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|Keywords: ||勞基法;三班制輪值;人力指派;最佳化;整數規劃;Labor Standards Act;three-shift rotation;manpower assignment;optimization;integer programming|
|Issue Date: ||2014-10-15 14:25:36 (UTC+8)|
本研究針對以上問題以中部某醫院病房為範例，建構以最佳化與數學模型，運用LINGO-12套裝軟體以0-1整數規劃模式求解護理人員最平均工數與人力指派最佳化，更加入勞基法對於護理人員工作期間懷孕及哺乳限制要求。經研究後發現本模式較人工經驗指派方法為優，其成果顯示本研究指派模式之效益佳且公平性，可做為醫療單位對於護理人員人力指派實務上之參考。;In recent years, raid economic development and gradually promotion of public life level may be come along with various civil diseases and cancer problems, causing that people rely lots on medical care system. Nursing personnel is in a unit with most cost budgeting for human resources in the organization of hospital unit. However, the relevant personnel is unwilling to engage in nursing working as long time shift and poor sleep quality, resulting in serious shortage of nursing personnel. In addition to the most significant issue of manpower management for improving the labor work problem of nursing personnel, the number of nursing personnel is the main factor that may influence on healthcare quality.
Today’s nursing personnel on three-shift rotation basis is the majority, combined with the hospital operating characteristics of 24 hours per work day and the whole day through. In the past, manpower assignment is mostly adopted by head nurse in each unit with manual work scheduling in accordance with his/her own experience. Individual subjective consciousness and personnel preference could be easy to influence on fairness of work scheduling. Meanwhile, manual work scheduling without objectivity through scientific judgment might spend much more time.
Aiming at the aforesaid problems with example of a ward in one hospital of central Taiwan, this study constructed optimized mathematical model by using LINGO-12 software package based on liner 0-1integer programming to solve optimization of the most average man-hour and manpower assignment, and further adding nursing personnel’s pregnancy during working period and requirements of breastfeeding limit in accordance with Labor Standards Act. The study found that this mode is superior to manual assignment with experience, and the outcome showed this assignment mode is more effectiveness and fairness, which can be used for medical unit’s practical reference of nursing
|Appears in Collections:||[土木工程學系碩士在職專班] 博碩士論文|
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