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staffing system

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    BY:MS. ROSELLE MARVI L. BALDADO, RN

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    NATURE AND PURPOSE OFSTAFFING

    STAFFING

    The managerial function of staffing involves manning the

    organization structure through proper and effective selection,

    appraisal and development of the personnel to fill the rolesassigned to the employers/workforce.

    Is the process of determining and providing the acceptable

    number and mix of nursing personnel to produce a desiredlevel of care to meet the patients demand.

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    According to Theo Haimann, Staffing pertains to

    recruitment, selection, development and compensation of

    subordinates.

    PURPOSE:

    Is to provide each nursing unit with an appropriate andacceptable number of workers in each category to perform

    the nursing tasks required.

    Too few or an improper mixture of nursing personnel will

    adversely affect the quality and quantity of work performed.

    Such situation can lead to high rates of absenteeism and

    staffs turn-over resulting in low morale and dissatisfaction.

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    NATURE OF STAFFING FUNCTION

    1. Staffing is an important managerial function- Staffingfunction is the most important managerial act along with

    planning, organizing, directing and controlling. The

    operations of these four functions depend upon the

    manpower which is available through staffing function.

    2. Staffing is a pervasive activity- As staffing function iscarried out by all mangers and in all types of concerns

    where business activities are carried out.

    3. Staffing is a continuous activity- This is because staffingfunction continues throughout the life of an organization

    due to the transfers and promotions that take place.

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    4. The basis of staffing function is efficient managementof personnel- Human resources can be efficientlymanaged by a system or proper procedure, that is,

    recruitment, selection, placement, training anddevelopment, providing remuneration, etc.

    5. Staffing helps in placing right men at the right job. It

    can be done effectively through proper recruitmentprocedures and then finally selecting the most suitable

    candidate as per the job requirements.

    6. Staffing is performed by all managers depending uponthe nature of business, size of the company, qualifications

    and skills of managers, etc.

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    Staffing Process - Steps involved inStaffing

    Manpowerrequirements

    Recruitment Selection

    Orientation andPlacement

    Training andDevelopment

    Remuneration Performance

    Evaluation

    Promotion and

    transfer.

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    Manpower Planning

    Also called as Human Resource Planning

    consists of putting right number of people,

    right kind of people at the right place, right

    time, doing the right things for which theyare suited for the achievement of goals of

    the organization.

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    Human Resource Planning has got an important place

    in the arena of industrialization. Human Resource

    Planning has to be a systems approach and is carried

    out in a set procedure. The procedure is as follows:

    Analyzing the current manpower inventory Making future manpower forecasts

    Developing employment programmes

    Design training programmes

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    Steps in Manpower Planning

    1. Analyzing the current manpower inventory-Before a manager makes forecast of future

    manpower, the current manpower status has to be

    analyzed. For this the following things have to be

    noted

    Type of organization

    Number of departments Number and quantity of such departments

    Employees in these work units

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    2. Making future manpower forecasts- Once thefactors affecting the future manpower forecasts are

    known, planning can be done for the futuremanpower requirements in several work units.

    The Manpower forecasting techniques commonly

    employed by the organizations are as follows:

    Expert Forecasts: This includes informal decisions

    Trend Analysis: Manpower needs can be projectedthrough extrapolation (projecting past trends

    Work Load Analysis

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    3. Developing employment programmes- Once thecurrent inventory is compared with future forecasts,

    the employment programmes can be framed anddeveloped accordingly, which will include recruitment,

    selection procedures and placement plans.

    4. Design training programmes- Training programmesdepend upon the extent of improvement in

    technology and advancement to take place. It is also

    done to improve upon the skills, capabilities,

    knowledge of the workers.

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    RECRUITMENT AND SELECTIONTypes of Recruitment

    Recruitment is of 2 types

    Internal Recruitment - is a recruitment which takes placewithin the organization. Internal sources are primarily three -

    Transfers, promotions and Re-employment of ex-employees.

    Re-employment of ex-employees is one of the internal

    sources of recruitment in which employees can be invited and

    appointed to fill vacancies in the concern.

    Internal recruitment may lead to increase in employees

    productivity as their motivation level increases. It also saves

    time, money and efforts.

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    2. External Recruitment - External sources of recruitmenthave to be solicited from outside the organization. But it

    involves lot of time and money. The external sources of

    recruitment includes:

    A. Employment at Factory Level - This a source ofexternal recruitment in which the applications for

    vacancies are presented on bulletin boards outside theFactory or at the Gate.

    B. Advertisement - It is an external source which has got

    an important place in recruitment procedure. The biggestadvantage of advertisement is that it covers a wide area

    of market and scattered applicants can get information

    from advertisements. Medium used is Newspapers and

    Television.

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    C. Employment Exchanges - There are certain

    Employment exchanges which are run bygovernment. Now-a-days recruitment in

    government agencies has become compulsory

    through employment exchange.

    D. Employment Agencies - There are certainprofessional organizations which look towards

    recruitment and employment of people, i.e. these

    private agencies run by private individuals supplyrequired manpower to needy concerns.

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    E. Educational Institutions - There are certainprofessional Institutions which serve as an

    external source for recruiting fresh graduatesfrom these institutes. This kind of recruitment is

    called as Campus Recruitment. They have

    special recruitment cells which help in providing

    jobs to fresh candidates.

    F. Recommendations - There are certain peoplewho have experience in a particular area. They

    enjoy goodwill and a stand in the company. Thebiggest drawback of this source is that the

    company has to rely totally on such people which

    can later on prove to be inefficient.

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    Employee Selection

    Is the process of putting right men on the

    right job. It is a procedure of matching

    organizational requirements with the skills

    and qualifications of people. Effectiveselection can be done only when there is

    effective matching.

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    But selection must be differentiated from recruitment,

    though these are two phases of employment process.

    Recruitment is considered to be a positiveprocess as it motivates more of candidates to

    apply for the job. It creates a pool of applicants. Itis just sourcing of data. While selection is anegative process as the inappropriate candidatesare rejected here. Recruitment precedes selectionin staffing process. Selection involves choosing

    the best candidate with best abilities, skills andknowledge for the required job.

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    The Employee selection Process takesplace in following order

    Preliminary Interviews (screening interviews)

    used to eliminate those candidates who do not meet

    the minimum eligibility criteria

    skills, academic and family background, competenciesand interests of the candidate are examined

    are less formalized and planned than the final

    interviews

    candidates are given a brief up about the company andthe job profile

    it is also examined how much the candidate knows

    about the company

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    Application blanks

    contains data record of the candidates such as details

    about age, qualifications, reason for leaving previousjob, experience, etc

    Written Tests

    Various written tests conducted during selection

    procedure are aptitude test, intelligence test, reasoning

    test, personality test, etc

    used to objectively assess the potential candidate

    They should not be biased

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    Employment Interviews

    a one to one interaction between the interviewer and the

    potential candidate

    used to find whether the candidate is best suited for the

    required job or not

    such interviews consume time and money both

    competencies of the candidate cannot be judged

    Such interviews may be biased at times

    Such interviews should be conducted properly No distractions should be there in room.

    There should be an honest communication between

    candidate and interviewer.

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    Medical examination

    Medical tests are conducted to ensure physical fitness

    of the potential employee.

    It will decrease chances of employee absenteeism

    Appointment Letter

    A reference check is made about the candidate

    selected and then finally he is appointed by giving aformal appointment letter

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    Difference between Recruitment and

    Selection

    Basis Recruitment Selection

    Meani

    ng

    It is an activity of establishing

    contact between employers

    and applicants.

    It is a process of picking up

    more competent and

    suitable employees.

    Object

    ive

    It encourages large number

    of Candidates for a job.

    It attempts at rejecting

    unsuitable candidates.

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    Process It is a simple process. It is a complicated

    process.

    Hurdles The candidates have not to

    cross over many hurdles.

    Many hurdles have to be

    crossed.

    Approach It is a positive approach. It is a negative approach.

    Sequence It precedes selection. It follows recruitment.

    Economy It is an economical method. It is an expensive method.

    Time

    Consuming

    Less time is required. More time is required.

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    Orientation and Placement

    Placement is said to be the process of fitting

    the selected person at the right job or place,

    the freshly appointed candidates are thengiven orientation in order to familiarize and

    introduce the company to him.

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    Generally the information given during the

    orientation programme includes:

    Employees layout

    Type of organizational structure

    Departmental goals

    Organizational layout

    General rules and regulations

    Standing Orders Grievance system or procedure

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    The main aim of conducting Orientation is to build up

    confidence, morale and trust of the employee in the new

    organization, so that he becomes a productive and anefficient employee of the organization and contributes to the

    organizational success.

    The nature of Orientation program varies with the

    organizational size, i.e., smaller the organization the moreinformal is the Orientation and larger the organization more

    formalized is the Orientation programme.

    Proper Placement of employees will lower the chances ofemployees absenteeism. The employees will be more

    satisfied and contended with their work.

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    Training of Employees - Need andImportance of Training

    Training is the process of enhancing the

    skills, capabilities and knowledge of

    employees for doing a particular job.

    Training process molds the thinking of

    employees and leads to quality performance

    of employees. It is continuous and neverending in nature.

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    Importance of Training

    Training is crucial for organizational development andsuccess. It is fruitful to both employers and

    employees of an organization. An employee will

    become more efficient and productive if he is trained

    well.

    Training is given on four basic grounds:

    New candidates who join an organization are giventraining. This training familiarizes them with the

    organizational mission, vision, rules and regulations

    and the working conditions.

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    The existing employees are trained to

    refresh and enhance their knowledge.

    If any updating and amendments take place

    in technology, training is given to cope up

    with those changes.

    When promotion and career growth becomes

    important. Training is given so thatemployees are prepared to share the

    responsibilities of the higher level job.

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    The benefits of training can be summed up

    as:

    Improves morale of employees

    Less supervision

    Fewer accidents

    Chances of promotion

    Increased productivity

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    Ways/Methods of Training

    Training is generally imparted in two ways:

    1. On the job training- The motto of such training islearning by doing. Instances of such on-job training

    methods are job-rotation, coaching, temporarypromotions, etc.

    2. Off the job training- Off the job training is also called

    as vestibule training, i.e., the employees are trainedin a separate area( may be a hall, entrance, reception

    area, etc. known as a vestibule) where the actual

    working conditions are duplicated.

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    Employee Remuneration

    Employee Remuneration refers to the reward or

    compensation given to the employees for their work

    performances.

    There are mainly two types of Employee Remuneration:

    Time Rate Method

    Piece Rate Method

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    Time Rate Method:

    Under time rate system, remuneration is directly linked withthe time spent or devoted by an employee on the job.

    The employees are paid a fixed pre-decided amount hourly,

    daily, weekly or monthly irrespective of their output. It is a

    very simple method of remuneration.

    ADVANTAGES:

    Time Rate method leads to quality output and this method is

    very beneficial to new employees as they can learn their work

    without any reduction in their salaries.

    This method encourages employees unity as employees of a

    particular group/cadre get equal salaries.

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    DISADVANTAGES:

    it leads to tight supervision, indefinite

    employee cost, lesser efficiency of

    employees as there is no distinction made

    between efficient and inefficient employees,

    and lesser morale of employees.

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    PATIENT CLASSIFICATION

    SYSTEM The patient care classification system is a

    method of grouping patients according to the

    amount and complexity of their nursing carerequirements and the nursing time and skill

    they require.

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    To develop a workable patient classification system, the

    nurse manager must determine the following:

    The number of categories into which the patients

    should be divided

    The characteristics of patients in each category

    The type and number of care procedures that will be

    needed by a typical patient in each category

    The time needed to perform these procedures that

    will be required by a typical patient in category.

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    CLASSIFICATION CATEGORIES

    LEVEL 1- SELF CARE or MINIMAL CARE:

    Patient can take a bath on his own, feed himself, feed

    and perform his activities of daily living. Falling under this category are patients about to be

    discharged, those in non-emergency, those newly

    admitted, do not exhibit unusual symptoms and

    requires little treatment/observation and/or instruction. Average nursing care hours per patient per day is 1.5.

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    LEVEL 2- MODERATE CARE or INTERMEDIATE

    CARE:

    Patients under this level need some assistance in

    bathing, feeding or ambulating for short period of time.

    Extreme symptoms of their illness must have

    subsided or have not yet appeared. Patients may have slight emotional needs, with vital

    signs ordered up to three times per shift, intravenous

    fluids or blood transfusion; are semi-conscious and

    exhibiting some psychosocial or social problems;periodic treatments, and/or observations and/or

    instructions.

    Average nursing care hours per patient per day is 3.

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    LEVEL 3- TOTAL, COMPLETE or INTENSIVE CARE:

    Patients under this category are completely dependentupon the nursing personnel.

    They are provided complete bath, are fed, may or may

    not be unconscious, with marked emotional needs, with

    vital signs more than three times per shift, may be on

    continuous oxygen therapy, and with chest or abdominal

    tubes.

    They require close observation at least every 30 minutes

    for impending hemorrhage, with hypo or hypertension

    and/or cardiac arrthymia.

    Nursing care hours per patient per day is 6.

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    LEVEL 4- HIGHLY SPECIALIZED CRITICAL CARE:

    Patients under this level need maximum nursing care

    with a ratio of 80 professionals to 20 non-

    professionals.

    Patients need continuous treatment and observation;with many medications, IV piggy backs; vital signs

    every 15-30 minutes; hourly output.

    There are significant changes in doctors orders and

    care hours per patient per day may range from 6-9 ormore.

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    PROVIDING MOTIVATINGCLIMATE

    The ability to lead depends on understanding what willmove people to perform. A true leader is someone whois self-motivated to achieve and able to energize others

    Motivation: What is it and what it is not?

    Motivation implies action and energy. It can be

    protection or achievement oriented. Such as doing just

    enough to keep your job or making an effort to produce

    at a high level over extended periods of time.

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    Leaders are identified by the ability to make

    things happen. If individuals are trying to perform they are

    motivated.

    Action must be present, because wanting to

    do something does not always result in

    moving to do so.

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    There are five broad categories of conditions needed to

    establish favorable motivation patterns & are listed as

    follows:

    1. Norm Design

    No matter how broadly defined, the standard operating

    procedure of a system must be clearly stated, both verbal &

    written.2. External Rules

    The external rules by which an organization is judged must

    be known by its members & may be seen in policies &

    procedures for various levels within the organization.Examples of external rules include the state nurse practice

    act, JCAHO, NCQA (National Committee on Quality

    Assurance, standards & legal requirements of care, and

    federal & states laws.

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    3. Internal Rules

    Include policies, procedures and protocols established by

    the organization. These help to ensure compliance andprovide further definition & control or standardize behavior.

    Rules or norms are intended to serve as a basis for

    predictable performance of critical work processes that

    protect the legal status of the organization & its members

    & provide quality patient outcomes.

    4. Standard Benefits

    An organization may offer benefits as a tangible means of

    attracting, retaining & rewarding staff. This also makes anorganization competitive with other organizations to attract

    & retain staff.

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    5. Incentive Rewards

    Were developed to stimulate employee motivation to

    achieve high personal & organizational goals. As a

    result, performance can be expected to improve and

    commitment to the goal increased. By giving staff a route of professional recognition based

    on an achieved level of competency, a personally

    rewarding career route can be made available.

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    STAFF DEVELOPMENT AND TRAININGPROGRAMS

    Supervisors and head nurses participate in

    determining the training needs of their staff.

    In hospitals where there are separate trainingdepartments or units, nurse instructors provide

    assistance to the training of nurses in the units.

    However if these items are non existent in the

    hospital, the supervising nurse or the head nurse

    assumes this responsibility.

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    The new nurse is oriented to the unit and provided

    initial information about its policies, personnel and

    functions. They are closely supervised to enhancetheir capabilities to ensure safe care to patients.

    Participation in journal meetings, case presentations

    or accessibility for consultations eases the newemployees transition and integration to the agency.

    Nurses are given opportunities to attend conferences

    or seminars conducted by other agencies orassociations or to go back to formal schooling by

    enrolling in graduate schools.

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    New employees are given opportunities to observe

    a more experienced one by shadowing or by

    being a big sister or a buddy. This gives the

    new employees the chance to develop not only

    their skills but also their confidence in assuming

    their own duties and responsibilities in the shortest

    time possible.

    Policies governing these are observed properly.

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