Revisión de literatura sobre los modelos de optimización en programación de turnos de enfermería

Siendo la programación de turnos de enfermería (NSP) un componente esencial en la calidad del servicio de salud y debido al gran número de investigaciones desarrolladas sobre NSP en la literatura, se desarrolla una revisión de literatura sobre los artículos sobre NSP realizados desde 2003 hasta la fecha. A partir de este trabajo se logran identificar la tendencia y las necesidades propias de este problema, las cuales se caracterizan por (1) la necesidad de cerrar la brecha entre academia y práctica mediante el desarrollo de modelos objetivos de representación del problema y (2), desarrollar investigación sobre técnicas de solución capaces de tratar modelos de gran complejidad, sin sacrificar el recurso computacional. Este artículo presenta una revisión de literatura sobre los modelos de optimización en la programación de turnos de enfermería, publicados desde 2003 a la fecha.B Being the nurse shift scheduling an essential component of the quality of the health service and due to the big amount of research conducted regarding the Nurse Scheduling Problem (NSP), a literature review is carried out concerning articles on NSP published from 2003 up to now. As a result of this work, we were able to highlight the tendencies and own needs of this problem, which are characterized by: (1) the need to close the gap between academy and practice through the development of objective models that represent the problem and (2) research about solution techniques capable of processing models of great complexity, without sacrificing the computational resource. This article presents a literature review on optimization models in the NSP published since 2003

An Integrated Framework for Staffing and Shift Scheduling in Hospitals

Over the years, one of the main concerns confronting hospital management is optimising the staffing and scheduling decisions. Consequences of inappropriate staffing can adversely impact on hospital performance, patient experience and staff satisfaction alike. A comprehensive review of literature (more than 1300 journal articles) is presented in a new taxonomy of three dimensions; problem contextualisation, solution approach, evaluation perspective and uncertainty. Utilising Operations Research methods, solutions can provide a positive contribution in underpinning staffing and scheduling decisions. However, there are still opportunities to integrate decision levels; incorporate practitioners view in solution architectures; consider staff behaviour impact, and offer comprehensive applied frameworks. Practitioners’ perspectives have been collated using an extensive exploratory study in Irish hospitals. A preliminary questionnaire has indicated the need of effective staffing and scheduling decisions before semi-structured interviews have taken place with twenty-five managers (fourteen Directors and eleven head nurses) across eleven major acute Irish hospitals (about 50% of healthcare service deliverers). Thematic analysis has produced five key themes; demand for care, staffing and scheduling issues, organisational aspects, management concern, and technology-enabled. In addition to other factors that can contribute to the problem such as coordination, environment complexity, understaffing, variability and lack of decision support. A multi-method approach including data analytics, modelling and simulation, machine learning, and optimisation has been employed in order to deliver adequate staffing and shift scheduling framework. A comprehensive portfolio of critical factors regarding patients, staff and hospitals are included in the decision. The framework was piloted in the Emergency Department of one of the leading and busiest university hospitals in Dublin (Tallaght Hospital). Solutions resulted from the framework (i.e. new shifts, staff workload balance, increased demands) have showed significant improvement in all key performance measures (e.g. patient waiting time, staff utilisation). Management team of the hospital endorsed the solution framework and are currently discussing enablers to implement the recommendation