评估主动和被动护士名册编制策略的建模框架--来自新生儿重症监护室的案例研究

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES
Kjartan Kastet Klyve, Isabel Nordli Løyning, Line Maria Haugen Melby, Henrik Andersson, Anders Nordby Gullhav
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引用次数: 0

摘要

我们开发了一个用于名册编制、缺勤和需求不确定性实现以及重新名册编制的建模框架,以便对护士名册的稳健性进行详细的定量分析。该框架反映了在挪威特隆赫姆圣奥拉夫斯医院新生儿重症监护部(DNIC)观察到的一个实际问题,但具有通用性和较高的移植价值,可用于分析其他部门名册的稳健性。我们介绍了增强名册稳定性的多种主动策略,以及用于提高灵活性的被动重定向问题。我们利用该部门的历史数据进行了广泛的案例研究。研究结果表明,采用最佳策略组合提高花名册的稳定性和灵活性大有可为。我们发现,允许护士以额外的周末工作换取额外的休息日、将多余的工作时间平均分配给所有班次以及在制定轮值表时考虑护士的缺勤情况是创建稳健轮值表的关键策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A modeling framework for evaluating proactive and reactive nurse rostering strategies — A case study from a Neonatal Intensive Care Unit

We develop a modeling framework for rostering, absence and demand uncertainty realization, and rerostering to perform detailed quantitative analyses of the robustness of nurse rosters. The framework reflects a real-life problem observed at the Department of Neonatal Intensive Care (DNIC) at St. Olavs Hospital in Trondheim, Norway, but is general and has a high transfer value with respect to using it to analyze roster robustness at other departments. We present multiple proactive strategies to enhance the stability of a roster and a reactive rerostering problem used to improve the flexibility. An extensive case study is performed using historical data from the department. The results show that there is a great potential to improve the stability and flexibility of the rosters using the best combination of strategies. We show that allowing nurses to trade extra weekend work for extra days off, assign surplus work hours evenly over all work shifts, and consider the absence profile of nurses when making the rosters are key strategies to create robust rosters.

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来源期刊
Operations Research for Health Care
Operations Research for Health Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.90
自引率
0.00%
发文量
9
审稿时长
69 days
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