Workload Indicators of Staffing Need (WISN) for the Required Estimation of Nursing Staff in a Hemodialysis Unit

Highlights: This article presents an understudied topic of nursing workloads in a hemodialysis unit and concludes that directly and indirectly productive activities occupied the majority of the nurses' working time.  An analysis using the Workload Indicators of Staffing Need produced a gener...

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Main Authors: Feli Clarisa Winvi, Sri Lestari Ramadhani Nasution, Chrismis Novalinda Ginting
Format: Article
Language:English
Published: Universitas Airlangga 2023-06-01
Series:Folia Medica Indonesiana
Subjects:
Online Access:https://e-journal.unair.ac.id/FMI/article/view/42309
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author Feli Clarisa Winvi
Sri Lestari Ramadhani Nasution
Chrismis Novalinda Ginting
author_facet Feli Clarisa Winvi
Sri Lestari Ramadhani Nasution
Chrismis Novalinda Ginting
author_sort Feli Clarisa Winvi
collection DOAJ
description Highlights: This article presents an understudied topic of nursing workloads in a hemodialysis unit and concludes that directly and indirectly productive activities occupied the majority of the nurses' working time.  An analysis using the Workload Indicators of Staffing Need produced a general report that may prompt re-evaluation of nursing staff requirements and policy-making for workload distribution.  Abstract The number of hemodialysis patients continues to increase almost every month, while the number of nurses in the Hemodialysis Unit at Rasyida Renal Specialist Hospital, Medan, Indonesia, remains constant. This situation has increased the nurses' workload and responsibilities. Therefore, it is necessary to examine the balance between the workload and the number of required nursing staff in the Hemodialysis Unit at Rasyida Renal Specialist Hospital. This study aimed to identify the optimal number of nursing staff required in the Hemodialysis Unit at the hospital in 2022. This study used a mixed-methods approach using the Workload Indicators of Staffing Need (WISN) method. This study included 44 nurses working in the Hemodialysis Unit at Rasyida Renal Specialist Hospital. Primary data included questionnaires, observations, and interviews during working hours, while secondary data included document reviews and staffing data. WISN calculations showed that the Hemodialysis Unit required a total of 65 nursing staff. In other words, an addition of 21 nursing staff was needed to meet the current workload. In conclusion, the current human resources available are not sufficient, and the workload is beyond the capacity of the nursing staff at the hospital.
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spelling doaj.art-c23b491068cd48bd81a6b507542098882023-09-13T01:58:09ZengUniversitas AirlanggaFolia Medica Indonesiana2355-83932599-056X2023-06-0159216417210.20473/fmi.v59i2.4230940390Workload Indicators of Staffing Need (WISN) for the Required Estimation of Nursing Staff in a Hemodialysis UnitFeli Clarisa Winvi0https://orcid.org/0000-0002-0514-6899Sri Lestari Ramadhani Nasution1Chrismis Novalinda Ginting2https://orcid.org/0000-0003-2269-2717Faculty of Medicine, Dentistry, and Health Sciences, Universitas Prima Indonesia, Medan, Indonesia Faculty of Medicine, Dentistry, and Health Sciences, Universitas Prima Indonesia, Medan, Indonesia Faculty of Medicine, Dentistry, and Health Sciences, Universitas Prima Indonesia, Medan, Indonesia Highlights: This article presents an understudied topic of nursing workloads in a hemodialysis unit and concludes that directly and indirectly productive activities occupied the majority of the nurses' working time.  An analysis using the Workload Indicators of Staffing Need produced a general report that may prompt re-evaluation of nursing staff requirements and policy-making for workload distribution.  Abstract The number of hemodialysis patients continues to increase almost every month, while the number of nurses in the Hemodialysis Unit at Rasyida Renal Specialist Hospital, Medan, Indonesia, remains constant. This situation has increased the nurses' workload and responsibilities. Therefore, it is necessary to examine the balance between the workload and the number of required nursing staff in the Hemodialysis Unit at Rasyida Renal Specialist Hospital. This study aimed to identify the optimal number of nursing staff required in the Hemodialysis Unit at the hospital in 2022. This study used a mixed-methods approach using the Workload Indicators of Staffing Need (WISN) method. This study included 44 nurses working in the Hemodialysis Unit at Rasyida Renal Specialist Hospital. Primary data included questionnaires, observations, and interviews during working hours, while secondary data included document reviews and staffing data. WISN calculations showed that the Hemodialysis Unit required a total of 65 nursing staff. In other words, an addition of 21 nursing staff was needed to meet the current workload. In conclusion, the current human resources available are not sufficient, and the workload is beyond the capacity of the nursing staff at the hospital.https://e-journal.unair.ac.id/FMI/article/view/42309health systemhuman resourcesnursing personnelworkloadsworkload indicators of staffing need (wisn)
spellingShingle Feli Clarisa Winvi
Sri Lestari Ramadhani Nasution
Chrismis Novalinda Ginting
Workload Indicators of Staffing Need (WISN) for the Required Estimation of Nursing Staff in a Hemodialysis Unit
Folia Medica Indonesiana
health system
human resources
nursing personnel
workloads
workload indicators of staffing need (wisn)
title Workload Indicators of Staffing Need (WISN) for the Required Estimation of Nursing Staff in a Hemodialysis Unit
title_full Workload Indicators of Staffing Need (WISN) for the Required Estimation of Nursing Staff in a Hemodialysis Unit
title_fullStr Workload Indicators of Staffing Need (WISN) for the Required Estimation of Nursing Staff in a Hemodialysis Unit
title_full_unstemmed Workload Indicators of Staffing Need (WISN) for the Required Estimation of Nursing Staff in a Hemodialysis Unit
title_short Workload Indicators of Staffing Need (WISN) for the Required Estimation of Nursing Staff in a Hemodialysis Unit
title_sort workload indicators of staffing need wisn for the required estimation of nursing staff in a hemodialysis unit
topic health system
human resources
nursing personnel
workloads
workload indicators of staffing need (wisn)
url https://e-journal.unair.ac.id/FMI/article/view/42309
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AT chrismisnovalindaginting workloadindicatorsofstaffingneedwisnfortherequiredestimationofnursingstaffinahemodialysisunit