Strategies for Addressing the Nursing Shortage: Coordinated Decision Making and Workforce Flexibility

In this article, we present strategies to help combat the U.S. nursing shortage. Key considerations include providing an attractive work schedule and work environment—critical issues for retaining existing nurses and attracting new nurses to the profession—while at the same time using the set of available nurses as effectively as possible. Based on these ideas, we develop a model that takes advantage of coordinated decision making when managing a flexible workforce. The model coordinates scheduling, schedule adjustment, and agency nurse decisions across various nurse labor pools, each of differing flexibility levels, capabilities, and costs, allowing a much more desirable schedule to be constructed. Our primary findings regarding coordinated decision making and how it can be used to help address the nursing shortage include (i) labor costs can be reduced substantially because, without coordination, labor costs on average are 16.3% higher based on an actual hospital setting, leading to the availability of additional funds for retaining and attracting nurses, (ii) simultaneous to this reduction in costs, more attractive schedules can be provided to the nurses in terms of less overtime and fewer undesirable shifts, and (iii) the use of agency nurses can help avoid overtime for permanent staff with only a 0.7% increase in staffing costs. In addition, we estimate the cost of the shortage for a typical U.S. hospital from a labor cost perspective and show how that cost can be reduced when managers coordinate.     

Managing Multiple Facets of Risk in New Product Alliances*

The trend of forming alliances to develop new products continues; however, many of these new product alliances fail. As such we explore how key risk types intrinsic in new product alliances, performance, relational, and knowledge appropriation risks, influence alliance success. Further, we theorize that different alliance governance mechanisms can reduce the negative impact of risks on alliance success. To disentangle possible heterogeneous factors across firms that may affect the interplay of risk assessments and the use of governance mechanisms, we employ latent class regression analysis on survey data collected from 128 new product alliance firms and find support for a two‐regime solution. Longer alliance relationships and lower technological turbulence are factors for some firms (regime one), while the opposite are factors for other firms (regime two). These two regimes show different patterns in the interplay of risk assessments and governance for alliance success. Our theory and results support viewing risk as a multiple‐factor concept and by understanding the different impacts of the risk types in new product alliances and how governance mechanisms mitigate such effects, we aid managers' decision making regarding the balance of contractual versus normative governance in new product alliances. Understanding the heterogeneous factors inherent in these complex relationships enables managers to understand the conditions in which various governance mechanisms promote new product alliance success.     

Optimal Ordering Policies for Stochastic Inventory Problems with Observed Information Delays

Information delays exist in an inventory system when it takes time to collect, process, validate, and transmit inventory/demand data. A general framework is developed in this paper to describe information flows in an inventory system with information delays. We characterize the sufficient statistics for making optimal decisions. When the ordering cost is linear, the optimality of a state‐dependent base‐stock policy is established even when information flows are allowed to cross over time. Additional insights into the problem are obtained via a comparison between our models and the models with stochastic order lead times. We also show that inventory can substitute for information and vice versa.     

Moment Information for Probability Distributions,Without Solving the Moment Problem. I: Where is the Mode?

How much information does a small number of moments carry about the unknown distribution function? Is it possible to explicitly obtain from these moments some useful information, e.g., about the support, the modality, the general shape, or the tails of a distribution, without going into a detailed numerical solution of the moment problem? In this paper a theoretical result of Johnson and Rogers is generalized to be valid for all moment problems and is exploited to demonstrate that a few moments are able to provide us with valuable information about the position of the mode of an unknown (unimodal) distribution.     

Use of Spacings in the Estimation of Common Scale Parameter of Several Distributions

In this article, we consider the problem of best linear unbiased estimation and best linear invariant estimation of the common scale parameter of several distributions using spacing of the pooled sample of all observations of individual samples. We derived conditions for the non negativity of the scale estimator obtained by the above methods. Further, we obtained necessary and sufficient conditions for the derived estimators to be constant multiples of the pooled sample range.     

A Test for Constant Hazard Against a Change-Point Alternative

In this article, we consider the change-point hazard rate model which arises quite commonly in mechanical or biological systems, which experience a high hazard rate early in their lifetime due to infant mortality and then a constant or steady hazard rate after the threshold time. We first derive the corresponding mean residual life function (MRLF) and observe that the MRLF is initially increasing and then constant. Here, we derive a test statistic for exponentiality against Increasing Initially then Constant Mean Residual Life (ICMRL). We also derive the asymptotic distribution of the test statistic and compare the power of the test with other existing tests such as likelihood ratio, Weibull, and Log gamma tests considered in the literature. The test performs quite well as compared to other alternatives studied.     

Some Classes of Estimators for the Population Median Using Auxiliary Information

This article considers some classes of estimators of the population median of the study variable using information on an auxiliary variable with their properties under large sample approximation. Asymptotic optimum estimator (AOE) in each class of estimators has been investigated along with the approximate mean square error formulae. It has been shown that the proposed classes of estimators are better than these considered by Gross (1980 Gross , T. S. ( 1980 ). Median estimation in sample surveys. Proc. Surv. Res. Meth. Sect. Amer. Statist. Assoc. 181–184 . [Google Scholar]), Kuk and Mak (1989 Kuk , A. Y. C. , Mak , T. K. ( 1989 ). Median estimation in the presence of auxiliary information . J. Roy. Statist. Soc. Ser. B51 : 261 – 269 . [Google Scholar]), Singh et al. (2003a Singh , H. P. , Singh , S. , Joarder , A. H. ( 2003a ). Estimation of population median when mode of an auxiliary variable is known . J. Statist. Res. 37 ( 1 ): 57 – 63 . [Google Scholar]), and Al and Cingi (2009 Al , S. , Cingi , H. ( 2009 ). New estimators for the population median in simple random sampling. Tenth Islamic Countries Conference on Statistical Sciences, held in New Cairo, Egypt . [Google Scholar]). An empirical study is carried out to judge the merits of the suggested class of estimators over other existing estimators.     

Nonparametric Predictive Inference for Ordinal Data

Nonparametric predictive inference (NPI) is a powerful frequentist statistical framework based only on an exchangeability assumption for future and past observations, made possible by the use of lower and upper probabilities. In this article, NPI is presented for ordinal data, which are categorical data with an ordering of the categories. The method uses a latent variable representation of the observations and categories on the real line. Lower and upper probabilities for events involving the next observation are presented, and briefly compared to NPI for non ordered categorical data. As application, the comparison of multiple groups of ordinal data is presented.