Evidence-based human resource management: a study of nurse leaders' resource allocation.
OBJECTIVE
The aims were to illustrate how the RAFAELA system can be used to facilitate evidence-based human resource management.


BACKGROUND
The theoretical framework of the RAFAELA system is based on a holistic view of humankind and a view of leadership founded on human resource management.


METHODS
Nine wards from three central hospitals in Finland participated in the study. The data, stemming from 2006-2007, were taken from the critical indicators (ward-related and nursing intensity information) for national benchmarking used in the RAFAELA system. The data were analysed descriptively.


RESULTS
The daily nursing resources per classified patient ratio is a more specific method of measurement than the nurse-to-patient ratio. For four wards, the nursing intensity per nurse surpassed the optimal level 34% to 62.2% of days. Resource allocation was clearly improved in that a better balance between patients' care needs and available nursing resources was maintained.


CONCLUSIONS
The RAFAELA system provides a rational, systematic and objective foundation for evidence-based human resource management.


CONCLUSIONS
Data from a systematic use of the RAFAELA system offer objective facts and motives for evidence-based decision making in human resource management, and will therefore enhance the nurse leaders' evidence and scientific based way of working.
Fagerström
Lisbeth
L
Buskerud University College, Drammen, Norway.
D055318:Evidence-Based Nursing; D006280:Health Workforce; D006801:Humans; D007857:Leadership; D009718:Nurse Administrators; D010561:Personnel Staffing and Scheduling; D040841:Resource Allocation; D016526:Workload