| Course | NURS 6221 Managing Human Resources |
|---|---|
| Week | Week 3 |
| Paper type | Staffing plan |
| Length | About 590 words, 5 pages |
| Format | APA 7 student paper |
| School | Walden University |
| Program | Master of Science in Nursing (MSN) |
| Updated | October 2026 |
Free sample paper for NURS 6221 Week 3
Staffing Plan for a 24-Bed Progressive Care Unit
Student Name
College of Nursing, Walden University
NURS 6221: Managing Human Resources
Instructor Name
Month Day, Year
Staffing Plan for a 24-Bed Progressive Care Unit
Assumptions Register
Table 1
Assumptions Behind the Plan
| Assumption | Value | Source | Date |
|---|---|---|---|
| Average daily census | 22 (range 17 to 24; highest Monday to Wednesday) | Twelve months of midnight census, admissions office | Last fiscal year |
| Acuity measure | Unit acuity tool, levels 1 to 4; level 4 patients need a 1:2 ratio | Unit acuity policy | Current |
| Planned non-productive time | 12% of paid hours (vacation, education, sick leave) | Payroll history | Last fiscal year |
| Target nursing hours per patient day | About 10 at full census, including the charge nurse | Hospital budget office | Current budget |
| Shift length | 12 hours, day 0700 to 1900 and night 1900 to 0700 | Unit scheduling policy | Current |
Staffing Grid
Table 2
Staff per Shift by Census Band
| Census band | Shift | Registered nurses (with patients) | Patient care technicians | Charge nurse (no assignment) | Unit secretary |
|---|---|---|---|---|---|
| 15 to 17 | Day | 5 | 1 | 1 | 1 |
| 15 to 17 | Night | 5 | 1 | 1 | 0 |
| 18 to 20 | Day | 6 | 2 | 1 | 1 |
| 18 to 20 | Night | 6 | 2 | 1 | 0 |
| 21 to 24 | Day | 7 | 2 | 1 | 1 |
| 21 to 24 | Night | 7 | 2 | 1 | 1 (1900 to 2300 only) |
At full census the grid gives 7 registered nurses per shift for 24 patients, a ratio of roughly 1 to 3.4; any nurse caring for a level 4 patient takes no more than two patients in total. Across a day, that is 7.0 registered nurse hours, 2.0 technician hours and 1.0 charge nurse hours per patient day, matching the budgeted target of about 10.
Skill Mix at the Upper Bands
Moving from the middle band to the top band adds a registered nurse rather than a third technician. The patients who fill the unit's last beds are usually new admissions from the emergency department or transfers from intensive care, and they need admission assessments, titration of cardiac medications and frequent reassessment, all of which require licensed staff. A technician would help with direct care but could not take on the work that is actually added. The American Association of Critical-Care Nurses' healthy work environment standards treat appropriate staffing as matching nurses' competencies to patients' needs, not simply filling positions (American Association of Critical-Care Nurses [AACN], 2016). Getting this right matters: at one academic medical center, analysis of close to 200,000 admissions linked every shift staffed well under the registered nurse target to added mortality risk, and found the same for shifts with unusually heavy patient turnover (Needleman et al., 2011).
Sensitivity
The unit's budgeted registered nurse full-time equivalents (FTEs), 38.4, follow from the top-band grid: 7 nurses on each of two shifts plus a charge nurse around the clock comes to 70,080 hours a year, divided by 1,830 productive hours per FTE at 12% non-productive time. Table 3 shows how that requirement moves if assumptions change.
Table 3
Effect of Changed Assumptions on Required Registered Nurse FTEs
| Scenario | Change | Required RN FTEs | Difference from budget |
|---|---|---|---|
| Base case | As planned | 38.3 | About 0 |
| Higher non-productive time | 15% instead of 12% | 39.6 | +1.3 |
| Higher acuity | Four level 4 patients on average at full census, adding one nurse per shift | 43.1 | +4.8 |
| Lower census | Average census in the middle band most days | 33.5 | -4.8 |
Acuity is the assumption the plan is most sensitive to, followed by census. Non-productive time moves the requirement less, but it is the easiest to underestimate, since sick leave rises when staff are stretched. The plan will be reviewed each quarter against actual census, acuity and leave, and benchmarked against similar units through the hospital's national nursing quality database (Montalvo, 2007).
References
American Association of Critical-Care Nurses. (2016). AACN standards for establishing and sustaining healthy work environments: A journey to excellence (2nd ed.).
Montalvo, I. (2007). The National Database of Nursing Quality Indicators (NDNQI). OJIN: The Online Journal of Issues in Nursing, 12(3), Manuscript 2. https://doi.org/10.3912/OJIN.Vol12No03Man02
Needleman, J., Buerhaus, P., Pankratz, V. S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011). Nurse staffing and inpatient hospital mortality. New England Journal of Medicine, 364(11), 1037-1045. https://doi.org/10.1056/NEJMsa1001025
What the NURS 6221 Week 3 instructions ask for
Week 3 of NURS 6221 usually asks for a staffing plan for a unit. You list assumptions with sources, build a staffing grid by census and shift, explain skill mix and test how the plan changes when inputs change. Faculty want the reasoning visible, so a grid without assumptions cannot be evaluated. Cite staffing principles and budgeting sources in APA 7. If your section assigns a ratio, apply it and note where it constrains the grid. A sensitivity table shows the plan's resilience. Nonproductive time must be included. A clear layout puts the assumptions register first as a table with input, value and source, then the grid by census band and shift, then a short skill mix section and the sensitivity table. Write a sentence under each table telling the reader what it shows.
How the NURS 6221 Week 3 example is put together
An assumptions register opens the plan: expected census range by day of week, the acuity measure in use, planned non-productive time for vacation, education and sick leave, and a target for hours per patient day. Each assumption carries a source and a date. The staffing grid follows, one row per census band and one column per shift, showing registered nurses, patient care technicians, a charge nurse without an assignment, and a unit secretary. A short narrative explains the mix at the upper bands, where the plan adds a registered nurse instead of a technician because the patients added need assessments only licensed staff can perform. AACN's appropriate staffing standard is named in that section. A sensitivity table closes the plan.
NURS 6221 Week 3 rubric: what earns full marks
Reviewers of a staffing plan set out to rebuild its reasoning, and a grid shown without the assumptions beneath it can only be accepted or refused, never evaluated. The weightiest element in many versions asks whether hours per patient day, recomputed from the grid, land where the plan claims; a gap there is found quickly. Skill mix carries separate credit, and a grid in which a technician could fill any registered nurse's slot shows the author never considered it. Grounding in a nursing standard is expected, and the appropriate staffing standard gives the plan a principle that a finance partner and a charge nurse would both recognize. Sensitivity analysis earns where it names the one assumption to watch. Grids with unlabeled roles cost presentation points.
NURS 6221 Week 3 help: mistakes that cost marks
Staffing plans lose the most when the grid appears without assumptions. List them first. Another common gap is ignoring nonproductive time. Add vacation and education hours. Writers also treat skill mix as fixed. Explain when to change it. Avoid a single census figure. Show bands. Add a sensitivity table. Check the arithmetic. Close with the assumption most likely to change. Show one worked calculation, from census and hours per patient day to nurses per shift, so the reader can follow the method once. Label the charge nurse separately from direct care positions.
Get a NURS 6221 Week 3 example written to your instructions
Supply the unit type, any census or workload figures the section hands out, plus the prompt and rubric, and the staffing plan is built from exactly those inputs. The first custom one is free, finished within 24 to 48 hours. Scheduling-system exports play no part, because the unit was invented.
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- NURS 6221 Week 9: Discussion Post
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- NURS 6221 Week 11: Reflection
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- NURS 6201 Week 3: Leadership Style Analysis
- NURS 6224 Week 3: Compliance gap analysis
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NURS 6221 Week 3 questions, answered
Why list assumptions before the staffing grid?
Because the grid is only as defensible as what it rests on. Someone questioning coverage months later can see the census range, acuity measure and leave allowance the plan assumed, and judge whether they were reasonable at the time. Placing them first also makes the grid checkable, since hours per patient day can be recomputed straight from the inputs.
What if the section assigns a ratio?
Then the grid follows it, and the narrative explains any band where the assigned ratio and the acuity measure point in different directions. The sample staffs to a target for hours per patient day plus a workload measure, both labeled as assumptions, because its prompt left the method open. Either approach works when the basis is stated and applied consistently across bands.
What is a sensitivity table doing in a staffing plan?
Showing which assumption matters most. The sample varies acuity, census and leave one at a time and reports how the grid would change. Acuity moves staffing the most, so the plan names it as the figure the manager watches weekly. Graders often read this section as evidence that the author understood where the plan is weakest.
Where can I find a free NURS 6221 Week 3 sample paper?
The progressive care staffing plan is printed here with the assumptions register, the grid, skill mix at high census and the sensitivity table.
What goes in the assumptions register in NURS 6221 Week 3?
Census, acuity, the hours per patient day target, shift length, nonproductive time and whether the charge nurse takes patients, each with a source.