Preferred Name

Shimp, Kevin

ORCID

http://orcid.org/0000-0002-3913-6496

Date of Award

Spring 2017

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

Department of Nursing

Advisor(s)

Melody Eaton

Joy Harnage

Kathy Baker

Abstract

The American Nurses Association (ANA) recommends that at least fifty percent direct care providers are involved in staffing and scheduling decisions at the institutional level (ANA Staffing, 2015). This recommendation coincides with Magnet recommendations for the staff most impacted by staffing levels. Magnet organizations are recognized for superior nursing processes and quality patient care, which lead to the highest levels of safety, quality, and patient satisfaction (ANCC, 2015). Existing research, largely at the unit level, shows that registered nurses in acute care environments have higher general work satisfaction and morale when they are engaged in decision making around staffing (Ellerbe & Giansante, 2015; Brunges & Foley-Brinza, 2014; Hoffart & Willdermood, 1997). This descriptive design explores ways nursing staff are engaged by their staffing and scheduling committees to influence staff resource allocation on the unit and at the institutional level. Magnet facilities in Virginia with staffing and scheduling committees were asked to participate and complete a self–reported survey. The survey questionnaire was developed for the purpose of this project, and content validity tested with a resulting overall CVI of 0.86 (Appendix A). Questions included both Likert Scale and three opened ended questions related to the project aims. Data was analyzed, along with Content Analysis quantified to frequencies for three open-ended questions. Project results are intended to add to the literature, educate policymakers, and continue the conversation on how nursing can be part of the solution for the staffing and scheduling problems facing healthcare today.

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