The efficient and effective management of nursing personnel is of critical importance in a hospital’s environment comprising approximately 25 % of the hospital’s operational costs. The nurse organizational structure and the organizational processes highly affect the nurses’ working conditions and the provided quality of care. In this paper, we investigate the impact of different nurse organization structures and different organizational processes for a real-life situation in a Belgian university hospital. In order to make accurate nurse staffing decisions, the employed solution methodology incorporates shift scheduling characteristics in order to overcome the deficiencies of the many phase-specific methodologies that are proposed in the academic literature.
In this paper, an artificial immune system (AIS) algorithm for the resource availability cost problem (RACP) is presented, in which the total cost of the (unlimited) renewable resources required to complete the project by a pre-specified project deadline should be minimized. The AIS algorithm makes use of mechanisms inspired by the vertebrate immune system and includes different algorithmic components, such as a new fitness function, a probability function for the composition of the capacity lists, and a K-means density function in order to avoid premature convergence. All components are explained in detail and computational results for the RACP are presented.
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