Estimating Required Number of Nurses in Emergency Department of Imam Ali Hospital Affiliated by Alborz Province Using WISN Method

Ghorbani, Ali; Rajaee, Roya; Jamaly, Zahra; Najafi, Morteza; Najafi, Marziye

doi:10.18502/jebhpme.v3i4.2064

Cited by 3 publications

(6 citation statements)

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“…A study conducted in a teaching hospital in Iran showed a shortage and high work pressure of health care staff working in emergency departments [ 41 ]. Literature also suggests that emergency departments are usually understaffed whether assessed by WISN or otherwise [ 41 – 43 ]. In the context of Pakistan and KP particularly, these EDs work as evening OPDs and the patients usually present with minor ailment and complaints which causes an unnecessary workload in the EDs.…”

Section: Discussionmentioning

confidence: 99%

“…The results of this study show that all the tertiary care hospitals had an acute shortage of nurses with high workload pressure. Nurses more than any other cadre of health care providers are affected by the size, skills, and mix [ 34 , 43 ]. Complementing the result of our survey, several studies both in developing and developed countries have reported an acute shortage of nurses working at every level of the healthcare delivery system [ 34 , 36 – 39 , 41 – 43 , 45 ], Studies have shown that nurses have higher workload pressure as compared to doctors which indicates relatively fewer nurses as compared to doctors in the many healthcare delivery systems [ 36 – 38 ].…”

Section: Discussionmentioning

confidence: 99%

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An assessment of existing surge capacity of tertiary healthcare system of Khyber Pakhtunkhwa Province of Pakistan using workload indicators for staffing need method

Haroon

Thaver

2022

Hum Resour Health

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Background Globally the occurrence of disasters has increased more than fourfold during the last three decades. The main concern for the healthcare system responding to a disaster is its ability to deal with the sudden influx of patients and maintaining a certain level of surge capacity. Health workers are considered to be the major driving force behind any health system. Their role gets even more prominent during disasters or public health emergencies. With the lack of information on the health workforce in the tertiary healthcare system of Khyber Pakhtunkhwa, where most of the disaster surge is diverted, it is difficult to plan and respond to accommodate the sudden surge of patients. Methods This was a mixed method cross-sectional survey conducted in all the tertiary care hospitals of Khyber Pakhtunkhwa province of Pakistan to assess the current staffing situation and surge capacity based on the current workload. Annual service statistics of 2018 were collected from all the tertiary care hospitals of the province. WISN was piloted with only one healthcare staff category, i.e., for doctors in Ayub Teaching Hospital before assessment in all the tertiary care hospitals was undertaken. Results Overall, there were 1215 surplus doctors in medical and allied specialties and 861 doctors in surgical and allied specialties in the tertiary healthcare system. The health care system has an acute shortage of 565 emergency department doctors. The tertiary healthcare system of KP has an overall shortage of 1099 nurses. Based on the WISN generated numbers for doctors, the tertiary care system of KP has a combined healthcare staff (doctors and nurses) that can manage an additional surge of 6.3% of patients with the current patient workload. Conclusion The tertiary health care system of the Khyber Pakhtunkhwa Province of Pakistan does not possess the required ≥ 20% HR surge capacity indicating that the tertiary healthcare system is poorly prepared for disasters or public health emergencies. The lack of nursing staff, more than the doctors, is the major reason behind the lack of HR surge capacity of the tertiary health care system.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An assessment of existing surge capacity of tertiary healthcare system of Khyber Pakhtunkhwa Province of Pakistan using workload indicators for staffing need method

Haroon

Thaver

2022

Hum Resour Health

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“…The hospital is one of the means of health efforts that organizes health service activities [1], which play a role in supporting the achievement of an optimal public health degree. One of the health service efforts carried out by the hospital is inpatient services.…”

Section: Introductionmentioning

confidence: 99%

“…One of the health service efforts carried out by the hospital is inpatient services. Hospitalization is one of the dominant factors of hospital services and is a very significant financial income for the continuity of the hospital organization in the future, so it is necessary to make efforts to improve the quality in health services [1]- [4].…”

Section: Introductionmentioning

confidence: 99%

Information Systems Bedroom Patients Dr. Soeradji Tirtonegoro Klaten

Pamungkas

Widiyanto

Yunianto

2021

IJCIS

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RSUP Dr. Soeradji Tirtonegoro Klaten is a hospital that provides several classes of inpatient services. This hospital has 22 inpatient rooms, with a capacity of 409 beds. In the business process, there have been problems where there is no information on the display / picture of the room and bed, the facilities provided, room rates, rooms that are st ill empty and rooms that are already in use, this can result in longer service in registering inpatient care until it requires. time for 20 minutes. The research method that the authors do consists of data collection methods and systems development methods . For the data collection method the author uses the method of observation, interviews, literature study, and documentation. Meanwhile, the system development method that the author uses is the waterfall method with a framework of information systems built using Laravel, the database using MySQL, and for the code editing tool using sublime text. The result of this research is an information system of Dr. Inpatient Bed Room. Soeradji Tirtonegoro Klaten is website-based, the system runs according to its function based on the system test using the blacbox method

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“…In the current study, the nursing staff shortage is observed and this shortage caused a high working pressure on the nurses working in the study area. Considering the vital role of nurses in the emergency department, it is recommended to employ and distribute the manpower based on the requirement and workload in the department (14). The purpose of study of Noprianty et al (2020) was to determine the analysis of the needs of nurses based on the WISN method.…”

Section: Introductionmentioning

confidence: 99%

Workload Indicators of Staffing Need Method in Determining Anesthesia and Surgical Technologist Staff in Operating Room

Khodayari‐Zarnaq

Maleki

Mafakheri

et al. 2020

Preprint

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Background: Human resources in health are limited, and a variety of healthcare services are increasing, especially in developing countries. This study aimed to determine the anesthesia and surgical technologist staff for operating room based on the Workload Indicators of Staffing Need (WISN).Methods: This cross-sectional descriptive study was conducted at Shahid Madani Medical and Training Hospital in 2019. The data collected through interview and hospital documents observation. The WISN method was used to analyze and determine staffing need.Results: The WISN ratio for anesthesia and surgical technologist staff were 1.60 and 4.94, respectively. In other words, in both categories, this ratio is >1.00. Conclusions: WISN results can used to assess staffing capacity and capability over the previous year and the policy and financial implications due to staff shortages or surplus. As the workload of staff is an important issue and the staff have a right to have a standard workload in their position, then determining this workload is an essential issue in healthcare organization. Also, WISN method work as a human resource management tools, it improvers health managers to make right decision about staffing needs and then better manage of organization’s resources.

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Estimating Required Number of Nurses in Emergency Department of Imam Ali Hospital Affiliated by Alborz Province Using WISN Method

Cited by 3 publications

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An assessment of existing surge capacity of tertiary healthcare system of Khyber Pakhtunkhwa Province of Pakistan using workload indicators for staffing need method

An assessment of existing surge capacity of tertiary healthcare system of Khyber Pakhtunkhwa Province of Pakistan using workload indicators for staffing need method

Information Systems Bedroom Patients Dr. Soeradji Tirtonegoro Klaten

Workload Indicators of Staffing Need Method in Determining Anesthesia and Surgical Technologist Staff in Operating Room

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