ArticleEuropean journal of midwifery2019
The implementation process of the Workload Indicators Staffing Need (WISN) method by WHO in determining midwifery staff requirements in Greek Hospitals.
Article in European journal of midwifery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- A Comparative Analysis of Multi-Criteria Decision-Making Methods and Workload Indicators of Staffing Need in Estimating the Number of Information Technology Experts Needed for District Health Networks: A Descriptive-Analytical Study.Health science reports · 2026Article
- Article
- Survey protocol: implementing Workload Indicators of Staffing Need in Iranian primary healthcare services.Primary health care research & development · 2025Article
- Challenges of midwifery staff at Tehran hospitals: A qualitative study from the midwifery managers perspective.Nursing open · 2023Article
- Methods and Tools Used to Estimate the Shortages of Medical Staff in European Countries-Scoping Review.International journal of environmental research and public health · 2023Article
- Workload Indicators of Staffing Need (WISN) Method for Midwives Planning and Estimation at Asrade Zewude Memorial Primary Hospital, North west Ethiopia.Discover health systems · 2023Article
- How to make the best use of the workload indicators of staffing needs method in determining the proportion of time spent in each of the workload components and its implication in decision making: the experience of the Sultanate of Oman.Human resources for health · 2022Article
- Use of the WISN method to assess the health workforce requirements for the high-volume clinical biochemical laboratories.Human resources for health · 2022Review
- Addressing the need for an appropriate skilled delivery care workforce in Burundi to support Maternal and Newborn Health Service Delivery Redesign (MNH-Redesign): a sequential study protocol.Wellcome open research · 2022Article
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6 authors.
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Abstract
introductionOne of the greatest challenges in the healthcare field is planning the health workforce under limited financial resources while being fully capable of responding to an affordable, fair and efficient healthcare system. This study aimed to demonstrate the implementation process of the health workforce planning tool 'Workload Indicators of Staffing Needs' introduced by the World Health Organization.
methodsA descriptive and cross-sectional study was carried out at four (two public and two private) hospitals in Greece, to estimate midwifery staff requirements at ward level during 2015-2016, using the WISN software tool. Focus group discussions, structured interviews and annual service statistics from the hospitals' records were used to obtain data.
resultsResults for both private hospitals showed a shortage in the number of midwives. However, after combining the interpretation of the results, as indicated by the WISN methodology and the structured interviews, current and required staffing is in balance in both. On the other hand, both public hospitals indicate a surplus of midwives (1.83 and 1.33 ratios for the General hospitals in Korinthos and Kalamata, respectively).
conclusionsThis study demonstrated the implementation process of the WISN methodology through its application in midwifery staff at four hospitals in Greece and confirmed its usefulness in estimating staffing requirements. The application of the WISN methodology should be viewed as a vital tool in assessing overstaffing and understaffing through the estimation of workload pressure among different categories of health staff, thus providing the basis for effective health workforce redistribution in Greece.
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