Advanced SearchSearch Tips
Mathematical Model for In-Ward Nursing Staffing Optimization Based on Patient Classification System
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
 Title & Authors
Mathematical Model for In-Ward Nursing Staffing Optimization Based on Patient Classification System
Kim, Kyoung-Ok; Park, Mi-Jung; Lee, In-Kwang; Park, Kyung-Soon; Shon, Ho-Sun; Kim, Kyung-Ah; Seo, Chang-Jin; Cha, Eun-Jong;
  PDF(new window)
Nursing staffing is of major interest in hospital management, however, no practical method has been developed. The present study proposed a mathematical model based on the patient classification system for nursing staffing optimization. A few characteristic parameters possibly determined experimentally and/or empirically were introduced followed by systematic calculation of the required number of nurses. An essential concept of the model is the unit work load defined as the amount of nursing work performed on single patient per unit time, where the work load is defined as the number of nursing staffs multiplied by the working hours. The unit work load was considered to vary with the patient classification level as well as the working time during a day, both of which were represented by corresponding parameter values. The number of patients for each class and the number of working hours were multiplied to the unit work load, and added up to obtain the total required work load. As the next step, the averaged number of hours that a nurse could provide per day was formulated considering the degree of nursing practice experience into 3 levels. Finally, the appropriate number of nursing staffs was calculated as the total work load divided by the average working hours per nurse. The present technique has a great advantage that the number of nursing staffs to fulfill the required work load is systematically calculated once the characteristic parameters are appropriately determined, leading to instant and fast evaluation. A practical PC program was also developed to apply the present model to nursing practice.
Nursing staffing;Patient classification system;Mathematical model;Computer program;
 Cited by
K.J. Song, E.H. Kim, C.S. Yoo, H.A. Park, M.S. Song, K.O. Park, "Verification of reliability and validity of KPCS-1 and estimation of nursing time conversion index," Journal of Korean Clinical Nursing Research, vol. 16, no. 2, pp. 127-140, 2010.

J.A. Effken, J.A. Verran, M.D. Logue, Y.C. Hsu, "Nurse managers' decisions: fast and favoring remediation," J Nurs Adm, vol. 40, no. 4, pp. 188-195, 2010. crossref(new window)

W.D. Park, M.H. Kim, "The comparative analysis of the nurse staffing problems between hospital of Korea and America," Korean Management Review, vol. 19, no. 1, pp. 85-101, 1987.

D.A. Gillies, "Determining staffing needs," Nursing management system approach, pp. 178-190, 1982.

M.S. Kim, H.S. Bang, J.A. Kim, D.H. Kim, I.I. Won, B.S. Kim, K.J. Kwon, "The reasonable legal nursing manpowerstaffing by using the system dynamics approach," Clinical Nursing Research, vol. 10, no. 1 pp. 82-96, 2004.

M.S. Kim, Y.H. Sung, K.J. Kwon, D.H. Kim, J.A. Kim, D.S. Sin, I.J. Yoo, J.G. Yoo, H.S. Lee, "Nursing manpower forecasting by using the system dynamics approach - Medical nursing unit & Surgical nursing unit," Clinical Nursing Research, vol. 11, no. 2 pp. 103-119, 2006.

W.D. Park, M.H. Kim, "A study on nurse-staffing model," Korean Management Review, vol. 15, no. 1, pp. 157-188, 1985.

J.S. Lee, H.S. Kim, M.J. Kwak, H.K. Park, Y.S. Kim, Y.W. Lee, K.S. Lee, S.Y. Ha, "Measurement of the nursing activities hours and estimation of the appropriate nursing personnel demands in a tertiary hospital," Journal of Korean Clinical Nursing Research, vol. 8, no. 2, pp. 61-75, 2003.

D. Meyer, Grasp: A patient information and workload management system. Morgantown, U.S.A: M.C.S., 1978.

P. Giovannetti, "Understanding patient classification systems," J Nurs Adm. vol. 9, no. 2, pp. 4-9, 1979.

P. Reinert, D.R. Grant, "A classification system to meet today's needs," J Nurs Adm, vol. 11, no. 1, pp. 21-26, 1981.

W.K. Min, Y.M. Choi, "Asan medical center laboratory information system (R) information communication system for routine hematology using a down-sized computer (III)," Journal of Biomedical Engineering Research, vol. 15, no. 3, pp. 333-340, 1994.

H.C. Cheong, M.S. Han, "Implementation of a medical information transmission protocol based on mobile wireless communication," Journal of Biomedical Engineering Research, vol. 19, no. 1, pp. 19-24, 1998.

K.T. Kim, S.H. Ahn, M.S. Kim, M.C. Cheon, S.S. Kim, K.R. Cheon, "Standardization of the dental chart for computerization of the medical information," in Proceedings of the KOSOMBE Conference(1998), Korea, Nov. 1998, pp. 253-254.

K.S. Hong, S.O. Whang, S.H. Lee, H.R. Youn, "The study of design and implementation of RFID emergency medical information system(REMIS)," Journal of Biomedical Engineering Research, vol. 28, no 5, pp. 703-712, 2007.

K.O. Kim, K.S. Park, C.J. Suh, "Patient classification technique based on computerized clinical data and nursing workforce management: Analysis case of a general hospital," The Journal of the Korea Contents Association, vol. 13, no. 3, pp. 287-298, 2013.

K.O, Kim, An optimal nursing workforce estimation model for efficient hospital management: Introducing patient classification system based on computerized clinical data, Seoul, Korea: Hanyang Univ. Press, 2013.

C.S. Yoo, E.O. Kwon, S.H. Kim, Y.A. Cho, "Reliability, validity, and conversion index of the workload management system for critical care nurses(WMSCN)," Journal of Korean Critical Care Nursing, vol. 2, no. 1, pp. 48-57, 2009.

H.A. DeGroot, "Patient classification systems and staffing," JONA, vol. 24, no. 9, pp. 43-51, 1994.

Y.K. Kim, "A study of staffing estimation for nursing manpower demand in hospital," Journal of Korean Academy of Nursing, vol. 16, no. 3, pp. 108-122, 1986.

S.K. Hyun, S. Bakken, K. Doulas, P.W. Stone, "Evidencebased staffing potential roles for informatics," Nursing Economics, vol. 26, no. 3, pp. 151-173, 2008.

M. Baernholdt, K. Cos, K. Scully, "Using clinical data to capture nurse workload," Computer, Informatics, Nursing, vol. 28, no. 4, pp. 229-234, 2010. crossref(new window)

M.G. Dunn, R. Norby, P. Cournoyer, S. Hudec, J. O'Donnel, M. Donaldson, "Expert panel method for nurse staffing and resource management," JONA, vol. 25, no. 10, pp. 61-67, 1995. crossref(new window)

Y.S. Lee, J.H. Park, "Measurement of the nursing staff needed for two specialized nursing units in a university hospital," Journal of Korean Academy of Nursing, vol. 22, no. 4, pp. 589-603, 1992.

D.S. Shin, W.H. Moon, A.R. Jeong, S.H. Min, Y.K. Lee, Y.S. Hwang, J.K. Song, H.S. Sim, T.S. Kim, "Determination of the appropriate nursing personnel required for each nursing units in tertiary hospitals," Chungnam Journal of Nursing Academy, vol. 7, no. 1, pp. 94-108, 2004.

K.O. Kim, K.A. Kim, H.S. Shon, S.M. Wu, K.H. Ryu, E.J. Cha, "A program to optimize nursing staffing based on work load evaluation," C-2013-013458, 2013.7.