Methodologies for determining staffing needs in healthcare: systematic literature review

The determination of staffing needs in healthcare is not just calculating the optimal number of professionals but is defining how the professional contingent accompanies the development of the healthcare organisation and of the population’s care needs. This research investigates the existence of a gold standard for determining health personnel requirements. We perform a systematic literature review to explore several approaches worldwide, examining a wide range of contextual variables, useful for the definition of an omni-comprehensive approach. A total of 557 articles was initially detected, then reduced to 57 after excluding everything not related to healthcare context and staff planning models. Results do not reveal a recognized standard for determining staffing needs. Approaches to the definition of staffing standards are mainly ex-ante (31%), based on the characteristics of specific models and organisational needs, or ex-post (62%), based on production analysis and historical trends. Most of these refer to the medical and nursing category (68.4%), while the minority proposes a multi-professional approach (17.5%). This review highlights innovative approaches based on algorithms which, starting from historical data, are adjusted by moderating key variables such as contextual factors, healthcare organisation models and professional attributes. The review suggests: 1. Develop and share a unique tool for defining standards based on several variables that identify the characteristics of the context 2. Use up-to-date information flows and quality data 3. Consider a multi-professional approach 4. Adopt a long-term vision and continuous dialogue with the training process It is clear the need to develop a tool for the definition of personnel requirements in line with internal and external changes in the health system. Therefore, such models need to account for an adequate number of variables, useful to identify the characteristics of the overall context. Key messages: The development of staffing needs estimates must necessarily rely on a certain level of standardisation, but at the same time must take into account the variability characterising different contexts. In order to respond to recent demographic and epidemiological trends, it is crucial to include in the model skill mix and task shifting strategies involving health professionals as a whole

Only hearing what they want to hear: Assessing when and why performance information triggers intentions to coproduce

While performance information is often used to communicate the importance of public policies and stimulate civic engagement, we know little about the processes that connect the two. This study proposes a conceptual model that links performance information to a specific form of public engagement: coproduction. Drawing on insights from information aversion theory, we argue that the effect of performance information on engagement in coproduction depends on levels of policy understanding and the valence of performance information that individuals are exposed to. Specifically, we predict that individuals exposed to positive performance information will understand the policy better than those exposed to negative performance information. Further, we predict that higher levels of policy understanding will increase coproduction engagement intentions. These predictions are examined using two experiments and a representative sample of US residents (n = 836). Findings indicate that participants best understood positive information and that understanding significantly increased coproduction engagement intentions

Populações de plantas e estratégias de manejo de irrigação na cultura da soja.

Este trabalho teve por objetivo verificar o efeito do manejo da irrigação e da população de plantas sobre o rendimento de grãos em soja semeada após a época recomenda. O experimento foi conduzido de janeiro a maio de 2005 na Universidade Federal de Santa Maria. O delineamento experimental utilizado foi blocos ao acaso com parcelas subdivididas e quatro repetições. Nas parcelas principais foram distribuídos três manejos de irrigação: 1) não-irrigado; 2) irrigado todo o ciclo; e 3) irrigado nos períodos críticos. Nas subparcelas foram distribuídas duas populações de plantas (250.000 e 400.000 plantas ha-1). Para as plantas irrigadas todo o ciclo ou somente nos períodos críticos, o rendimento de grãos não diferiu entre as populações testadas. O rendimento de grãos das plantas não-irrigadas teve um incremento de 21% com o aumento da população de plantas para 400.000 plantas ha-1

Nematoides Fitoparasitas da Cana-de-açúcar: Ocorrência, Danos e Manejo.

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