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Interdisciplinary Proposal Plan
Ryan Canaria
NURS-FPX4010
Capella University
January 16, 2020
, Interdisciplinary Proposal Plan 2
Strategies for managing human resources
The concerns that was previously address that need to be resolved are related to
the inadequacy of staffing in the emergency room. It has been expressed by the staff in
the emergency department that inadequate staffing leads to a chain reaction of negative
impacts on the staff, patient care and the organization that leads to a variety of issues. It
begins with the additional workload that is being demanded both morally and by the
profession legally, increased incidence of poor patient outcome, job dissatisfaction of the
staff—which can lead to nurse burnout and absenteeism—and increased in budgetary
issues for the organization. Presently, there is no single staffing model or strategy that is
ideal in all settings of care or situations and therefore must be adjusted according to the
specific unit or department patient care needs. Any current staffing model needs to be
flexible in order to adapt to the changes in the care environment from hour to hour or
over the long term. Using evidence-based practice (EBP) to collect data on the current
issue, I will discuss strategies—including both its’ advantages and disadvantages—of
different methods on how to improve on it.
One model of strategy that can be considered to target inadequate staffing is the
rigid method called “fixed staffing model.” According to the Optimal Nurse Staffing to
Improve Quality of Care and Patient Outcomes: Executive Summary of 2015, “the use of
fixed mandated staffing ratios and staffing grids often rely on a set number of nurses for a
particular unit or shift or an unalterable nurse-to-patient staffing ratio.” However, what
this model fails to consider is the hour-to-hour changes that are the norm in a patient care
environment. There is a concern that different variables impact the need for nursing staff
such as: the patient’s acuity level, the nursing skill level needed to care for the patient,