care team includes staff nurses and nursing care technicians. Registered nurses plan and deliver nursing care to each patient and may be assisted by the nursing care technician. Additional members of care deliver team include clinical nurse specialists and clinical nurse experts.

There are two Care deliver models:

Traditional models of care	Integrated Models of care
1. Total patient care	1. Practice Partnerships
2. Primary Nursing	2. Case Management
3. Functional Nursing	3. Critical Pathways
4. Team Nursing	4. Differentiated Practice.
5. Modular Nursing