Leon SantosoChief Human Resources Officer · Essays & perspective

Leon Santoso / Chief Human Resources Officer

Three arguments about who carries a hospital's staffing risk

Perspectives from a life in leadership.

The archive.

International nurse recruitment

  1. International nurse recruitment5 min read

    A foreign nurse's recruitment fee belongs on the hospital's books

    Hospitals that recruit nurses from abroad should pay every cost of doing so, including fees taken by intermediaries they never meet, and should stop using exit penalties to recover the expense. It is the cheapest way to keep a nurse past the first contract.

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Cross-border nurse mobility

  1. Cross-border nurse mobility5 min read

    Plan the causeway crossing instead of pretending to stop it

    A hospital group with wards on both sides of a large wage gap cannot stop nurses crossing it. It should run the crossing as a priced internal pathway with a route home, so the losing hospital is paid to train replacements and the nurses who leave have a reason to return.

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Rostering and early-career attrition

  1. Rostering and early-career attrition4 min read

    The night shift should belong to the nurses best able to carry it

    Seniority-based rostering quietly sends a hospital's least experienced nurses into the hours with the least supervision. Night shifts should be weighted towards experienced nurses, with a premium large enough to make that a choice they accept.

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