Reversing Nurse Staffing Shortages

NHS正面临人员危机。目前的数据显示，NHS有43,619名护士空缺。英国信托公司每年花费14.6亿英镑在代理和银行护士轮班上，以填补长期护理人员的空缺。一些数据显示，信托公司为一名轮班的机构员工花费超过2500英镑（Waters, 2022）。作为加拿大和英国的一名护士，我亲身经历了人员短缺对员工心理健康和患者安全的影响。虽然雇用机构工作人员可以帮助填补轮值表中的漏洞，但过度依赖机构工作人员会影响员工士气，以及机构和工作人员护士的心理健康（Manias, 2003）。例如，机构工作人员在新病房工作时往往没有接受过设备方面的培训，并且“缺乏信心”，并且经常被长期护理人员视为局外人（Hass, 2006）。从后勤的角度来看，许多机构护士没有以适当和及时的方式通知轮班（Manias, 2003）。在我的博士论文中，我将询问是否可以使用反向拍卖和护士推荐系统来解决代理护理的高成本问题，同时提高患者安全和代理护士满意度。

The NHS is facing a staffing crisis. Current numbers show that there are 43,619 nurse vacancies in the NHS. With trusts in England spending £1.46 billion a year on agency and bank nurse shifts to fill gaps in permanent nursing staff. Some figures showing that trusts are spending greater than £2500 for one agency staff on shift (Waters, 2022). As a nurse in Canada and the UK, I have experienced first-hand the impacts of staffing shortages on staff mental health and patient safety. While hiring of agency staff can help plug the holes in a rota, the overreliance on agency staff can have impacts on staff morale, and the mental health of agency and staff nurses (Manias, 2003). For example, Agency staff are often not trained on the equipment and experience "a lack of confidence" when working in new wards and are often viewed as outsiders by permanent nursing staff (Hass, 2006). And from a logistics perspective, many agency nurses were not notified of shifts in an appropriate and timely fashion (Manias, 2003). For my PhD thesis I will be asking if a reverse auction and nurse recommender system can be used to address the high costs of agency nursing, while improving patient safety and agency nurse satisfaction.