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That doesn't really answer the question. "it would actually double the amount of care". It would double the amount of staff hours. How those staff hours are use
by bumby 5y ago
That doesn't really answer the question. "it would actually double the amount of care". It would double the amount of staff hours. How those staff hours are used is a measure of patient care and not all hours are equally relevant to the patient.
As an example, if we assume you are a software engineer and you double your work hours, will you double your code output? Probably not, just like it's not a 1:1 translation of nurse hours to patient care.
- deleted 5y ago[deleted]
- ikiris 5y agoComments like this are showing just how much you don't understand maintaining a service level based care, and are stuck in thinking in terms of producing a product. Combined with willfully ignoring that basically all floors are intentionally understaffed and have been for years.
- bumby 5y agoI can tell you from my years in healthcare that many of the people who think they know how the system works only have a very myopic understanding and they usually are the one's who have the most confidence that their simple solution will fix the problem. Unfortunately, there's a lot of nuance in complex systems like healthcare. We probably agree about the staffing levels to an extent, but I would be curious to hear the staffing estimation methodologies used in your experience.
- ikiris 5y agoYeah, I agree. You sound like many healthcare admins I've worked with and for. I'm not sure its the flex in this argument you think it is.
- bumby 5y agoI wasn't healthcare admin and most of my department was staffed with nurses. But we were very data oriented and it helped buffer us from emotional responses to problems.
- ikiris 5y agoI have no doubt your emotionally detached analysis decided the floors were adequately/overstaffed since the nurses hadn't all quit yet or gone on strike. I mean they clearly are still working there, they can always do a bit more to cover right?
- bumby 5y agoI think you are are either misinterpreting my stance or transferring an argument from your personally experience. Also, you may want to revisit the HN guidelines[1] My position is not that they were always adequately staffed, but that in my experience increasing staffing did not fix the problems as expected because the problems were rooted in more systemic issues. As I've stated elsewhere staffing may be part of the solution but rarely a panacea. Also, my stance is that fixing the systemic issues will help them do less non-patient-centered work so they can focus more on being a healthcare provider, where they are the most valuable. [1]https://news.ycombinator.com/newsguidelines.html https://news.ycombinator.com/newsguidelines.html
- mountainriver 5y agoThank you for your thoughtful responses, you seem to be the only person here with experience trying to solve the actual problem in a data driven way