dc.description.abstract | 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
personnel assignment. | en_US |