Digitalisering af vikaradministrationen på Aalborg Universitetshospital

Abstract

Baggrund: I 2009 besluttede Danske Regioner at indføre eksternt vikarstop på landets sygehuse. Flere studier viser at plejekvaliteten kan højnes og de økonomiske udgifter mindskes, ved at anvende interne vikarer, der allerede er bekendt med de enkelte afdelingers arbejdsgange. I det danske sundhedsvæsen skal der gennemføres en digitalisering, der skal skabe overblik og ensartede arbejdsgange på tværs af regioner, sygehuse og afdelinger. Formålet med dette projekt er at undersøge, hvordan en digital løsning påvirker vikaradministrationen på Aalborg Universitetshospital. Metode: Der anvendes et kvasi-eksperimentelt forskningsdesign hvor der sammenlignes data før og efter testen af vikarsystemet, Ovivo på to afdelinger på Aalborg Universitetshospital. Data indsamles ved interviews, registerudtræk, observationer og selvregistreringsskemaer. 10 sygeplejersker og 19 vikarer deltager i en test af Ovivo på 20 dage. Brugertilfredsheden med Ovivo bliver undersøgt gennem spørgeskemaundersøgelser. Resultater: Med Ovivo tog det kortere tid fra en vagt blev oprettet til den blev besat. Ovivo påvirkede ikke vikaradministrationen i forhold til brugen af interne vikarer og om vagterne blev besat. Administratoren var generelt tilfreds med Ovivo og ville gerne bruge det fremadrettet fordi det bl.a. gav overblik. For vikarerne var svarene tvetydige. De foretrak Vikarkontoret, men ville gerne bruge Ovivo fremover. Konklusion: En digital løsning som Ovivo påvirker vikaradministrationen på Aalborg Universitetshospital ved, at tiden bliver kortere fra oprettet til besat vagt og ved at give overblik til brugerne. En digital løsning giver ændrede arbejdsgange for vikarer, ansvarshavende og Vikarkontoret.

Introduction: In 2009, the Danish Regions introduced their strategy for an external temporary workers stoppage on all public hospitals in Denmark. Studies show that the quality of care can be enhanced and the economic cost reduced by using internal temporary workers that are already familiar with each ward’s workflow. A digitalization of the Danish health system will help to create an overview and consistent workflows across regions, hospitals and wards. The aim of this project is to cover how a digital solution affects the temporary worker management at Aalborg University Hospital. Method: This study uses a quasi-experimental research design to compare pre- and post-test data of the temporary worker management system, Ovivo, in two wards at Aalborg University Hospital. Data is collected through interviews, register extracts, observations and self-registration forms. 10 nurses and 19 temporary workers participated over a 20-day period. The user satisfaction with Ovivo, was examined using questionnaires. Results: By using Ovivo, less time was required from a work period was available until it was occupied. Ovivo did not affect the relation between usage of internal temporary workers and occupying the watches. The administrator was generally satisfied with Ovivo and would like to use it onward since it, among other qualities, supplied an overview of the temporary worker management. The temporary workers, gave ambiguous feedback. They preferred using the temporary workers office, but would also like to use Ovivo. Conclusion: A digital solution like Ovivo affect the temporary worker management at Aalborg University Hospital in relation to shortening the time between available work period and until it is occupied. Ovivo also provided an enhanced overview of the temporary worker management for the users. A digital solution has an influence on the workflow of the temporary workers, the persons in charge of the wards and the the temporary workers office.

A master thesis from Aalborg University

Digitalisering af vikaradministrationen på Aalborg Universitetshospital

[Digitalization of the temporary worker management at Aalborg University Hospital]