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Optimizing nursing human resource planning in British Columbia

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Abstract

This paper describes a linear programming hierarchical planning model that determines the optimal number of nurses to train, promote to management and recruit over a 20 year planning horizon to achieve specified workforce levels. Age dynamics and attrition rates of the nursing workforce are key model components. The model was developed to help policy makers plan a sustainable nursing workforce for British Columbia, Canada. An easy to use interface and considerable flexibility makes it ideal for scenario and “What-If?” analyses.

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References

  1. Canadian Health Services Research Foundation Listening for Direction: A National Consultation on Health Services and Policy Issues (2004) <http://www.chsrf.ca/other_documents/listening/>

  2. Tomblin MG, O’Brien-Pallas L (2004) How do health human resources policies and practices inhibit change? A plan for the future. In: Forest P-G, Marchildon GP, McIntosh T (eds) Changing health care in Canada. The Romanow Papers, Vol. 2. University of Toronto Press, Toronto

    Google Scholar 

  3. Lavieri MS, Regan S, Puterman ML, Rather PA (2007) Applying operations research to Health Human Resource Planning: a unified approach, (Manuscript submitted for publication)

  4. Kazanjian A, Brothers K, Wong G (1986) Modeling the supply of nurse labor. Life-cycle activity patterns of registered nurses in one Canadian delivery system. Med Care 24(12):1067–1083 doi:10.1097/00005650-198612000-00001

    Article  Google Scholar 

  5. Kazanjian A, Pulcins IR, Kerluke K (1992) A human resources decision support model: nurse deployment patterns in one Canadian system. Hosp Health Serv Adm 37(3):303–319

    Google Scholar 

  6. Newton S, Buske L (1998) Physician resource evaluation template: a model for estimating future supply in Canada. Ann R Coll Physicians Surg Can 31(3):145–150

    Google Scholar 

  7. Abrahams C (2005) In search of the “Right” Ontario postgraduate allocation: The ADIN model for HHR planning. Ministry of Health and Long-Term Care, Ontario

    Google Scholar 

  8. Archambault R (1999) New COPS occupational projection methodology. Human Resources Development, Canada <http://www11.hrsdc.gc.ca/en/cs/sp/hrsdc/arb/publications/research/1999-000135/page00.shtml>

  9. Basu K, Liu J (2005) Registered nurse demand mode, Health Human Resources’ modelling working group workshop. Microsimulation modelling and data analysis division health, Canada

    Google Scholar 

  10. Tomblin Murphy G (2005) Health Human Resource Planning: An examination of relationships among nursing service utilization, and estimate of population health, and overall health outcomes in the province of Ontario, PhD Thesis. University of Toronto, Toronto

    Google Scholar 

  11. Dickson GL (2002) Forecasting the demand for nurses in New Jersey. <www.njccn.org/pdf/forecast_NJ.pdf>

  12. Green L (2004) Capacity planning and management in hospitals. In: Brandeau ML, Sainfort F, Pierskalla W (eds) Operations research and health care. A handbook of methods and applications. Kluwer

  13. Felici G, Gentile C (2004) A polyhedral approach for the staff rostering problem. Manage Sci 50(3):381–393 doi:10.1287/mnsc.1030.0142

    Article  Google Scholar 

  14. Grunow M, Günther H, Yang G (2004) Development of a decision support model for scheduling clinical studies and assigning medical personnel. Health Care Manage Sci 7(4):305–317 doi:10.1007/s10729-004-7539-x

    Article  Google Scholar 

  15. Aykin T (1996) Optimal shift scheduling with multiple break windows. Manage Sci 42(4):591–602 doi:10.1287/mnsc.42.4.591

    Article  Google Scholar 

  16. Vanhoucke M, Maenhout B (2007) NSPLIB–A nurse scheduling problem library: A tool to Evaluate (meta-) Heuristic Procedures. In: Brailsford S, Harper P (eds) Operational research for health policy: Making better decisions. Proceedings of the 31st annual conference of the European working group on operational research applied to health services. Peter Lang, Bern

    Google Scholar 

  17. Balinsky W, Reisman A (1972) Some manpower planning models based on levels of educational attainment. Manage Sci 18(12):691–705 doi:10.1287/mnsc.18.12.B691

    Article  Google Scholar 

  18. Iravani SMR, Kolfal B, Van Oyen MP (2007) Call-center labor cross training: it’s a small world after all. Manage Sci 53(7):1102–1112 doi:10.1287/mnsc.1060.0621

    Article  Google Scholar 

  19. Rao P (1990) A dynamic programming approach to determine optimal manpower recruitment policies. J Oper Res Soc 41(10):983–988

    Article  Google Scholar 

  20. Martel A, Price W (1981) Stochastic programming applied to human resource planning. J Oper Res Soc 32(3):187–196

    Article  Google Scholar 

  21. Chattopadhyay AK, Gupta A (2007) A stochastic manpower planning model under varying class sizes. Ann Oper Res 155:41–49 doi:10.1007/s10479-007-0208-y

    Article  Google Scholar 

  22. Georgiou AC, Tsantas N (2002) Modelling recruitment training in mathematical human resource planning. Appl Stochastic Models Data Anal 18:53–74 doi:10.1002/asmb.454

    Google Scholar 

  23. De Feyter T (2007) Modeling mixed push and pull promotion flows in manpower planning. Ann Oper Res 155(1):25–39 doi:10.1007/s10479-007-0205-1

    Article  Google Scholar 

  24. Wiersma E (2007) Conditions that shape the learning curve: factors that increase the ability and opportunity to learn (Management Science, published online before print Oct 19, 2007)

  25. Thompson P (2007) How much did the liberty shipbuilders forget? Manage Sci 53(6):908–918 doi:10.1287/mnsc.1060.0678

    Article  Google Scholar 

  26. Lavieri MS, Regan S, Puterman ML, Ratner PA (2008) Using operations research to plan the registered nurses’ population in British Columbia. Health Care Policy 4(2):113–131. http://www.longwoods.com/product.php?productid=20159

    Google Scholar 

  27. Canadian Institute for Health Information Canada’s Health Care Providers (2007) CIHI, Ottawa

  28. Pringle D, Green L (2005) The pulse of renewal: A focus on nursing human resources. Examining the causes of attrition from schools of nursing in Canada. Canadian Journal of Nursing Leadership, <http://www.longwoods.com/product.php?productid=17477&page=1>

  29. College of Registered Nurses of British Columbia New Graduate Registered Nurse Study (2005) College of Registered Nurses of British Columbia, Vancouver, 2006

  30. Weber N (2005) The hidden costs of RN turnover. New York State Nurses Association <http://www.nysna.org/publications/report/2005/feb/turnover.htm>

  31. Canadian Institute for health information, workforce trends of registered nurses in Canada, 2004 CIHI, Ottawa, 2005

  32. Kramer M, Schmalenberg C, Maguire P (2004) Essentials of a magnetic work environment. Part 3. Nursing 34(8):44–47

    Google Scholar 

  33. Frontline Systems, Inc. (2007) Optimization Software for Excel. NET, Java, MATLAB. Incline Village, USA. <www.solver.com>

  34. Basu K, Halliwell K (2004) Projecting the HHR impacts of demographic change. Health Policy. Res Bull (Sun Chiwawitthaya thang Thale Phuket) 17–21. May 4, 2004

  35. McClain J, Thomas J (1977) Horizon effects in aggregate production planning with seasonal demand. Manage Sci 23(7):728–736 doi:10.1287/mnsc.23.7.728

    Article  Google Scholar 

  36. Fisher M, Ramdas K, Zheng Y (2001) Ending inventory valuation in multiperiod production scheduling. Manage Sci 47(5):679–692 doi:10.1287/mnsc.47.5.679.10485

    Article  Google Scholar 

  37. O’Brien-Pallas L, Baumann A, Donner G, Tomblin Murphy G, Lochhaas-Gerlach J, Luba M (2001) Forecasting models for human resources in health care. J Adv Nurs 33(1):120–129 doi:10.1046/j.1365-2648.2001.01645.x

    Article  Google Scholar 

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Acknowledgement

The authors would like to acknowledge:

• Natural Sciences and Engineering Research Council of Canada, the Itoko Muraoka Fellowship, the Bonder Scholarship for Applied Operations Research in Health Services and the Mathematics of Information Technology and Complex Systems for their funding support.

• British Columbia Nurses’ Union (BCNU), the College of Registered Nurses of British Columbia (CRNBC), BC Ministry of Advanced Education (MAE) and the University of British Columbia, School of Nursing for the provision of data. Any errors in the data analysis or interpretations are the authors.

• Sandra Regan (MSN, RN) and Dr. Pamela A. Ratner (PhD, RN) for all their input in understanding the dynamics of the Registered Nurses population of British Columbia.

We are grateful to the three anonymous referees and the Editors for their helpful comments and suggestions.

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Correspondence to Mariel S. Lavieri.

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Lavieri, M.S., Puterman, M.L. Optimizing nursing human resource planning in British Columbia. Health Care Manag Sci 12, 119–128 (2009). https://doi.org/10.1007/s10729-008-9097-0

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