Evidence-based human resource management: a study of nurse leaders' resource allocation

Aims 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. Implications for nursing management 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.