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A Study to Determine the Best Managerial Position for Assigning the Authority and Responsibility for Staffing Nursing Units


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This paper reports the finding of a study conducted in the nursing department of the U.S. Public health Service Hospital, New Orleans, Louisiana. The problem of the study was to determine the best managerial position to which to assign both the authority and the responsibility for staffing the inpatient nursing units. A review of the literature indicated that the assignment of authority and responsibility must be coterminous and coequal. This valid principle of management has implication and application for the nursing department. Information about the existing staff procedures and patterns was gathered and evaluated. For a period of ninety days all staffing decisions that changed the original staffing plan were gathered, tabulated, and evaluated. The report included awareness of the magnitude of the daily changes required in response to the identified variables. It was concluded that both the authority and the responsibility for staffing the nursing units should be assigned to the assistant director of nursing.



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