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Research Proposal On Nursing Making Assignments In A Nursing Home Facility

Research Proposal On Nursing Making Assignments In A Nursing Home Facility

Making assignments is a strategy which every manager must develop for accurate allocation of staffing in health care facilities. Due to the necessity for twenty four hour care it is most important that each shift has the correct patient staff ratio. However, this is easier said than done since so often it is difficult to please every category of staff on the clinical areas. This difficulty is not exclusive to nursing homes, but affects every level of health care delivery. In this research paper the writer will outline methods involved in making assignments in nursing homes; role of persons responsible for making them; importance of employee input in the process; exploration of ways in which the process can be facilitated and evaluation of methods developed in making assignments much easier for Nursing service.

Nursing home care particularly caters for the elderly. As such, tasks executed by each level of nurse and auxiliary staff are oriented towards rehabilitation with an emphasis on geriatrics. Therefore, allocation of assignments could be more tasks informed than in a general hospital setting.

Bed baths may be more frequent on a long term basis, assisting with grooming; ambulation as well as daily interpersonal relations with clients could become more demanding, especially in cases where there is dementia. Precisely, these vital aspects of care ought to be considered when making assignments in nursing home facilities. It encompasses staff ability to cope for extreme hours with stressful situations influenced by the assignment.

Methods employed when of making assignments in facilities
There are a number of methods adopted in making assignments for nursing care. They vary from country to country; state to state and with intuitional practices. Generally, it involves application of knowledge derived from research pertaining to planning, delivering; evaluating and modifying client care.

This forms a methodological approach towards making staffing mix of skills when schedules are made. Legislated practice procedures in the allocation of tasks also forms a major aspect of the method employed. Two approaches are used in Nursing homes. They are known as task allocation called as functional nursing assignments and patient allocation in primary nursing intervention (Dobson & Tranter, 2008).

Persons responsible for making assignments
In any hospital, nursing home or rehabilitation center the responsibility of making assignments regarding patient care lies with the registered nurse. The elements of assignment are based on careful assessment and identification of needs; appropriate selection of intervention relevant to the staff expertise; consistent evaluation of interventions and adjustments when needed in facilitating appropriateness of the right nurse for the right patient at the right time (Douglas, 2009).

Employee’s input into the procedures
Even though the responsibility of making assignments rests with the registered nurse; every other category of nurse is accountable for establishing appropriate care in the best interest of patients. As such, their input in the process is required for efficacy. It involves intermittent consultation with the registered nurse to ensure that allocations are executed efficiently. In response the registered nurse functioning at the ‘point of care’ level should collaborate with subordinate staff such as LPNs and CNAs in evaluating initial assuagement allocations to enforce modifications during the shift or subsequently.

How can the process be more favorable?
The process of making assignments can become most favorable for every category of nurse as well as patient when a team- organized technique is incorporated to bridge the task (Functional Nursing) and patient (Primary nursing) approach in making assignments (Fairbrother, 2010).

While there are studies to prove that task/patient allocations are better intervention pertaining to quality of care outcomes; the team model technique is more cost effective and culturally applicable in achieving goals of the organization as well as individual satisfaction in both delivery and outcome of care (Gardner & Tilbury, 2001).

Follow up measures of assessing effectiveness of the process.
Follow up measures are essential in making assignments since it is the only method available in determining the effectiveness of the making assignment process. Usually, registered nursing are held accountable for appropriately for this analysis.

It is a consistent pattern beginning with whether the practice environment has mechanisms for an effective evaluation of the intervention and outcomes. Complexity of the facility management enforces more skilled leadership in this regard. Therefore, record keeping and adequate supervision of subordinate staff are major tools used in making assignment evaluations.

Making assignments in health care follows a pattern consistent with health care management of the particular facility for which the process is necessary (International Council of Nurses – ICN, 2006). Registered nurses have adapted many theoretical models in facilitating the process as well as measuring outcomes.

Dobson, S. & Tranter, S. (2008). Organising the work: choosing the most effective way to
deliver nursing care in a hospital haemodialysis unit. Renal Society of Australasia
Journal, 4(2), 59-63.
Douglas, K, (2009), “The naked truth: staffing in health care needs an
Overhaul”, Nursing Economics, 27( 9).332-334
Fairbrother, G., Jones, A. & Rivas, K. (2010). Changing model of nursing care from individual patient allocation to team nursing in acute inpatient environment. Contemporary Nurse, 35(2), 202 – 220.


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