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Improving the Staffing Structure at an Acute Inpatient Psychiatric Facility
Improving the Staffing Structure at an Acute Inpatient Psychiatric Facility
Literature Review - Determining Evidence Based Practices to Improve the Quality of Nursing Care
Literature Review - Determining Evidence Based Practices to Improve the Quality of Nursing Care
The staffing structure within an acute inpatient setting plays a crucial role in fostering a culture of learning that supports and maintains safe, efficient, high-quality care. Conversely, staffing structures that are not based on the needs of the patient population and that have low RN ratios can trigger adverse events. A literature review was conducted, and substantial evidence found to support the proposed plan. The literature review findings were divided into the following five categories: 1) Determining staffing numbers and mix, 2) Determining necessary skills and competencies of nursing staff, 3) Determining shift assignments and workflows, 4) Effective nursing leadership structures, and 5) Staffing impact on quality of care and patient and staff satisfaction. Research showed that RNs are central to optimizing patient care and ensuring patient and staff safety within the acute inpatient psychiatric setting. Research confirms the assumption that patient outcomes and staff and patient satisfaction improve in environments where leadership is focused on quality and safety and provides supervision, support, and ongoing opportunities for professional development when creating a staffing model.
The staffing structure within an acute inpatient setting plays a crucial role in fostering a culture of learning that supports and maintains safe, efficient, high-quality care. Conversely, staffing structures that are not based on the needs of the patient population and that have low RN ratios can trigger adverse events. A literature review was conducted, and substantial evidence found to support the proposed plan. The literature review findings were divided into the following five categories: 1) Determining staffing numbers and mix, 2) Determining necessary skills and competencies of nursing staff, 3) Determining shift assignments and workflows, 4) Effective nursing leadership structures, and 5) Staffing impact on quality of care and patient and staff satisfaction. Research showed that RNs are central to optimizing patient care and ensuring patient and staff safety within the acute inpatient psychiatric setting. Research confirms the assumption that patient outcomes and staff and patient satisfaction improve in environments where leadership is focused on quality and safety and provides supervision, support, and ongoing opportunities for professional development when creating a staffing model.
Danielle Sullivan, MSN, RN, Director of Nursing, Pocasset Mental Health Center
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