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Discuss Nursing Ratios
- 4:1 (not ICU pts)
- Specific nurse-to-pt ratios are mandated
- Problems:
- Minimum staffing could become average staffing
- Hospitals could eliminate support staff (we need techs)
- Loss of flexibility (3 hard pts, vs 5 easy pts)
- Enforcement
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Discuss Staffing requirements
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Discuss Effective recruitment
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Effective staff reviews
- What are the objectives for employee performance reviews?
- Who will be reviewed?
- What will be the mix of individual and group reviews (coworker, charge, & anonymous)
- Formal or informal?
- Measures for performance?
- How often?
- Who will conduct?
- What processes will be used?
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Equal Employment Opportunity Commission
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Leadership Enhancement and Development
Project
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Urban sprawl
- Spreading out from center of city
- Effects:
- Less green space- not safe for exercise
- More cars for pollution
- Fast food
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Critical incident reviews
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Domains of practice used for staff
evaluations
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Teachable moments
- When mistakes are made
- Not immediately after a huge mistake (death)
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General differences in evaluations/rewards
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Design strategies and policies to reduce
workplace violence
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Anger control skills
- Time out
- Learn to relax
- Don't try to control others
- Reward people for good behavior
- Speak softly (& appropriately)
- Take responsibility for actions & words
- Prevent resentment (don't rub their nose in it & don't ignore concerns)
- Use "I" statements
- Challenge your irrational thoughts
- Learn to forgive
- Be direct, specific, and polite about your concerns
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PRECEDE-PROCEED model (predisposing,
reinforcing and enabling factors)
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Nursing satisfaction measures
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