Capacity planning in hospital nursing: a model for minimum staff calculation.
An aging population, emerging technology, heightening patient expectations, rising health care costs, shorter patient stays, and growing pressure to improve quality have made the management of nursing resources even more critical today. While approaching a model for staffing levels, the authors considered factors such as patient acuity, work redesign, and minimum quality standards. The methodology for analysis included estimating the time needed to complete nursing tasks and calculating the average number of tasks per patient. With respect to nursing quality measures, the study examined the adequacy of nursing documentation including admission history, assessments, nursing procedures, and discharge report as well as nursing-driven outcomes such as fall and phlebitis rates. Lastly, the authors determined the theoretical number of staff needed to provide nursing care according to quality standards.
González-Torre
Pilar L
PL
Escuela t. Superior de Ingenieros Industriales, University of Oviedo, Spain.
Adenso-Díaz
B
B
Sánchez-Molero
Olallo
O
D017721:Hospital Costs; D006801:Humans; D016294:Models, Nursing; D009741:Nursing Staff, Hospital / Q000191:economics / Q000458:organization & administration*; D017060:Patient Satisfaction; D010561:Personnel Staffing and Scheduling / Q000191:economics / Q000458:organization & administration*; D011785:Quality Assurance, Health Care / Q000706:statistics & numerical data