Temporary or Permanent Staffing in Nursing?
KSK Personal AG’s Decision Logic for Swiss Healthcare
Pressure in Swiss healthcare is rising: increasing utilisation, a shortage of skilled professionals and short-term absences are part of everyday life. At the same time, it is becoming ever more difficult to attract qualified staff for positions such as registered nurse jobs Switzerland, healthcare assistant EFZ jobs or Spitex healthcare assistant positions.
HR managers therefore constantly face a central decision:
Deploy temporary staff or fill the position permanently for the long term?
KSK Personal AG supports this with a structured approach that optimally combines operational speed and strategic staff planning in nursing.

1. The Key Foundation: Understanding the Nature of the Gap
Before you act, you need to understand what problem you are actually solving.
Not every vacancy is a recruitment problem – it is often a time or structural problem.
Explaining the Three Types of Gaps
- Acute gap
Arises suddenly (e.g. illness). Here, every hour counts. - Recurring gap
Predictable but regular (e.g. weekends, holiday periods). - Structural gap
Permanently unfilled – usually due to a shortage of skilled professionals.
Overview for Orientation
Gap TypeMeaning in PracticeAcuteOperations are immediately at riskRecurringPlanning weakness becomes visibleStructuralA strategic HR problem
Important:
Many organisations respond to structural problems with temporary solutions – and thereby generate higher costs in the long run.
2. Temporary Nursing Staff – When Speed Is Decisive
Temporary solutions are not a stopgap – they are a strategic tool when time is the most critical factor.
When Temporary Staffing Makes Sense
- When shifts need to be filled immediately
- In the case of short-term absences
- When demand is still unclear
- During seasonal peak loads
Impact in Everyday Practice
AreaEffectTime to fillextremely fast (often < 48h)TeamImmediate reliefOperationsRemain stableRiskLow
Classification for HR
Temporary staff are particularly useful when the alternative would be:
- Overload within the team
- Unplanned double shifts
- Loss of quality
- Closed beds
In these cases, temporary staffing is not expensive – it is the most economical solution
3. Permanent Employment – When Stability Is Decisive
While temporary staffing offers flexibility, permanent employment creates something that is often lacking in healthcare:
Continuity
When Permanent Staffing Makes Sense
- For long-term needs
- For central roles within the team
- For complex tasks
- When relationship-building work is important
Impact of Permanent Employees
AreaEffectQualitySignificantly higherTeamMore stableProcessesMore efficientPatientsBetter care
Strategic Perspective
Permanent employees often take on more than just their role:
- Onboarding new team members
- Quality assurance
- Everyday responsibility
These contributions are not visible in the hourly rate, but they are decisive for success.
4. The KSK Decision Logic (Simple & Effective)
Many decisions are made under stress – and that is exactly when poor decisions arise.
KSK Personal AG instead recommends a clear thought process.
5 Key Questions
- How urgent is the staffing need?
- How long will the need last?
- How critical is the function?
- How complex is the onboarding?
- How available is the profile?
Decision Support
SituationRecommendationImmediate + short-termTemporaryPredictable + long-termPermanentUnclearCombination
Practical Example
Spitex loses staff at short notice →
→ Stabilise temporarily
→ Restructure routes
→ Then recruit permanently in a targeted way
Result: fewer wrong decisions, better cost control
5. Understanding Costs Correctly (The Most Common Misconception)
Many HR departments still decide primarily based on the hourly rate.
In healthcare, that is too short-sighted.
Visible vs. Hidden Costs
Type of CostWhat Is Often OverlookedWageOnly part of the realityOverloadLeads to absencesErrorsExpensive and high-riskTurnoverHigh follow-on costs
The Reality of the Decision
- Temporary = higher direct costs, but rapid stability
- Permanent = higher initial costs, but long-term efficiency
The right decision depends not on the price, but on the context
6. The Best Model: Combination Instead of Either-Or
Successful organisations today rely on a hybrid system.
Structure of a Stable Model
- A permanent core team
- Flexible temporary support
- A clear emergency process
Impact in Operations
BenefitRealityFlexibilityFast response to absencesStabilityConsistent qualityPlanningSignificantly less stressCostsBetter controlled
This is the future of nursing staffing strategy in Switzerland
7. KSK Personal AG’s Regional Strength
The speed of staff placement depends heavily on regional presence.
Coverage
KSK Personal AG is active in:
ZH, BE, BS, BL, AG, LU, SO, ZG, SZ, NW, OW, SH, TG, UR, GL, GR
The Advantage of Regional Presence
FactorMeaningProximityFaster assignmentsNetworkMore candidatesMarketRealistic wagesAvailabilityHigher
Example:
Nursing staff sought in Zurich → filled significantly faster than without a regional pool
8. Understanding Demand = Better Decisions
The market clearly shows where the need lies.
Typical Search Queries
AreaSearch BehaviourEmployersFind nursing staff SwitzerlandEmergencyNursing staff immediatelyRegionalNursing staff wanted BernJobsNursing jobs Zurich
This data directly supports staffing strategy
9. Conclusion: Structure Instead of Gut Feeling
The decision “temporary or permanent” is not a simple choice – it is a strategic one.
Summary
NeedSolutionAcuteTemporaryRecurringPoolLong-termPermanentUncertainCombined
Clear Recommendation
Successful HR departments:
- Analyse the gap first
- Decide in a structured way
- Use flexible models
- Work with strong partners
KSK Personal AG – Your Strategic Partner
KSK Personal AG combines:
✅ Temporary solutions (fast response)
✅ Permanent placement (sustainable stability)
✅ Regional strength across German-speaking Switzerland
✅ In-depth market knowledge of healthcare
Final Thought
The decisive question is not “temporary or permanent” –
but when each model makes sense
We are happy to support you comprehensively
Contact – KSK Personal AG
KSK Personal AG
Your partner for sustainable staffing solutions in healthcare
Address
Pilatus Strasse 28
6052 Hergiswil
Switzerland
📞 Phone
+41 52 268 80 00
info@kskpersonal.ch

