Nursing Leadership, 20(4) December 2007: 48-64.doi:10.12927/cjnl.2007.19471
Nursing Research
The Effects of Organizational Flexibility on Nurse Utilization and Vacancy Statistics in Ontario Hospitals
Anita Fisher, Andrea Baumann and Jennifer Blythe
Abstract
Social and economic changes in industrial societies during the past quarter-century encouraged organizations to develop greater flexibility in their employment systems in order to adapt to organizational restructuring and labour market shifts (Kallenberg 2003). During the 1990s this trend became evident in healthcare organizations. Before healthcare restructuring, employment in the acute hospital sector was more stable, with higher levels of full-time staff. However, in the downsizing era, employers favoured more flexible, contingent workforces (Zeytinoglu 1999). As healthcare systems evolved, staffing patterns became more chaotic and predicting staffing requirements more complex. Increased use of casual and part-time staff, overtime and agency nurses, as well as alterations in skills mix, masked vacancy counts and thus rendered this measurement of nursing demand increasingly difficult. This study explores flexible nurse staffing practices and demonstrates how data such as nurse vacancy statistics, considered in isolation from nurse utilization information, are inaccurate indicators of nursing demand and nurse shortage. It develops an algorithm that provides a standard methodology for improved monitoring and management of nurse utilization data and better quantification of vacancy statistics. Use of standard methodology promotes more accurate measurement of nurse utilization and shortage. Furthermore, it provides a solid base for improved nursing workforce planning, production and management.
This article is for subscribers only.
To view the entire article, sign in if you are a subscriber. Or select one of the options below.
Personal Subscriber? Sign In
Please note: To register for an event you must sign-in as an individual or create a personal Longwood's account. Thank you.
Comments
Be the first to comment on this!
You must sign in to comment Sign In or Create an Account to add comments
Related Content
Healthcare Quarterly
Nursing Leadership
A Partnership Model Evolves from a Living Inventory of Engagement
Nursing Leadership
Patient Partnership: One Organization’s Journey