University of Twente Student Theses
The perspective of Intensive Care nurses on flexible deployment at three hospitals : a qualitative approach.
Elferink, Elise (2022) The perspective of Intensive Care nurses on flexible deployment at three hospitals : a qualitative approach.
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| Abstract: | Background: There is an increasing shortage of nurses in the Netherlands. Healthcare institutions and organizations should therefore find solutions for using current capacity and resources more effectively and efficiently. A shared float pool for the ICU of three hospitals; Medisch Spectrum Twente (MST), Ziekenhuisgroep Twente (ZGT) and Streekziekenhuis Koningin Beatrix (SKB), could be a solution to adapt to a fluctuating demand for healthcare in the Euregio. It is important to know whether the Intensive Care Unit (ICU) nurses are open to flexible deployment before starting the implementation process. Otherwise, the float pool will not have a chance of success. Only limited literature is available about deploying nurses from different organizations in one shared float pool and the perspective of the nurses about working in such a float pool. This research will identify the expected influential facilitating and impeding factors on the perspective of ICU nurses regarding flexible deployment in the Euregio. Methods: A mixed method approach was used for this study. First, relevant information about flexible deployment (of nurses) was sought in literature. Interviews were held with seventeen ICU nurses from the three hospitals in the Euregio. The influential factors that were found, were used to create a survey. The results from the survey show the importance of these factors to the ICU nurses. The data from the survey was statistically analyzed to be able to calculate the correlations between several variables. Results: This study found nine main factors which are expected to have an influential effect on the perspective of ICU nurses regarding flexible deployment at MST, ZGT and SKB. These are the expected influential facilitating or impeding factors ranked to importance: (1) private life of the ICU nurses, (2) incentives, (3) work environment, (4) team dynamics, (5) nature and duration of flexible deployment, (6) the complexity of healthcare, (7) personal development, (8) pandemic and (9) being self-employed or not. In general, the ICU nurses that were either interviewed or participated in the survey held negative attitudes towards flexible deployment at MST, ZGT and SKB. Discussion: This study gives insight in the perspective of ICU nurses regarding flexible deployment at MST, ZGT and SKB. The exchange of nurses between three hospitals is a new way of looking at flexible deployment. The results that were found might not be the only influential facilitating or impeding factors that play a role in the perspective of ICU nurses regarding flexible deployment at the three hospitals. This research provides useful recommendations to the hospital management and Acute Zorg Euregio, which can be considered when an actual float pool will be set up. Future research could focus on finding out whether these results would also apply for other hospital units. |
| Item Type: | Essay (Master) |
| Clients: | Acute Zorg Euregio |
| Faculty: | TNW: Science and Technology |
| Subject: | 44 medicine |
| Programme: | Health Sciences MSc (66851) |
| Link to this item: | https://purl.utwente.nl/essays/93122 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
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