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With the Staff Mix Decision-making Framework for Quality Nursing Care [PDF, 597.5 KB], you can create the mix of staff that: Responds to client health needs. Supports continuity of care and care provider. Values quality of worklife. Optimizes outcomes for clients, staff and the organization. The framework, funded by the Government of Canada’s ...
- Nurse Staffing
A report developed at a CNA-hosted roundtable, Invitational...
- Nurse Staffing
- Acknowledgments
- CNA Representatives
- CCPNR Representatives
- Unregulated Care Providers
- Research Consultant
- Introduction
- Staff Mix Decision-making Framework
- Applying the Framework
- Assessment
- Planning
- Implementation
- Evaluation
- Conclusion
The Canadian Nurses Association (CNA), the Canadian Council for Practical Nurse Regulators (CCPNR), and the Registered Psychiatric Nurses of Canada (RPNC) gratefully acknowledge the dedication, commitment and contributions of the members of the Staf Mix: Regulated Nurses and Unregulated Care Providers Working Group:
Irmajean Bajnok — Registered Nurses’ Association of Ontario Annette Morgan — Eastern Health, N.L. Lynn Redfern — College and Association of Registered Nurses of Alberta
Teresa Bateman — College of Licensed Practical Nurses of Alberta Ann Mann — College of Licensed Practical Nurses of Nova Scotia
Rick Bardal — Pasqua Hospital, Regina, Sask. Tammy Frail — Victorian Order of Nurses, Annapolis Valley, N.S.
Sean Clarke — University Health Network and University of Toronto, Ont.
Health-care providers and organizations strive to deliver safe, competent, ethical, quality, evidence-informed care, which includes meeting their clients’ needs across the continuum of care and bringing about positive health outcomes for them. Researchers and decision-makers have long recognized the role of nurse stafing in the delivery of safe and...
This framework is intended to guide decision-making about staf mix through four phases: assessment, planning, implementation and evaluation. Staf mix decision-making is an ongoing process, and the evaluation of outcomes will continually provide new insights and, possibly, the need for adjustments. The framework outlines key client factors, staf fac...
This framework is designed to be flexible. It is based on the five guiding principles stated above and is intended to guide decision-making in all clinical practice settings across the continuum of care. In addition, it presents a process for making stafing decisions on a day-to-day basis and over the long term. Users are encouraged to assess their...
Assess baseline client, staf and organizational factors and outcomes. Has a full assessment of each of the client, staf and organizational factors and outcomes been carried out in order to determine the need for staf mix decisions and the nature of any such decisions made? Are client health-care needs (e.g., acuity, complexity, stability, variabil...
Plan your staf mix, taking into consideration your assessment of client, staf and organizational factors and outcomes. Do the staf mix decisions support desired client, staf and organizational outcomes as depicted in the framework illustration? Are direct care staf and management involved in staf mix decision-making? Is there a plan in place that ...
Implement your staf mix plan. Is there a pilot implementation stage to test the impact of your staf mix plan on client, staf and organizational outcome indicators? Is a change management strategy being used to support a smooth transition to the new staf mix plan? Are the client, staf and organizational factors and outcome indicators of the framewor...
Evaluate your staf mix plan with respect to relevant client, staf and organizational outcomes. Use this information to refine your staf mix plan. Has the staf mix plan been implemented as expected? Are the outcomes of staf mix decisions from client, staf and organizational perspectives being monitored using the best available measures on a regular ...
Staf mix decision-making is a complex and systematic process developed according to guiding principles and carried out after a careful assessment of client, staf and organizational factors and evaluation of client, staf and organizational outcomes. The Staf Mix Decision-making Framework for Quality Nursing Care incorporates key client, staf and org...
Oct 19, 2022 · In times of cost constraint, nursing leaders may need to examine scope of practice for the nursing staff and staff mix against their nursing care delivery models. This may result in nursing roles being changed or replaced. Participant 4 addresses the impact of funding on the nursing care delivery model and skill mix when caring for patients.
A report developed at a CNA-hosted roundtable, Invitational Round Table Nursing Care Delivery Models and Staff Mix: Using Evidence in Decision-making [PDF, 111.5 KB] (2010), offers a set of guiding principles and topics for further discussion. Practice environments. Code of Ethics for Registered Nurses (CNA, 2017)
Nursing care delivery model is a system for organizing and delivering nursing care to clients and their families and represents both the structural and contextual elements of nursing practice (Fowler, Hardy & Howarth, 2006). Nursing-sensitive outcomes are those that are “based on nurses’ scope and domain of practice, and
Aug 13, 2019 · The two key components of models of nursing care delivery are mode of nursing care delivery and skill mix. While mode of nursing care delivery refers to the independent or collaborative work of nurses to provide care to a group of patients, skill mix is defined as direct care nurse classifications.
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2. Evaluation of the impact of nursing staff mix decisions is complex and requires a systematic and com-prehensive approach using all of the components of this framework. 3. This evaluation framework recognizes and respects the value and contribution of each regulated nursing group. 4. This evaluation framework applies to all sectors and client ...
