The paper aims to provide an insight into the significance of having a simulation model to forecast the supply of registered nurses for health workforce planning policy using System Dynamics. A model is highly in demand to predict the workforce demand for nurses in the future, which it supports for complete development of a needs-based nurse workforce projection using Malaysia as a case study. The supply model consists of three sub-models to forecast the number of registered nurses for the next 15 years: training model, population model and Full Time Equivalent (FTE) model. In fact, the training model is for predicting the number of newly registered nurses after training is completed. Furthermore, the population model is for indicating the number of registered nurses in the nation and the FTE model is useful for counting the number of registered nurses with direct patient care. Each model is described in detail with the logical connection and mathematical governing equation for accurate forecasting. The supply model is validated using error analysis approach in terms of the root mean square percent error and the Theil inequality statistics, which is mportant for evaluating the simulation results. Moreover, the output of simulation results provides a useful insight for policy makers as a what-if analysis is conducted. Some recommendations are proposed in order to deal with the nursing deficit. It must be noted that the results from the simulation model will be used for the next stage of the Needs-Based Nurse Workforce projection project. The impact of this study is that it provides the ability for greater planning and policy making with better predictions.
Centrality analysis is a crucial tool for understanding the role of nodes in a network, but it is unclear how different centrality measures provide much unique information. To improve the identification of influential nodes in a network, we propose a new method called Hybrid-GSM (H-GSM) that combines the K-shell decomposition approach and Degree Centrality. H-GSM characterizes the impact of nodes more precisely than the Global Structure Model (GSM), which cannot distinguish the importance of each node. We evaluate the performance of H-GSM using the SIR model to simulate the propagation process of six real-world networks. Our method outperforms other approaches regarding computational complexity, node discrimination, and accuracy. Our findings demonstrate the proposed H-GSM as an effective method for identifying influential nodes in complex networks.