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Strategic Workforce Planning for Health Human Resources: A Nursing Case Analysis
Andrea Baumann1, Mary Crea-Arsenio1, Noori Akhtar-Danesh2
11 Nursing Health Services Research Unit, McMaster University, Canada.
A hospital employment policy successfully stabilized its nursing workforce, significantly increasing full-time positions and reducing turnover. This initiative improved nurse retention and professionalism, benefiting patient care.
Area of Science:
- Health Services Research
- Nursing Workforce Management
- Organizational Psychology
Background:
- Healthcare organizations face complex environments demanding effective health human resources initiatives for safe patient care.
- Stabilizing the nursing workforce is crucial for maintaining consistent, high-quality healthcare delivery.
- Strategic human resources planning is essential for the sustainability of healthcare systems.
Purpose of the Study:
- To evaluate the impact of a specific employment policy on nursing workforce stability in a Canadian specialty hospital.
- To assess changes in full-time employment status and retention rates of new nurses over a six-year period.
- To compare professionalism and workplace environmental factors among nurses in the study hospital versus other healthcare settings.
Main Methods:
- An observational, cross-sectional study design was employed.
- Administrative data were analyzed to compare new nurse full-time status and retention rates before and during the policy implementation.
- The Professionalism and Environmental Factors in the Workplace Questionnaire® was administered to assess nurse perceptions.
Main Results:
- A significant increase in full-time nursing employment and a decrease in part-time positions were observed.
- Nurse turnover within the first year of employment dropped from 26% pre-policy to 5% during policy implementation.
- Nurses at the study hospital reported significantly higher professionalism scores on 5 of 13 subscales compared to nurses in other settings.
Conclusions:
- Implementing targeted employment policies can effectively stabilize the nursing workforce and improve retention.
- The findings support the development of comprehensive health human resources guidelines for strategic workforce planning.
- Strengthening the healthcare system relies on effective mechanisms to support and sustain its workforce.
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