Development of a Nurse Staffing Model Which Accurately Reflects Complexity and Intensity of Patient Care Needs in an Urban Academic Medical Center

Sunday, June 14, 2015

Title: Development of a Nurse Staffing Model Which Accurately Reflects Complexity and Intensity of Patient Care Needs in an Urban Academic Medical Center

Promenade Ballroom (Long Beach Convention Center)
Joan L. Torbet, PhD, RN , Perinatal Nurse Manager, Hospital of the University of Pennsylvania, Philadelphia, PA
Marleen Mulkeen, BSN, RN , Labor and Delivery Unit, Hospital of the University of Pennsylvania, Philadelphia, PA
Lynn Stringer, PhD, WHNP-BC, FAAN , School of Nursing Professor Emerita, University of Pennsylvania, Philadelphia, PA
Kate Fitzpatrick, DNP, MSN, RN, ACNP-BC , Clinical Director, Women's Health, Hospital of the University of Pennsylvania, Philadelphia, PA

Discipline: Childbearing (CB), Professional Issues (PI), Women’s Health (WH)

Learning Objectives:
  • Describe a model used to explain staffing need of patients who do not fit a 'typical' model for a labor and delivery stay.
  • Apply this model to one's own practice setting to accurately predict staffing needs
  • identify gaps in the staffing model currently used in practice setting based on this analysis

  • Submission Description:
    Academic medical centers pose a unique staffing challenge due to a large percentage of high-risk patients. We present a variation of a model developed by Wilson and Blegen (2010)that more accurately defines nurse staffing according to patient care needs. This model more accurately predicted staffing than the typical nursing hours per delivery; we were able to more accurately forecast budget and thus reduce monthly variance.

    The Association of Women's Health, Obstetric and Neonatal Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.