Staffing Models Scenario Paper NURS 514 Assignment

Staffing Models Scenario Paper NURS 514 Assignment

Staffing Models Scenario Paper NURS 514 Assignment

Abstract

The issue of lean staffing models in healthcare has been canvassed largely by various literature on the matter. In this matter, the principal objective is to identify a scenario that leads to the existence of health care wastage. The identification of the exact processes at the health care workplace that leads to the presence of waste may precede the creation of a strategy that may address the issue. One of the ways that the issue of wastage caused by staff members could be resolved is though facilitating the affected staff through lean staffing model strategies. Through the application of computerized clinical decision support systems, issues leading to waste such as admission and diagnostic delays will be combated. However, the implementation of these strategies will be met with several challenges that have to be overcome. Also, lean staffing models enhance the satisfaction of clinicians hence improving health care services.

Staffing Models Scenario Paper

Health care costs in the United States are higher than those in Western countries with similar or even comparatively better systems. Wasteful spending possesses several undesirable impacts that can be addressed through waste reduction strategies such as lean management. Also, efficient staffing models and work practices within health care settings may reduce the issue of wastefulness. The Leading versus Managing in Staffing and Scheduling: Concluding Thoughts scenario 2 provides the common scenarios in health care waste. Thus, using the scenario, the factors that impact efficient staffing models and work practices within health care organization in addition to the impact of lean staffing models on staffing models will be canvased.

Answers to Scenario 2

Recently, I undertook to study the process of health care services from admission, diagnostics, discharge, and even transfer of patients at my workplace. I realized that the above-mentioned processes majorly contribute to health care wastes as identified by Weberg, Mangold, Porter-O’Grady, and Malloch (2019). A lot of time (approximately 1 hour) is wasted when patients are compelled to wait in queues for admission due to inadequate personnel or poorly equipped personnel. The number of hours could go up to 5 depending on the number of patients in the queue. In addition, certain patients are delayed based on uncertainties regarding their discharge as a result of inaccuracies in their forms due to inadequately trained personnel. According to my experience, the delay could last up to 2 hours.

The above wastage reveals that a plan is required to reduce time wastage.  A five-step plan will be implemented in order to share the plan’s information with team members. One of the first steps will be to ensure that everybody acknowledges the need to reduce time wastage. Secondly, I am going to make certain that all the members understand their roles in the strategy. The third phase of the strategy will be to leverage the use of powerful communication means such as email to ensure that the information is disseminated to all members of the team. Moreover, I am going to exercise transparency during the communication and reveal all the aspects of the wastage that should be targeted. Finally, a team meeting will be convened in order to deliberate on the issue and seek solutions to the same.

In order to reduce time wastage associated with admissions and diagnostics as experienced during the above event, it would be imperative to implement a digitalized clinical decision support system. Such a system will allow patients to book their appointment online before coming to visit and allowing to proper scheduling so as to avoid the jam that was witnessed. The system will also influence the diagnostics process by allowing nurses the opportunity to review patient history at the click of a button and order for necessary diagnostic tests (Grout et al., 2018). The centralization of patient data using computerized decision support system will guarantee reduction of wastage related to staff. The entire project will take 3 months to implement with the first month being about consulting with personnel concerning the system. The second month will entail the implementation phase wherein patient data will be fed into the system. Lastly, on the third month, the system will be tested, issues identified and fixed before it is rolled out.

However, the process of communicating the above to the team members will be met with challenges. During the initial stages, mistrust, conflicts and tensions, lack of interest, and low engagement from members will characterize the project. Further, poor delivery of information and the absence of long-term thinking could also plague the support that the project requires. As a consequence, communicating the challenges regarding addressing basic wastes at the point of patient care becomes fundamental. Moraros, Lemstra, and Nwankwo (2016) advise that for one to conduct the communication effectively, one must start by organizing their ideas appropriately. This will be followed by listing all the challenges, transferring the information to the present team members, and then convening a meeting to discuss them before seeking for opinions from the members. Also, it becomes important to continue addressing the issue of nurses from a positive perspective in order to improve personal satisfaction hence work output.

Lean Staffing Models Contribution

Reaching optimization at the workplace requires the application of lean staffing models. Applying the rudimentary concepts of this model will result in reduced wastage as clinicians will become more effective and unnecessary workloads get eliminated. In other words, the lean staffing model positively contributes to a more efficient staffing model and work practices though improving working efficiency and offering working tools minus scaling down the staffing resources. As a consequence, health care professionals spend more time with their patients while duplication of processes becomes a thing of the past.

Staffing Models Scenario Paper NURS 514 Assignment References

Grout, R. W., Cheng, E. R., Carroll, A. E., Bauer, N. S., & Downs, S. M. (2018). A six-year repeated evaluation of computerized clinical decision support system user acceptability. Shannon. Ireland: Elsevier.

Moraros, J., Lemstra, M., & Nwankwo, C. (2016, January, 01). Lean interventions in healthcare: do they actually work? A systematic literature review. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care, 28(2), 150-65.

Weberg, D. R., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2019). Leadership in nursing practice: Changing the landscape of health care. Burlington, MA: Jones & Bartlett Learning.

Details:

The purpose of this assignment is to consider factors that impact efficient staffing models and work practices within health care organizations. Select one of the two scenarios at the end of Chapter 5 in Leadership in Nursing Practice: Changing the Landscape of Health Care. In 500-750 words, address the questions in the scenario is specific detail. Additionally, comment on how lean staffing models could positively contribute to more efficient staffing and work practices.

Integrate 2-3 resources into your response.

Prepare this assignment on Staffing Models Scenario Paper according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

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Staffing Models Scenario Paper NURS 514 Assignment Rubric

	1 Unsatisfactory 0.00%	2 Less than Satisfactory 80.00%	3 Satisfactory 88.00%	4 Good 92.00%	5 Excellent 100.00%
70.0 %Content
50.0 %Scenario Questions Answered	Answers to the chosen scenario is not included.	Answers to the chosen scenario is incomplete or incorrect.	Answers to the chosen scenario is included, but lacks supporting detail.	Answers to the chosen scenario is completed and includes supporting detail.	Answers to the chosen scenario is extremely thorough and includes substantial details.
20.0 %Lean Staffing Model Contribution	A description of how lean staffing models could contribute to more efficient staffing and work practices is not included.	A description of how lean staffing models could contribute to more efficient staffing and work practices is incomplete or incorrect.	A description of how lean staffing models could contribute to more efficient staffing and work practices is included, but lacks supporting detail.	A description of how lean staffing models could contribute to more efficient staffing and work practices is completed and includes supporting detail.	A description of how lean staffing models could contribute to more efficient staffing and work practices is extremely thorough and includes substantial details.
20.0 %Organization and Effectiveness
7.0 %Thesis Development and Purpose	Paper lacks any discernible overall purpose or organizing claim.	Thesis is insufficiently developed or vague. Purpose is not clear.	Thesis is apparent and appropriate to purpose.	Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.	Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
20.0 %Organization and Effectiveness
8.0 %Argument Logic and Construction	Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.	Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.	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.	Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.	Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
20.0 %Organization and Effectiveness
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)	Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.	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.	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.	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.	Writer is clearly in command of standard, written, academic English
10.0 %Format
5.0 %Paper Format (Use of appropriate style for the major and assignment)	Template is not used appropriately or documentation format is rarely followed correctly.	Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.	Template is used, and formatting is correct, although some minor errors may be present.	Template is fully used; There are virtually no errors in formatting style.	All format elements are correct.
10.0 %Format
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)	Sources are not documented.	Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.	Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.	Sources are documented, as appropriate to assignment and style, and format is mostly correct.	Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage

NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions

9. What are the primary challenges related to interoperability and the exchange of health information in the practice environment and how might these impact patients’ access to the best care? NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. Discuss a particular challenge with clinical provide order entry (CPOE) in your response.

10. Discuss the benefits and drawback of clinical decision support systems, including the challenges of avoiding alert fatigue. Considering your interactions with patients and systems in the clinical environment, what best practices related to human factors and user-centered design would you recommend to designers of such systems?
11. Discuss an example of a personal health, mobile heath, or telehealth-related application that you think can improve patient care. What are some of the primary challenges with integrating data from a mobile device or application with data within an EHR? Do you think most patients are comfortable with sharing their personal data in the clinical environment? Supposing the sharing of such information is beneficial for their health, what can be done to help patients overcome their reticence?
12. Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions.
13. What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Using these standards, discuss how informatics can be used to improve quality of care. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. Make sure to discuss meaningful use and incorporate the topic materials, such as the American Health Information Management Association (AHIMA) and Information Governance websites in your response.
14. There are several project management methodologies available to nurse leaders for supporting the implementation of quality and performance improvement initiatives in the practice environment. Two well-known ones are Lean and Six Sigma. Compare and contrast two project management methodologies you think are promising in the health care environment. Discuss their relative benefits and drawbacks and discuss why you think they can be successful for implementing quality improvement initiatives. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions.