运行RETAIN框架:在实践中计算护士轮流成本
Omid Razmpour1, Sharon Pappas2, Monique Bouvier2
1Nell Hodgson Woodruff School of Nursing, Atlanta, GA; Goizueta Business School, Atlanta, GA.
Nursing outlook
|February 12, 2026
概括
护士的流动性成本很高,平均每名护士的费用为85,498美元. "RETAIN框架"提供了可操作的数据,以告知在护理保留方面的战略投资.
科学领域:
- 医疗保健管理的管理
- 护理经济学 护理经济学
- 健康劳动力研究 卫生劳动力研究
背景情况:
- 解决了对护士轮流成本的主要证据二十年的差距.
- 运行RETAIN框架,为卫生系统建立当代基准.
研究的目的:
- 使用自下而上的成本计算方法量化护士流动量的财务影响.
- 为卫生系统提供可操作的数据,以减少营业额和改善保留率.
主要方法:
- 使用事件级,自下而上的成本计算,将支出与离散的护士流动事件联系起来.
- 分析了来自学术医疗中心内的七家医院的1,501名医疗外科护士的数据.
主要成果:
- 2023年出现了24%的营业额,有360个活动.
- 填补空缺的平均时间为21.7周,合同劳动占填补时间的75.5%.
- 每名护士的营业额成本与合同更换为85,498美元,总计2790万美元.
结论:
- 护士轮流成本很大,并受到运营决策的影响.
- "RETAIN框架"将成本驱动因素转化为可行的证据,为战略投资提供信息.
- 减少护士轮流是财政上的必需品,也是卫生系统的战略机会.
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