# Dynamic Human Resource Management Improves Arterial Blood Gas Sample Collection Outcomes

## TL;DR

Dynamic human resource management improved the efficiency and quality of arterial blood gas sample collection and boosted nurse job satisfaction.

## Contribution

This study demonstrates the effectiveness of dynamic staffing in improving ABG collection outcomes and nurse satisfaction in clinical settings.

## Key findings

- DHRM reduced patient waiting time by 35% and collection time by 21%.
- Specimen compliance improved significantly, with a 37% decrease in hematoma incidence.
- Nurse job satisfaction increased by 11.3% with improvements in workload and personal development.

## Abstract

To explore the effects of dynamic human resource management (DHRM) in improving the quality and efficiency of arterial blood gas (ABG) sample collection and its impact on nurse job satisfaction.

ABG analysis is critical for diagnosing and monitoring critically ill patients, but its accuracy heavily depends on specimen collection quality. Given the dependence of ABG accuracy on collection quality, workload pressures and staffing shortages often undermine performance. DHRM, a flexible staffing model, may optimize resource allocation and enhance outcomes. However, its impact on ABG procedures remains underexplored.

A quasiexperimental study assessed the DHRM framework’s impact on ABG specimen collection. Using a pre–post design, 1800 specimens from December 2022 (control) were compared with 1800 from March 2023 (observation). Twenty nurses trained in ABG protocols participated. DHRM included dynamic staffing, a dispatcher system, fixed‐zone assignments, and standardized ABG procedures. Outcomes measured operational efficiency (waiting/collection times and delayed testing), specimen quality/safety (first‐attempt success, compliance, and hematoma incidence), and nurse job satisfaction (5‐point Likert scale). Data were analyzed using t‐tests, Mann–Whitney U tests, and chi‐square tests (p < 0.05).

DHRM implementation yielded substantial improvements: patient waiting time reduced by 35% (p < 0.001) and collection time by 21% (p < 0.001), with no difference in delayed testing (p = 0.334). Specimen compliance improved significantly (p < 0.05) for the absence of clotting, air bubbles, and adequate blood volume, with hematoma incidence decreasing by 37% (p = 0.033). Nurse job satisfaction increased overall by 11.3% (p = 0.010), with notable gains (p < 0.05) in hospital management, workload, salary and benefits, and personal development.

DHRM significantly enhanced ABG sample collection efficiency, quality, and nurse satisfaction, addressing key managerial challenges in high‐demand clinical settings. Further studies are needed to confirm and extend these benefits across diverse settings.

Hospitals could consider adopting DHRM to effectively address staffing challenges, standardize procedures, and strategically link performance to incentives in ABG sampling, thereby fostering improved clinical outcomes and enhanced staff morale.