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Communication Dans Un Congrès Année : 2023

Managing nursing shortages in the hospital: a distributed view of personnel management

Résumé

This paper explores how nursing teams of a hospital department manage constraints and resources to ensure quality of care in the context of staff shortages. Specifically, the study seeks to understand how these teams address decisions (imposed by the organization to compensate for staff shortages) and their subsequent impact on daily operations. To this end, an on-site study was conducted in seven neurology inpatient units at a Parisian hospital affected by a significant shortage of nursing staff. This qualitative study employed three different data collection techniques-analysis of organizational documents, systematic observations, and simulated case interviews, adopting an activity-centered ergonomics approach. The results reveal that nurses do not merely implement managerial decisions regarding personnel management. Instead, they contribute to formulating these organizational solutions (such as substitution, working time regulation, and mobility) and facilitate their execution through various regulatory actions and reorganization of resources (workload redistribution, competency balancing, task rescheduling). These findings propose a distributed perspective of workforce management, where it is not solely seen as a top-down process, or the mechanical fallout of managerial decisions to allocate resources. Rather, it is understood as the evolution and enactment of choices made at all levels of the organization, with the aim to optimize work quality, secure operational safety, and protect existing resources.
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Dates et versions

hal-04291451 , version 1 (17-11-2023)

Identifiants

  • HAL Id : hal-04291451 , version 1

Citer

Nicolas Canales-Bravo, Pierre Falzon, Adelaide Nascimento. Managing nursing shortages in the hospital: a distributed view of personnel management. 4th Organizational Design and Management Conference, Jul 2023, Bordeaux, France. ⟨hal-04291451⟩
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