Key result
Evidence-based leadership strategies and Lean methodologies are needed to improve the sophistication and effectiveness of nurse-patient staffing assignments beyond traditional ratio-based models.
Highlights the need for evidence-based leadership strategies, Lean methodologies, and quality management to improve nurse-patient staffing and manage patient turnover.
Finding the balance of equitable assignments continues to be a challenge for health care organizations seeking to leverage evidence-based leadership practices. Ratios and subjective acuity strategies for nurse-patient staffing continue to be the dominant approach in health care organizations. In addition to ratio-based assignments and acuity-based assignment models driven by financial targets, more emphasis on using evidence-based leadership strategies to manage and create science for effective staffing is needed. In particular, nurse leaders are challenged to increase the sophistication of management of patient turnover (admissions, discharges, and transfers) and integrate tools from Lean methodologies and quality management strategies to determine the effectiveness of nurse-patient staffing.
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Gray et al. (2015) conducted an editorial in Nurse-patient staffing. Evidence-based leadership strategies and Lean methodologies vs. Ratio-based and acuity-based assignment models was evaluated. Evidence-based leadership strategies and Lean methodologies are needed to improve the sophistication and effectiveness of nurse-patient staffing assignments beyond traditional ratio-based models.
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