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Related Experiment Videos

Analysis of labor and delivery workload

J Stenske1, R Ferguson

  • 1Department of Nursing, Evanston Hospital, Illinois, USA.

Nursing Management
|June 1, 1996
PubMed
Summary

This study presents a cost-effective method for optimizing labor and delivery unit staffing. Matching registered nurse (RN) staffing to hourly workload patterns and implementing volume-based guidelines reduced costs effectively.

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Area of Science:

  • Healthcare Management
  • Nursing Administration
  • Health Economics

Background:

  • Determining optimal staffing levels in labor and delivery units is crucial for efficient patient care and cost management.
  • Previous methods for assessing staffing needs may not accurately reflect dynamic patient volume fluctuations.
  • Rising healthcare costs necessitate innovative approaches to resource allocation in high-acuity units.

Purpose of the Study:

  • To describe an inexpensive method for determining labor and delivery unit staffing requirements.
  • To align registered nurse (RN) staffing with actual patient care demands.
  • To evaluate the impact of a new staffing model on cost per delivery.

Main Methods:

  • Hourly data collection by an independent observer to establish unit workload patterns.
  • Matching RN staffing levels to the identified hourly activity trends.
  • Implementation of cost-effective training and guidelines for managing volume variations.

Main Results:

  • The developed method provides an inexpensive approach to determining staffing needs.
  • Aligning RN staffing with hourly workload patterns was achieved.
  • The cost per delivery increased by only 16% since 1988, indicating cost-effectiveness.

Conclusions:

  • This method offers a practical and economical solution for labor and delivery unit staffing.
  • Dynamic adjustment of staffing based on observed workload is effective in controlling costs.
  • The approach supports efficient resource management without compromising patient care.

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