Abstract
Nursing homes are challenged to develop staffing strategies that enable them to efficiently meet the needs of their clients in situations where the level of demand fluctuates. In this study we investigate how demand patterns of scheduled care of five Dutch nursing home departments fluctuate over time and over the course of a day. Furthermore, we examine the consequences of these fluctuations in terms of workload and waiting time, and take into account possible advantages of pooling care workers from multiple departments. The results show that especially during the morning care (7:00-9:30 hours) the workload is high which results in waiting times up to 40 minutes. We also show that pooling care work from multiple department can have a substantial positive effect on the average waiting times, but capacity adjustments are required during busy periods of the day.
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