NUR 417 - TEST #3
1. What is the primary goal of nursing staffing management?*Answer* To
provide the right number of qualified nursing statt to deliver safe, high-quality, cost-ettective care while
achieving positive clinical outcomes and patient satisfaction.
2. How does better RN staffing impact patient outcomes?
*Answer* It reduces patient mortality,
enhances clinical outcomes, improves nurse satisfaction, and decreases adverse events, failure to rescue rates, and
length of stay.
3. What are the five areas of the ANA Principles for Nurse Staffing?
*Answer* Health care
consumer, RNs and other statt, organization and workplace culture, practice environment, and staflng evaluation.
4. What is the ANA's stance on mandatory overtime?
*Answer* The ANA opposes routine mandatory overtime, advocating instead for policies that prevent
fatigue-related errors.
5. What was the primary legislative driver for California's AB 394?
,*Answer* Kaiser Perma-nente's reduction of RN skill mix from 55% to 30%, which led to patient safety
concerns and complaints.
6. What does AB 394 mandate in California?
*Answer* It mandates minimum nurse-to-patient ratios.
7. What are the three general models of state staffing regulations?
*Answer* Nurse-driven staflng committees, mandated specific nurse-to-patient ratios, and required
public/regulatory disclosure of staflng levels.
8. What are the four key requirements for hospitals according to The Joint
Commission (TJC) regarding staffing?
*Answer* Verifying nurse qualifications/competencies, providing adequate statt numbers, ensuring
appropriate skill mix, and meeting human resource standards.
9. What is the difference between decentralized and centralized staffing?
*Answer* De-centralized staflng allows unit managers to control daily allocation, while centralized staflng
uses a central oflce to manage resources across multiple units.
10. What is the budget-based model for workload determination?
, *Answer* Staflng is allocat-
ed based on NHPPD (nursing hours per patient day).
11. How does the patient acuity/intensity-based model determine staffing?
*Answer* -
Staflng is determined by specific patient characteristics and individual care needs.
12. What is the difference between fixed and variable staffing methods?
*Answer* Fixed staflng is built around maximum workload requirements, whereas variable staflng is
statted below maximum with supplementation as needed.
13. What is the difference between direct-care and indirect-care hours?
*Answer* Direct-care
hours involve time spent providing patient care (RN, LPN/LVN, UAP), while indirect-care hours involve organizational
business like committees and statt development.
1. What is the primary goal of nursing staffing management?*Answer* To
provide the right number of qualified nursing statt to deliver safe, high-quality, cost-ettective care while
achieving positive clinical outcomes and patient satisfaction.
2. How does better RN staffing impact patient outcomes?
*Answer* It reduces patient mortality,
enhances clinical outcomes, improves nurse satisfaction, and decreases adverse events, failure to rescue rates, and
length of stay.
3. What are the five areas of the ANA Principles for Nurse Staffing?
*Answer* Health care
consumer, RNs and other statt, organization and workplace culture, practice environment, and staflng evaluation.
4. What is the ANA's stance on mandatory overtime?
*Answer* The ANA opposes routine mandatory overtime, advocating instead for policies that prevent
fatigue-related errors.
5. What was the primary legislative driver for California's AB 394?
,*Answer* Kaiser Perma-nente's reduction of RN skill mix from 55% to 30%, which led to patient safety
concerns and complaints.
6. What does AB 394 mandate in California?
*Answer* It mandates minimum nurse-to-patient ratios.
7. What are the three general models of state staffing regulations?
*Answer* Nurse-driven staflng committees, mandated specific nurse-to-patient ratios, and required
public/regulatory disclosure of staflng levels.
8. What are the four key requirements for hospitals according to The Joint
Commission (TJC) regarding staffing?
*Answer* Verifying nurse qualifications/competencies, providing adequate statt numbers, ensuring
appropriate skill mix, and meeting human resource standards.
9. What is the difference between decentralized and centralized staffing?
*Answer* De-centralized staflng allows unit managers to control daily allocation, while centralized staflng
uses a central oflce to manage resources across multiple units.
10. What is the budget-based model for workload determination?
, *Answer* Staflng is allocat-
ed based on NHPPD (nursing hours per patient day).
11. How does the patient acuity/intensity-based model determine staffing?
*Answer* -
Staflng is determined by specific patient characteristics and individual care needs.
12. What is the difference between fixed and variable staffing methods?
*Answer* Fixed staflng is built around maximum workload requirements, whereas variable staflng is
statted below maximum with supplementation as needed.
13. What is the difference between direct-care and indirect-care hours?
*Answer* Direct-care
hours involve time spent providing patient care (RN, LPN/LVN, UAP), while indirect-care hours involve organizational
business like committees and statt development.
