A Needs-Based Approach to Human Resource Planning: A Multistakeholder Perspective

2.50
Hdl Handle:
http://hdl.handle.net/10755/150768
Type:
Presentation
Title:
A Needs-Based Approach to Human Resource Planning: A Multistakeholder Perspective
Abstract:
A Needs-Based Approach to Human Resource Planning: A Multistakeholder Perspective
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Hughes, Jean, RN, PhD
P.I. Institution Name:Dalhousie University
Co-Authors:Judith Ritchie, RN, PhD
Background/Objectives: Policy makers routinely conduct health human resource planning (HRP) using supply and demand models that result in cycles of shortage and surplus that rarely match the ‘needs’. This paper reports on a study that explored the concept of needs-based HRP planning among people living with end-stage renal disease (ESRD) in Atlantic Canada. Phase I Methods: We explored the needs of people with ESRD. We held 34 focus groups (n = 197 people) to determine the separate perspectives of patients, family members, clinicians, clinical decision makers and administrators, and policy makers about what needs should be considered in planning nursing resources for people with ESRD. Findings: The thematic analysis described a wide range of health-related and health system-related needs but the relative importance accorded each need varied from none to a lot according to stakeholder group. Phase II Methods: We explored the extent to which the needs exist in the population of interest, and whether they are met or unmet. Based on the needs emerging from the focus groups, we assessed patients (n = 134) across all four provinces, using an instrument derived from standardized instruments, to determine the profile of need. We concurrently interviewed information system (IS) experts to determine what information they maintain regarding those needs. Findings: The patient assessment revealed high levels of disability but relatively few absolute unmet needs. The main predictors of health status (SF –12) and of illness burden (subscales of the instrument) were scores on subscales – ‘symptoms’, ‘the effects of ESRD and its treatment on daily living’ and ‘co-morbidities’. Very little information about patient determined needs or about the nursing staff involved in addressing patients’ needs is collected, and/or computerized, and/or linked to enable needs-based HRP. Conclusions: These results raise many questions in terms of future needs-based HRP work.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Needs-Based Approach to Human Resource Planning: A Multistakeholder Perspectiveen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150768-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Needs-Based Approach to Human Resource Planning: A Multistakeholder Perspective</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hughes, Jean, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Dalhousie University</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jean.hughes@dal.ca</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Judith Ritchie, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">Background/Objectives: Policy makers routinely conduct health human resource planning (HRP) using supply and demand models that result in cycles of shortage and surplus that rarely match the &lsquo;needs&rsquo;. This paper reports on a study that explored the concept of needs-based HRP planning among people living with end-stage renal disease (ESRD) in Atlantic Canada. Phase I Methods: We explored the needs of people with ESRD. We held 34 focus groups (n = 197 people) to determine the separate perspectives of patients, family members, clinicians, clinical decision makers and administrators, and policy makers about what needs should be considered in planning nursing resources for people with ESRD. Findings: The thematic analysis described a wide range of health-related and health system-related needs but the relative importance accorded each need varied from none to a lot according to stakeholder group. Phase II Methods: We explored the extent to which the needs exist in the population of interest, and whether they are met or unmet. Based on the needs emerging from the focus groups, we assessed patients (n = 134) across all four provinces, using an instrument derived from standardized instruments, to determine the profile of need. We concurrently interviewed information system (IS) experts to determine what information they maintain regarding those needs. Findings: The patient assessment revealed high levels of disability but relatively few absolute unmet needs. The main predictors of health status (SF &ndash;12) and of illness burden (subscales of the instrument) were scores on subscales &ndash; &lsquo;symptoms&rsquo;, &lsquo;the effects of ESRD and its treatment on daily living&rsquo; and &lsquo;co-morbidities&rsquo;. Very little information about patient determined needs or about the nursing staff involved in addressing patients&rsquo; needs is collected, and/or computerized, and/or linked to enable needs-based HRP. Conclusions: These results raise many questions in terms of future needs-based HRP work.</td></tr></table>en_GB
dc.date.available2011-10-26T10:42:21Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T10:42:21Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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