STAFFING HOSPITAL NURSING SERVICES IN DIFFERENT UNIT

2. STAFFING HOSPITAL NURSING SERVICES IN DIFFERENT UNIT S.RAJARAJESWARI M.Sc.NURSING I YEAR MTPG&RIHS

3. INTRODUCTION

4. Definition of Nursing Services WHOexpert committee on Nursing defines the nursing services as the part of the total health organization which aims to satisfy major objective of the nursing services is to provide prevention of disease and promotion of health.

5. ORGANISATION OF NURSING SERVICES CHIEF NURSING OFFICER NURSING SUPDT DY. NURSING SUPDT. ASSTT. NURSING SUPDT. WARD INCHARGE SISTER-CLINICAL SUPERVISOR STAFF NURSE --------(STUDENT NURSE)

6. OBJECTIVES OF NURSING IN WARD • Maximum comfort and happiness by way of pleasant surroundings. • Qualitative/comprehensive care to the patient. • Care based on the patient’s needs. • Accurate assessment of illness. • Adequate material resources at all times. • Health education to the patient and attendants. • Managerial skills as and when required. • Privacy at all levels.

7. EFFECTIVE NURSING An effective nursing is always based on nursing process • ASSESSMENT- not only initial but integral ongoing component of the whole nursing process. • PLANNIG AND IMPLEMENTATION- in this the nurse formulates and implements the care. • EVALUATION- decides whether the action taken has met the identified needs or not

8. FACTORS TO BE CONSIDERED IN PLANNING HOSPITAL NURSING SERVICES • Number and type of patient. • Number of beds and type of ward. • The services required. • Procedures/techniques necessary for care. • Number and type of personal needed to perform care effectively. • Physical facilities. • Provisional of equipment and supplies.

9. S.I.U NORMS • 1 Nursing sister (Unit in charge nurse) for 36 staff nurses. • 1 ANS (Assistant Nursing Superintendent) for 4:5 nursing sisters. • 1 DNS (Deputy Nursing Superintendent) for 7:5 ANS. • 1 Nursing superintendent for 250-500 beds. • 1 CNO for 500 or more beds.

10. The Nurse-patient Ratio as per the S.I.U. Norms 

13. PROBLEMS AND CHALLENGES FACED BY THE NURSING ADMINISTRATOR • Lack of adequate training. • Problem of personnel management. • Inadequate number of nursing staff. • Shortage of trained manpower. • Lack of motivation. • No involvement in planning. • No career mobility. • Poor role model. • Non-nursing activities. • No research scope. • No proper authority. • Professional risk/hazards. • No autonomy in nursing activities.

14. CONSTRAINS AND BARRIERS IN NURSING SERVICES ADMINISTRATION • Planning of nursing manpower. • Management and development. • Staff development. • Development/awards. • Nursing legislation. • Trained nurse managers. • Diversification in nursing profession. • Leadership inadequacy. • Lack of strength, weakness,  opportunity and threat. • Lack of awareness to meet social, economic and technical changes in the society and consumer protection act. • Lack of communication. • Nursing care audit.

15. DAY TO DAY PROBLEM IN NURSING SERVICES • Shortage of nurses. • Lack of motivation. • Negative attitude. • Lack of training. • Lack of team approach. • Inactive participation of programs. • Lack of I.P.R. • Less involvement in patients care by the nursing supervisors. • Lack of supervision.

16. FORSEEN FOR BETTER NURSING SERVICE ADMINISTRATION IN THE NEXT MILLENIUM • Accountability. • Autonomy of professional activities. • Awareness of C.P.A. • Independent nursing practices. • Renewal of licenses based on education and examination. • Specialty nursing • Nursing care audit. • Qualitative nursing care. • Separate nursing budget. • Diploma in nursing management. • Nursing research.

17. BIBLIOGRAPHY Books • Page.A.(2004). Keeping Patients Safe: Transforming the Work environment of nurses. (2nd ed.) Washington: National Academies press. Pp:37, 76-78. • Griffin.D.J. (). Hospitals : what they are and how they work. (4th ed.). Sudbury: Jones & Barlett. Pp:96-105 • Joint Commission Resources.(2003) Staffing Effectiveness in hospitals. Illinois:JCAHO Pp:101-107 Websites • http://www.nursingworld.org/mainmenucategories/anamarketplace/anaperiodicals/ojin/tableofcontents/volume122007/no3sept07/mandatorynursetopatientratios.aspx • http://intqhc.oxfordjournals.org/content/14/1/5.full.pdf • http://currentnursing.com/nursing_management/staffing_nursing_units.html • http://india.gov.in/govt/studies/cluster-1.pdf