complete the columns provided by calculating the total hours of direct nursing care delivered per patient day
Measuring a nursing unit’s productivity gives information on the unit’s ability to staff efficiently and follow the staffing grid/budgeted staffing levels. Productivity answers the question, “How often were staffing guidelines followed?” Charge nurses can track reasons for overstaffing, for example, high patient acuity or there was a higher than the normal census. This information can help explain variances in monthly nursing reports. It is important for a nurse manager in understanding the productivity levels in her unit. Nursing productivity is usually measured on a monthly basis but can be measured on a weekly or daily basis as well.
Variance is the difference between actual and budgeted events. Nursing productivity is measured by comparing the number of patient days with the number of nursing care hours, then comparing that ratio to the budgeted hours to come up with a productivity score.
The attached table provides data for a high-acuity medical-surgical unit for the previous year.
1. Using the information in the table, complete the columns provided by calculating the total hours of direct nursing care delivered per patient day for each month and for the total year.
2. Assuming that the productivity standard for this unit is nine hours per patient day, calculate the variance for each month.
3. The first month is done for you as an example.
4. Some months will have a positive variance; some months will have a negative variance.