Benchmark – Staffing Matrix and Reflection

 

Scenario: You are the nurse leader of a 30-bed medical surgical unit and have to account for all staffing, including any discrepancies. Using sound financial management principles, complete the “NUR-621 Topic 8: Staffing Matrix” in the provided excel template. After completing the matrix, compose an 1,000-1,250-word reflection answering the following questions: 1. Why is it important to use a staffing matrix in your health care setting? 2. Briefly describe your staffing matrix. How many FTEs (full-time equivalent) on the staffing roster are required to cover daily needs? What units of services or work measurement did you use and why? What financial management principles did you use to determine your staffing matrix? I have attached the matrix I completed. The patient to nurse ratio will be 5:1. The certified nurse assistant patient to nur​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​se ratio will be 10:1. The health unit coordinator will take care of the administrative needs of the unit during peak hours of 8-5:30. The nurses will work 12 hour work shifts (7a-7p and 7p-7a). Certified nurse assistants will work 8 hour shifts (7a-3p; 3p-11p;11p-7a. 3. Explain how you adjusted your staffing based on changes in the patient census. (See spreadsheet I completed) For example: With 26-30 patients, the unit will require 6 nurses and 3 certified nurse assistants. 21-25 patients=5 nurses and 3 certified nurse assistants (CNAs) 4. You receive your financial report for the month. You have used more FTEs than what was budgeted for your census. How will you make up the variance? How would you reallocate resources to make up for the variance and still comply with guidelines?

 

Sample Solution

The conclusion of the Cold War started a debate over thoughts and ideas of security in IR between ‘narrowers’ and ‘wideners’. The narrowers were concerned with the security of the state and frequently focused on examining the military and political stability between the United States and the Soviet Union. Disappointed with this, wideners look for to incorporate other sorts of risks and threats that were not military in nature and that influenced individuals rather than states. This expanded the security plane by involving concepts such as human security, territorial security and regional security – together with ideas of culture and identity. Feminism had an imperative part in broadening the agenda by challenging the thought that the sole supplier of security was the state and that gender was not important in the production of security. On the other hand, the state was regularly the cause of uncertainties and insecurities for women. Extending the agenda from a feminist point of view brought gender into focus by putting gender and women as the centre of security calculations and by illustrating that gender, war and security were interwoven. It was a vital advancement in the rise of a more extensive point of view on security. (Glanville, 2006) Whether one agrees with wideners or the narrower, the end of the Cold War indicated that security was a challenged concept ‘a concept that generates debates that cannot be resolved by reference to empirical evidence because the concept contains a clear ideological or moral element and defies precise, generally accepted definitions’ (Fierke, 2015) By pointing at the essentially challenged nature of security, critical approaches to security contend that ‘security’ is not essentially positive or widespread, but context and subject to be subordinate and negative at times. Since a few regulate security while other get and receive security, security produces uneven power relations between individuals. For example, in the setting of the Global War on Terror an individual who looks Middle Eastern has been respected with doubt as an unsafe ‘other’ and there has been an increase in surveillance operations in Muslim communities on the assumption that since they fit a certain profile, they may be associated to terrorism. Seen in this light, surveillance thus becomes a security device of control and a source of uncertainty. It is by addressing the essence of security in cases such as this that securitisation theory developed and broadened the scope of security to incorporate other referent objects past the state. A referent object, a central thought in securitisation, is the thing that is undermined and threatened and needs to be protected. (Fierke, 2015)

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