Identify two of the nursing-sensitive indicators Mary Jane should consider in making staffing

Directions: Complete the case study below by answering each question in Part A and B. Utilize a minimum of two scholarly resources (such as academic peer-reviewed journal articles or refereed sources) to support responses to Part A of the case study. For Part B use the Personnel_Budget_Case_Study_Worksheet PDF. This document is for illustration only. Do not make any edits to the spreadsheet.   The assignment does not require a formal written paper; however, when preparing the paper, please use an APA-style title page with running head, and reference page is required. The completed project must be submitted to the Turnitin dropbox to check for plagiarism.

Scenario: Mary Jane Smith has recently accepted a position as nurse manager on 1 West, a medical surgical nursing unit at Mercy Hospital Center.

Part A:

1. Identify two of the nursing-sensitive indicators Mary Jane should consider in making staffing
2. Discuss how nursing-sensitive indicator data (for each indicator chosen) can be utilized to enhance the safety and quality of patient care.
3. Consider the following list of considerations to be made related to acuity:
   • comorbid conditions
   • complex medical needs
   • family/social support
   • polypharmacy
   • psychological/cognitive status
   • complex treatment plans
   • number of providers involved
4. For this aspect, explain the ways in which nursing staffing is impacted by patients who may have two of these issues which would create a higher acuity level for the patient. This part of the discussion must include an explanation of two of the considerations listed.

Part B:

Mary Jane has been asked by the Chief Nursing Officer to prepare a personnel budget for the coming fiscal year. Mary Jane has collected the following information, in addition to what she has determined based on nursing-sensitive indicator data discussed in Part A. This information is also listed on the PDF document (in the unit module) for illustration.

Patient Data

Average Daily Census 28 Unit Capacity 30

Total Care Hours 96,360

Staff Data

Total Hours/employee/year 2,080

Average Salary per Employee Category

RN $36.00/hour LPN $22.00/hour

Nurse’s Aide $12.00/hour

Answer each of the following questions within the paper:

1. Calculate the number of full-time equivalents (FTEs) that would be needed. Use the following formula and show your Take the total care hours and divide by the total hours for the year.
2. Explain what hours per patient day (HPPD) are and how the acuity of the unit would affect HPPD?
3. Explain how diagnosis-related groups (DRG’s) and Case Mix Index (CMI) affects hours per patient day.
4. Review the staffing plan for last year. What outcomes would you use to evaluate this staffing plan? Based on this data, would you recommend any changes for the upcoming year?