NSG 7015 The Implementation of a New Staffing Matrix
NSG 7015 The Implementation of a New Staffing Matrix
Included all cost issues in the development, implementation, and monitoring of this new matrix.
Addressed recruitment and retention programs for and costs of this new matrix.
Provided new nursing leadership philosophies to staff a healthcare facility.
Explained the staffing approach in employing licensed versus non-licensed personnel.
Described the variables that you need to track in implementing the plan.
Explained the anticipated positive and negative trends in implementing such a matrix.
NSG 7015 The Implementation of a New Staffing Matrix
Used correct spelling, grammar, and professional vocabulary. Cited all sources using APA format.
BACKGROUND: Information on nurse satisfaction and unit acuity is scarce in the literature. The purpose of this study is to evaluate the effect of the MATRIX Staffing Grid (MSG) on nurse assignment satisfaction in a 20-bed inpatient rehabilitation facility. METHODS: Prospective systematic implementation study of the MSG occurred in 5 phases: development, baseline, run-in, implementation, and sustainability. Pretest/posttest nursing satisfaction data were analyzed using Wilcoxon-Mann-Whitney tests.
RESULTS: Analysis of 128 satisfaction surveys demonstrated that the median total satisfaction score increased by 35% after MSG implementation (P < .05), with no change in patient satisfaction or adverse event rates. CONCLUSION: A systematic approach to implementation of the MSG evidence-based practice significantly improved nursing satisfaction with patient assignment in a way that addressed specific needs. The MSG has now been adopted into practice at our institution. The MSG may be feasible for implementation in inpatient rehabilitation units to improve staffing satisfaction.
The AACN CSI Academy program focuses on empowering bedside nurses as leaders of change projects to improve clinical as well as fiscal outcomes. Participants bring innovative ideas to the table, and CSI Academy leaders provide guidance, knowledge and skills on how to craft, implement and sustain the project. This support and consultation helps nurses lead their peers in creating and implementing unit-based change that can be easily scaled.
Once they began participation in the CSI program, the Sharp team identified opportunities to optimize their patient- and family-centered care delivery model, plus staffing and resource allocation concerns as the foundation of their project. The objective was to include staff nurses and leadership to create a plan for enhancing each process in the unit’s patient care delivery system.
The team also recognized that an improvement to the unit’s patient care model could lead to other positive outcomes. They established a series of goals, which included decreasing patient falls, reducing staff injuries, increasing patient perception of staff responsiveness on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores and improving staff perception of adequate staffing.
The plan was to shift PCU staffing to a more teamwork-based nursing method, and it started with redesigning the nursing matrix.