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研究生: 陸佳寧
Jia-Ning Lu
論文名稱: 人力資源排程系統自動化的實現——以護理人員為例
Automatic Human Resource Scheduling System—Case Study of Nursing Staff
指導教授: 呂志豪
Shih-Hao Lu
鄭仁偉
Jen-Wei Cheng
口試委員: 曾盛恕
Seng-Su Tsang
張飛黃
Fei-Huang Chang
學位類別: 碩士
Master
系所名稱: 管理學院 - 企業管理系
Department of Business Administration
論文出版年: 2019
畢業學年度: 107
語文別: 英文
論文頁數: 65
中文關鍵詞: 護理人員排班規劃求解公平性排班
外文關鍵詞: Nurse Scheduling, Solver, Fairness
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  • 醫院結構中,護理人員佔總人力資源較大的比例,如何妥善的管理護理人員係為相當重要的議題。實務上,護理人員的班表普遍為護理長手動排班,再由護理人員私下協議做微調。護理長需要在排班時考量所有因素,相當耗時費力,且人工排班在排班作業上缺乏公平基礎,使護理人員易對班表的公平性存有疑慮。
    為彌補人工排班之局限性,本研究採用資訊科技相結合的自動化排班法,使用Microsoft Excel中的規劃求解工具箱作為求解工具,以中國大陸寧波某醫院科室作為訪談對象,設定7天為一排班週期,並以「先排休,後排班」的構思作為切入點。在醫院規範、各班別人數要求,以及人員休假天數等限制之下,構建一滿足所有條件的排班系統。此外,本研究亦將護理人員等級、調班情況,以及遭逢天災、人禍等可能影響人員配置的情況列入考量。
    經驗證後顯示,本研究所構建之排班系統可順利生成一具有實務適用性的班表。所生成之班表兼具公平性與正確性等優點,且順利將排班的時間控制在二十秒左右,成功解決了人工手動排班的耗時問題。實務上每間醫院及其各科室皆有自身須滿足的條件,未來研究可以本研究發展之系統作為參考,並加以調整及優化。

    關鍵字:護理人員排班、規劃求解、公平性班表


    Nurses take a considerable part of overall human resources in a hospital. In practice, the nursing staff's schedule is generally manual scheduling for the head nurse, and then fine-tuned by the nursing staff in private agreement. How to properly schedule these labor forces has always been a difficult task for the head nurses since they have to understand needs of all the nurses and ensure both the efficiency and fairness at the same time.
    The aim of this study is to develop an automatic scheduling algorithm in order to save labor for making schedules for all the nurses while ensure the efficiency and fairness. The scheduling algorithm is developed based on ‘Solver’ toolbox in Microsoft Excel and the basic logic of this algorithm is to figure out the day off of nurses first and then schedule the work days. Hospital regulations and number of nurses of each shift are considered and set as the boundary conditions. Factors that influence the scheduling, for example rank of nurse, internally work shift, extreme weathers and hazards are all included in the algorithm. Survey is conducted in a particular hospital located in Ningbo China in order to build and verify the algorithm.
    Via verification, the algorithm works well for this particular hospital with a normal timetable generation time of around 20 seconds given all input data well collected. The author also suggests the algorithm developed in this study might be adjusted and works for other hospitals as well with proper modifications made.

    Key Words:Nurse Scheduling、Solver、Fairness

    Contents 誌 謝 I 摘 要 II Abstract III Contents IV Tables VI Figures VI Chapter I Introduction 1 1.1 Research Motivation 1 1.2 Research Object 5 1.3 Research Objective 6 1.4 Research Method 7 1.5 Research Process Framework 8 Chapter II Literature Review 9 2.1 Definition of Scheduling Issue 9 2.2 Type of Scheduling 9 2.3 Nurse Scheduling Mode 10 2.4 Nurse Scheduling Criteria 17 2.5 Summary 19 Chapter III Research Content and Method 21 3.1 Research Method 21 3.2 Overview of Nurse Scheduling 23 3.3 Scheduling Rules and Interview Contents 25 3.4 Arrangement of Limited Conditions 29 3.5 Presupposition of Individual Case Research Method 37 Chapter IV Modeling and Research Results 38 4.1 Build Basic Data 38 4.2 Assign Nurses Requiring for Off-day 39 4.3 Create An Off-day Scheduling Table 40 4.4 Create A Daily Shift Scheduling Table 41 4.5 Validation of Research Results 47 4.6 Validation of Effectiveness 48 Chapter V Conclusions and Suggestions 51 5.1 Conclusions 51 5.2 Suggestions 54 Reference 56 Tables Table 4-1 Construction of Basic Data 38 Table 4-2 Construction of Basic Data 39 Table 4-3 Completed Off-day Intention Questionnaire 40 Table 4-4 Completed Off-day Scheduling Table 41 Table 4-5 Programming Solution Result I 43 Table 4-6 Programming Solution Result II 43 Table 4-7 Preliminary Shift Scheduling Table (without noon shift & flexible nurses) 44 Table 4-8 Screened Noon Shift (73-shift) Scheduling 45 Table 4-9 Scheduling Table with Noon Shift (73-shift) Included 46 Table 4-10 Screened Flexible Shift Nurse Scheduling 47 Table 4-11 Scheduling Table with Flexible Shift Included 47 Table 4-12 Final Scheduling Table 48 Table 4-13 Final Shift Scheduling Table 48 Table 5-14 Accuracy Statistics 50 Table 5-15 Time-consuming Statistics 50 Figures Figure 1-1 Structure Chart of Research Process 8 Figure 3‑1 Day Shift Nurses 28 Figure 3‑2 Night Shift Nurses 28

    1. 尹邦嚴、趙志強、蔣雅慈(2010)以擴散性粒子群最佳化為基礎之智慧型多目標護士排程系統,醫療資訊雜誌,19(1),頁1-16。
    2. 王雅佩(2010)臺北市交通事故專責處理員警排班模式之研究,中央員警大學交通管理研究所碩士論文。
    3. 王裕元(2003)應用多目標決策模式建立護理人員排班方法之研究,國立屏東科技大學工業管理學系碩士論文。
    4. 田孟欣(2016)數據告訴你台灣護理人員有多血汗,天下雜誌。
    5. 李俊德(2005)以限制規劃法求解全年無休人員排班問題之研究─以護理人員排班為例,國立交通大學運輸科技與管理學系碩士論文.
    6. 林建福、楊鈺婷(2012)急診部護理人員排班系統,第八屆知識社群國際研討會。
    7. 林純玉(2010)護理人員排班程式設計與實作,中華大學生物資訊系碩士論文
    8. 林豐裕(1992)醫院護理人員排班之研究,僑光學報,第九期,頁1-51。
    9. 邱文達(2012)「如何改善護理人員執業環境、 解決護士荒及維護病人安全」 書面報告。
    10. 侯文哲(2002)護理人員排班資訊系統之建立與探討,國立成功大學工業管理科學系碩士論文
    11. 侯怡菁、張博論、劉碩琦(2006)Excel進階技術應用於護理人員開發護理資訊系統之研究,醫療資訊雜誌,15(3),頁73-84。
    12. 康家榮(2010),整數規劃在護理排班與排休問題之應用,國立屏東科技大學工業管理研究所碩士學位論文。
    13. 張鈺生、侯玉松、增麗卿(2012),應用禁忌演算法於護理人員排班程式設計,資訊科技與應用期刊,6(3),頁145-150。
    14. 張慶源,李淑賢(1992)護理人員排班系統之實驗設計,醫院與電腦,8,65-70
    15. 莊凱翔(2001)求解護理人員排班最佳化之研究-以遺傳演算法求解,國立成功大學工業管理學系碩士論文
    16. 陳俐瑾、游惠珠、蕭晴文(2015),簡單瞭解護士荒。
    17. 陳信樺(2011)利用VBA建立手術室護理人員之排班系統,南台科技大學碩士論文
    18. 辜智芬(2014),各國護病比 超級比一比。
    19. 黃鬱齡(2016),5張圖看護理人員有多血汗:on call也算休假、加班再「賣假」,The News Lens。
    20. 廖一仲(2011),建構護理人員排班資訊系統模型與探討,第七屆知識社群研討會,頁1082-1090。
    21. 鄭詩慈、翁新惠、張博論(2005),經驗法則式護理人員Excel排班系統之開發,醫療資訊雜誌,14(3),頁45-62。
    22. 韓復華,李俊德(2007)兩階段限制規劃模式求解護理人員輪值問題,管理與系統,14(1),121-146
    23. A.H.W. Chun, S.H.C. Chan, G.P.S. Lam, F.M.F. Tsang, J. Wong, D.W.M.Yeung(2000). Nurse rostering at the hospital authority of Hong Kong, AAAI/IAAI, pp. 951–956.
    24. A.T. Ernst, H. Jiang (2004),Staff scheduling and rostering: A review of applications, methods and models,European Journal of Operational Research 153,3–27.
    25. Azaiez, M. N., & Al Sharif, S. S. (2005). A 0-1 goal programming model for nurse scheduling. Computers & Operations Research, 32, 491-507.
    26. B. Jaumard, F. Semet, T. Vovor, (1998) . A generalized linear programming model for nurse scheduling, European Journal of Operational Research 107 (1) 1–18.
    27. Bailyn, L., Collins, R., & Song, Y. (2007). Self-scheduling for hospital nurses: an attempt and its difficulties. Journal of Nursing Management, 15, 72-77.
    28. Cheang B., Li H., Lim A. and Rodrigues B. (2003). Nurse Rostering Problems: A Bibliographic Survey. European Journal of Operational Research, 151(3) 447-460.
    29. D. Warner, J. Prawda, (1972). A mathematical programming model for scheduling nursing personnel in a hospital, Management Science 19 (4) 411–422.
    30. D.Warner, (1976). Scheduling nursing personnel according to nursing preference: A mathematical programming approach, Operations Research 24 (5) 842–856.
    31. Edmund K. Burke. (November 2004).The State of the Art of Nurse Rostering, Journal of Scheduling, Volume 7, Issue 6, pp 441–499
    32. Gutjahr, W. J., & Rauner, M. S. (2007). An ACO algorithm for a dynamic regional nursescheduling problem in Austria. Computers & Operations Research, 34, 642-666.
    33. Hare, D. (2001). Staff scheduling with ILOG solver. Technical report, Okanagan University College.
    34. Howell, J. P. (1966). Cyclical scheduling of nursing personnel. Hospitals, 77–85, January 16.
    35. Hung P (1992) Pre-operative fasting of patients undergoing elective surgery. British Journal of Nursing 1(6): 286–87.
    36. I. Berrada, J.A. Ferland, P. Michelon. (1996). A multi-objective approach to nurse scheduling with both hard and soft constraints. Socio-Economic Planning Science, 30 (20), pp. 183–193.
    37. J. Arthur, A. Ravindran, (1981).A multiple objective nurse scheduling model, AIIE Transactions 13 (1) 55–60.
    38. K. Dowsland, J. Thompson, (2000). Solving a nurse scheduling problem with knapsacks, networks and tabu search, Journal of the Operational Research Society 51,825–833
    39. M. Hadwan, M. Ayob,(2010). A Constructive Shift Patterns Approach with Simulated Annealing for Nurse Rostering Problems, in: International Symposium in Information Technology (ITSim 2010) IEEE, Kuala Lumpur, Malaysia, pp. 1-6.
    40. Maenhout, B., & Vanhoucke, M. (2007). An electromagnetic meta-heuristic for the nurse scheduling problem. Journal of Heuristics, 13, 359-385.
    41. Miller, A. (1984). Nurse/patient dependency—A review of different approaches with particular reference to studies of the dependency of elderly patients. Journal of Advanced Nursing, 9(9), 479-486.
    42. S. Abdennadher, H. Schlenker,(1999).Nurse scheduling using constraint logic programming, AAAI/IAAI, pp. 838–843
    Silvestro, R. and Silvestro, C (2000). An evaluation of nurse rostering practices in the National Health Service. Journal of Advanced Nursing, 32:525–535.

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