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Formulating a managerial strategy for part-time nurses.

D S Wakefield, S Mathis

    The Journal of Nursing Administration
    |January 1, 1985
    PubMed
    Summary
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    The Medicare prospective payment system (PPS) prompts a review of nursing staffing. This analysis explores the strategic use of part-time nurses for scheduling, cost, and quality improvements.

    Area of Science:

    • Healthcare Administration
    • Nursing Management
    • Health Economics

    Background:

    • The introduction of Medicare's Diagnosis Related Groupings (DRGs)-based prospective payment system (PPS) necessitates a re-evaluation of nursing administrative policies.
    • Nursing management faces challenges in optimizing staffing strategies under new payment models.
    • Part-time nurses represent a flexible resource for addressing operational and quality concerns within healthcare settings.

    Purpose of the Study:

    • To analyze the historical utilization of part-time nurses in healthcare settings.
    • To examine the role of part-time nurses in addressing challenges posed by the Medicare PPS.
    • To project future trends and strategies for employing part-time nurses.

    Main Methods:

    • Review of existing literature on nursing staffing models.

    Related Experiment Videos

  • Analysis of the impact of prospective payment systems on healthcare organizations.
  • Case study or qualitative analysis of part-time nurse employment (implied).
  • Main Results:

    • Part-time nurses are a key component in managing scheduling complexities.
    • Strategic deployment of part-time staff can mitigate cost-related issues.
    • Effective utilization of part-time nurses contributes to maintaining or improving quality of care.

    Conclusions:

    • Nursing administrators must critically assess and adapt staffing policies in response to Medicare's PPS.
    • Part-time nurses offer a viable solution for enhancing operational efficiency and patient care quality.
    • Future nursing workforce strategies should incorporate flexible employment models, including the optimized use of part-time nurses.