According to the Nursing intellectual Capital (NIC) Theory, which factor increases overall organizational improvement?
implementation of nurse patient ratios
implementation of centralized staffing to coordinate care across all departments
an increase in knowledge, whether individual, group, or as an organization
adherence to budget-based staffing
The Correct Answer is C
A. Nurse-patient ratios refer to the number of patients assigned to a nurse at any given time. While maintaining optimal nurse-patient ratios is crucial for patient care quality and nurse workload management, it is not directly related to the concept of intellectual capital.
B. Centralized staffing involves managing staffing needs and scheduling from a central point to ensure coordination and efficiency across departments. While centralized staffing can improve organizational efficiency and care coordination, it does not directly address the concept of increasing overall organizational improvement through intellectual capital.
C. According to the NIC Theory, intellectual capital is crucial for improving organizational performance. An increase in knowledge—whether at the individual, group, or organizational level—directly contributes to overall improvement. Enhanced knowledge and skills among nursing staff lead to better decision-making, innovation, and overall quality of care, thereby positively impacting organizational outcomes.
D. Adherence to budget-based staffing involves staffing levels and allocation based on budgetary constraints. While important for financial management and resource allocation, budget-based staffing does not directly relate to the concept of increasing organizational improvement through intellectual capital.
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Related Questions
Correct Answer is B
Explanation
A. Recruiting volunteers might seem like a cost-effective solution, it can be problematic in terms of patient safety and quality of care. Volunteers generally lack the clinical training required to perform medical tasks safely and competently. Their involvement in direct patient care could pose risks to patient safety and may not effectively address staffing shortages in a meaningful way.
B. Developing a centralized staffing pool of float nurses is a strong intervention for addressing staffing shortages while securing patient safety and managing costs. Float nurses are experienced and can be deployed to various units as needed. This strategy ensures that staffing needs are met in a flexible and efficient manner, without compromising patient care. It also helps to balance the workload and prevents burnout among regular staff.
C. Assigning nurses from less busy units to understaffed ones can be effective, but it must be done with consideration for patient acuity. Nurses need to be assigned based on their skills and the needs of the unit to ensure that patient safety is maintained. If nurses from less busy units are assigned to areas with higher acuity patients without proper training or experience, it could compromise patient care and safety.
D. Implementing a mandatory overtime policy can address short-term staffing shortages but often leads to staff dissatisfaction, burnout, and decreased quality of care. Compelling nurses to work extra hours can negatively impact their well-being and job satisfaction, potentially leading to higher turnover rates and increased costs associated with recruiting and training new staff.
Correct Answer is A
Explanation
Paid nonproductive time typically includes any time for which employees are paid but are not working directly. This includes vacation time, holiday time, and sick time, as these are periods when employees receive their regular pay without performing their job duties.
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