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Constrained nurse staffing analysis

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  • Brusco, MJ
  • Showalter, MJ

Abstract

Nurse work force management has been described as a multi-phase sequential planning and control process. Previous research has addressed this process by focusing on the development of phase-specific problem solving methodologies. For practicing managers, it may be more beneficial to evaluate various policy options that management may pursue in addressing the nurse work force issue in light of the nationwide shortage of qualified nurses. This research evaluates management policy at the staffing phase since these decisions have the broadest impact on nurse work force utilization. The impact of nurse staffing policy options on annual nursing labor costs are evaluated for a large public hospital in the State of Florida. A linear programming staffing model served as the research vehicle for the study and response surface methodology was used to investigate the relationship between labor costs and the policy options. Service level, nurse labor availability, nurse staffing mix and flex-staff assignment had the most significant effects on annual nursing labor costs. The implications of these findings for work force management and suggestions for future research are presented.

Suggested Citation

  • Brusco, MJ & Showalter, MJ, 1993. "Constrained nurse staffing analysis," Omega, Elsevier, vol. 21(2), pages 175-186, March.
    • Handle: RePEc:eee:jomega:v:21:y:1993:i:2:p:175-186
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    Citations

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    Cited by:

    1. Ali Kokangul & Serap Akcan & Mufide Narli, 2017. "Optimizing nurse capacity in a teaching hospital neonatal intensive care unit," Health Care Management Science, Springer, vol. 20(2), pages 276-285, June.
    2. Lagodimos, A.G. & Mihiotis, A.N., 2006. "Overtime vs. regular shift planning decisions in packing shops," International Journal of Production Economics, Elsevier, vol. 101(2), pages 246-258, June.
    3. Gergely Mincsovics & Nico Dellaert, 2010. "Stochastic dynamic nursing service budgeting," Annals of Operations Research, Springer, vol. 178(1), pages 5-21, July.
    4. Carina Fagefors & Björn Lantz & Peter Rosén, 2020. "Creating Short-Term Volume Flexibility in Healthcare Capacity Management," IJERPH, MDPI, vol. 17(22), pages 1-18, November.
    5. Carina Fagefors & Björn Lantz, 2021. "Application of Portfolio Theory to Healthcare Capacity Management," IJERPH, MDPI, vol. 18(2), pages 1-9, January.
    6. Maenhout, Broos & Vanhoucke, Mario, 2013. "An integrated nurse staffing and scheduling analysis for longer-term nursing staff allocation problems," Omega, Elsevier, vol. 41(2), pages 485-499.
    7. Venkataraman, R. & Brusco, M. J., 1996. "An integrated analysis of nurse staffing and scheduling policies," Omega, Elsevier, vol. 24(1), pages 57-71, February.
    8. Broos Maenhout & Mario Vanhoucke, 2013. "Analyzing the nursing organizational structure and process from a scheduling perspective," Health Care Management Science, Springer, vol. 16(3), pages 177-196, September.
    9. Kayse Lee Maass & Boying Liu & Mark S. Daskin & Mary Duck & Zhehui Wang & Rama Mwenesi & Hannah Schapiro, 2017. "Incorporating nurse absenteeism into staffing with demand uncertainty," Health Care Management Science, Springer, vol. 20(1), pages 141-155, March.

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