Improving Staff Retention with policies, scheduling and
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Transcript Improving Staff Retention with policies, scheduling and
IMPROVING STAFF RETENTION
WITH POLICIES, SCHEDULING
AND ENGAGEMENT
OBJECTIVES
Participants will be able to discuss
The impact of having attendance policies and
following them consistently.
The benefits to the organization of having
multiple schedule options available.
The benefits of including staff in quality
improvement.
Let’s hear from the audience: Polling question
ATTENDANCE POLICIES
History of Sherbrooke Village Attendance Policy
Benefits to consistent policy/enforcement
All staff aware of expectations and consequences
Easier for managers to know how to proceed with
discipline
All managers follow same policies
Risks
Staff know loop holes
If not all managers enforce the same, creates
dissention among staff/departments
Let’s hear from the audience: polling
CREATIVE SCHEDULING
Pitfalls of traditional staffing modules
Hard shift change times create high levels of noise
and pulls all staff away from resident care at the
same time
Increased noise increases behaviors
Increased staff distraction leads to more falls
Limited options for coverage for call-offs
Does not provide added coverage at times of greatest
need – meals/get-up/lay-down times
CREATIVE STAFFING
Goal of Sherbrooke was to become the preferred
St. Louis employer
Implemented a combination of 8, 10 and 12 hour
shifts
Nurses
4 – 10 hour shifts Monday – Thursday
3 – 12 hour shifts Friday – Sunday; two nurses
around the clock
Traditional 8 hour shifts on long term neighborhood
Overlapping allows 1 – 2 hours for nurses to wrap up
and complete charting at the end of their shift
CREATIVE SCHEDULING
CNAs
8, 10, 12 hours options
Allows for increased coverage for
meal/get-up/lay-down times
CREATIVE SCHEDULING
Benefits
Increased options for coverage for call-offs
Eliminated differential, increased overtime
pay for staff BUDGET NEUTRAL
Improved staff quality of life due to fewer days
at work
Eliminated hard shift changes and
noise/chaos/staff distraction associated with
shift change
Improved coverage at high risk times
Schedules are pre-determined
CREATIVE SCHEDULING
Challenges
Staff not wanting to stay on Weekend
Option long-term
Charting responsibility when CNAs
come and go at all different times
10/12 hours shifts were less effective in
long term neighborhood
What
does the audience say: polling
GETTING STAFF INVOLVED
Gallup’s
Basic Needs
What do I get? – Do I have everything I
need?
Management Support
What do I give? – My opinion is valued
Teamwork
Do I belong here? – Wider perspective
beyond their job
Growth
How can we grow? – We, not necessarily I
2005 Gallup, Inc
Engagement Hierarchy
GETTING STAFF INVOLVED
Employee
Satisfaction Surveys
Position staff, family, residents as experts
Incremental Improvement Program – not
a suggestion system
Leadership development to support staff
ideas
Supporting staff retention
WRAP UP
Clearly defined, consistently enforced
attendance policies decrease confusion and
improve attendance and staff retention.
Having multiple options of schedules that are set
allow staff to have control over their lives and
quality of life.
Giving staff the opportunity to have a say in the
governance of the facility increases ownership.
People want to work where there are high,
clearly defined standards to which all are held
accountable.