Universität zu Köln

Fügener, Andreas ORCID: 0000-0002-4580-7444, Pahr, Alexander and Brunner, Jens O. ORCID: 0000-0002-2700-4795 (2018). Mid-term nurse rostering considering cross-training effects. International journal of production economics, 196. 176 - 188. AMSTERDAM: ELSEVIER SCIENCE BV. ISSN 1873-7579

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Abstract

Hospitals experience challenging times in which both the economic pressure and the challenges of uncertain demand for care increase. One of the most prominent problems in health care operations is the nurse scheduling problem, where nurse rosters are created to cover demand. Cross-training, i.e. educating nurses to work in units other than their dedicated one, offers an opportunity to react to the issues mentioned above within the field of nurse scheduling. We contribute to the nurse cross-training literature in three ways: First, we propose a framework to define and visualize cross-training policies. Second, we introduce a new cross-training policy where each unit trains one dedicated nurse for each other unit. Third, we are the first who develop a mid-term model creating and applying cross-training policies in nurse rostering. Within this new mid-term model, we make use of parameters that allow to control the trade-off between flexibility of nurses and the continuity of care. In two computational studies with 6400 instances we compare our newly developed cross-training policy with three existing policies from the literature, demonstrate the superiority regarding demand coverage and overtime per number of cross-trainings, and compare the effects of cross-training intensity, i.e. the number of cross-trained nurses, with cross-training breadth, i.e. the number of departments a nurse is cross-trained for.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Fügener, Andreas UNSPECIFIED orcid.org/0000-0002-4580-7444 UNSPECIFIED Pahr, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Brunner, Jens O. UNSPECIFIED orcid.org/0000-0002-2700-4795 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-198023
DOI:	10.1016/j.ijpe.2017.11.020
Journal or Publication Title:	International journal of production economics
Volume:	196
Page Range:	176 - 188
Date:	2018
Publisher:	ELSEVIER SCIENCE BV
Place of Publication:	AMSTERDAM
ISSN:	1873-7579
Language:	English
Faculty:	Faculty of Management, Economy and Social Sciences
Divisions:	Faculty of Management, Economics and Social Sciences > Business Administration > Supply Chain Management > Professur für Digital Supply Chain Managment
Subjects:	Management and auxiliary services
Uncontrolled Keywords:	Keywords Language WORKFORCE; PRODUCTIVITY; BENEFITS; POLICIES Multiple languages Engineering, Industrial; Engineering, Manufacturing; Operations Research & Management Science Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/19802