This framework is intended to guide decision-making about staff mix through four phases: assessment, planning, implementation and evaluation. Staff mix decision-making is an ongoing process, and the evaluation of outcomes will continually provide new insights and, possibly, the need for adjustments.
The framework outlines key client factors, staff factors, organizational factors and outcome indicators to be considered when assessing, planning, implementing and evaluating staff mix decisions. The list of factors and outcomes is not exhaustive, and not every practice setting will include all types of care providers that are identified.
The framework is useful for a variety of stakeholders, including nurse managers, direct care staff and others involved in making staff mix decisions. The framework is also informative for nurse executives, health-system executives and policy-makers, and may serve as a resource for a broad range of education and staff development initiatives.
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