Clocking care hours with workload measurement tools

Adams-Wendling, Linda

doi:10.1097/00006247-200308000-00014

Cited by 8 publications

(6 citation statements)

References 0 publications

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“…In particular, responses from PICU wards suggest the SNCT is unsuitable for use within this care context due to the variability with which care is delivered. This is consistent with research in this area which purports the inability of existing workload calculation systems to adequately account for the fluctuating nature of mental health inpatient environments (Wendling ). Similarly, the MHLDWT was criticized for its inability to the capture the range of tasks carried out in this environment.…”

Section: Discussionsupporting

confidence: 88%

Using workload measurement tools in diverse care contexts: the experience of staff in mental health and learning disability inpatient settings

Fanneran¹,

Brimblecombe

Bradley³

et al. 2015

Psychiatric Ment Health Nurs

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With increasing fiscal pressures, the need to provide cost-effective care is paramount within the services of the National Health Service. Evidence-based workforce planning is therefore necessary to ensure that appropriate levels of staff are determined. This is of particular importance within mental health and learning disability services due to the reduction in the number of available beds and an increasing focus on purposeful admission and discharge.

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Section: Discussionsupporting

confidence: 88%

Using workload measurement tools in diverse care contexts: the experience of staff in mental health and learning disability inpatient settings

Fanneran¹,

Brimblecombe

Bradley³

et al. 2015

Psychiatric Ment Health Nurs

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“…However, there is still a need for evaluation of the impact of these ratios on scheduling performance (Aiken et al, 2002; Institute of Medicine, 2004). General nurse planning and scheduling issues have been addressed recently as well as including nurse workload (Adams‐Wendling, 2003), patient care (Aiken, Clarke, Sloane, & Silber, 2003; Clarke, 2004; Curtin, 2003), and the reasons why nursing managers change staffing levels (Carter, 2004). Gardner and Gemme (2003) advocate the need for more complex staffing solutions using optimization techniques with real‐time data.…”

Section: Introductionmentioning

confidence: 99%

Reexamining the Nurse Scheduling Problem: Staffing Ratios and Nursing Shortages*

Wright¹,

Bretthauer²,

Côté³

2006

Decision Sciences

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Legislators at the state and national levels are addressing renewed concerns over the adequacy of hospital nurse staffing to provide quality care and ensure patient safety. At the same time, the well-known nursing shortage remains an ongoing problem. To address these issues, we reexamine the nurse scheduling problem and consider how recent health care legislation impacts nursing workforce management decisions. Specifically, we develop a scheduling model and perform computational experiments to evaluate how mandatory nurse-to-patient ratios and other policies impact schedule cost and schedule desirability (from the nurses' perspective). Our primary findings include the following: (i) nurse wage costs can be highly nonlinear with respect to changes in mandatory nurseto-patient ratios of the type being considered by legislators; (ii) the number of undesirable shifts can be substantially reduced without incurring additional wage cost; (iii) more desirable scheduling policies, such as assigning fewer weekends to each nurse, have only a small impact on wage cost; and (iv) complex policy statements involving both singleperiod and multiperiod service levels can sometimes be relaxed while still obtaining good schedules that satisfy the nurse-to-patient ratio requirements. The findings in this article suggest that new directions for future nurse scheduling models, as it is likely 39 40Reexamining the Nurse Scheduling Problem that nurse-to-patient ratios and nursing shortages will remain a challenge for health care organizations for some time.

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“…1998, Brown 1999, Lacovara 1999, Urbanowicz 1999, Gross et al. 2001, Adams‐Wendling 2003, Ferrant 2004, Brown & Gallant 2006, Dexter et al. 2006, Harper & Mccully 2007, Kim et al.…”

Section: Resultsmentioning

confidence: 99%

“…Patient functional status and patient debility were also included in some descriptions of severity measures, in relation to provider‐related acuity (Grohar et al. 1986, Adams‐Wendling 2003, Curtin 2003).…”

Section: Resultsmentioning

confidence: 99%