Self-scheduling for hospital nurses: an attempt and its difficulties

Bailyn, Lotte; Bsn, Rn Robin Collins; Song, Yang

doi:10.1111/j.1365-2934.2006.00633.x

Cited by 65 publications

(89 citation statements)

References 6 publications

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“…These complications are however not unique for this kind of self-scheduling, but are instead rather common for self-scheduling in general, see Bailyn et al [2]. The great benefit of this self-scheduling is that the scheduling is individualised and that the nurses have an influence on when to work.…”

Section: The Mid Term Planningmentioning

confidence: 99%

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Automating the self-scheduling process of nurses in Swedish healthcare: a pilot study

Rönnberg

Larsson

2009

Health Care Manag Sci

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Hospital wards need to be staffed by nurses round the clock, resulting in irregular working hours for many nurses. Over the years, the nurses' influence on the scheduling has been increased in order to improve their working conditions. In Sweden it is common to apply a kind of self-scheduling where each nurse individually proposes a schedule, and then the final schedule is determined through informal negotiations between the nurses. This kind of self-scheduling is very time-consuming and does often lead to conflicts.We present a pilot study which aims at determining if it is possible to create an optimisation tool that automatically delivers a usable schedule based on the schedules proposed by the nurses. The study is performed at a typical Swedish nursing ward, for which we have developed a mathematical model and delivered schedules. The results of this study are very promising.

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Section: The Mid Term Planningmentioning

confidence: 99%

“…There are several ways of carrying out this process, for examples see Bailyn et al [2] and Karlsson [17]. In the next section we will present the self-scheduling process that we have studied.…”

Section: The Mid Term Planningmentioning

confidence: 99%

Automating the self-scheduling process of nurses in Swedish healthcare: a pilot study

Rönnberg

Larsson

2009

Health Care Manag Sci

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“…Making adjustments through informal negotiations often turns into a long and cumbersome process, which makes this kind of self-scheduling not only very time-consuming but also a source of conflicts. These problems however are not unique for this kind of self-scheduling, but are instead quite common for self-scheduling in general, see Bailyn et al [2].…”

Section: Self-schedulingmentioning

confidence: 99%

“…There are several ways of carrying out this process, for examples see Bailyn et al [2] and Karlsson [18]. Note however that even if the intentions behind using self-scheduling are good, it is often a real challenge to make it work well in practice when the schedule is created by hand.…”

Section: Mid-term Planningmentioning

confidence: 99%

Automatic Scheduling of Nurses: What Does It Take in Practice?

Rönnberg

Larsson

Bertilsson

2012

Systems Analysis Tools for Better Health Care Delivery

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Abstract:Many hospital wards need to be staffed by nurses around the clock every day of the year, and because of that, many nurses have to work irregular hours and according to schedules that have a great impact on their personal lives. Today most schedules are made by hand or with limited computer support, and this is both difficult and very time consuming. A common consequence of making the schedules by hand is that the outcome is neither favourable for the nurses nor satisfactory for the running of the ward. The nurse scheduling problem is well suited for addressing with operations research methods, but a challenge for automated scheduling of nurses is the ability to adapt the scheduling to the specific conditions on each ward. The intention of this paper is to provide a piece of practical experience that can help bridge the gap between advanced method development and the use of automatic nurse scheduling in practice. Our approach is to take on the real life scheduling problem with all its details, and to use a straightforward meta-heuristic in order to deliver automatically generated schedules. The contribution of the paper is based on the result of two case studies, which will provide insights into examples of real world nurse scheduling, including evaluation and feedback from the wards.

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“…Work hour prevalence represent units of 10% calendar days. Work hour preferences were rated on a scale [1][2][3][4] Ingre et al schedule to periodic self-rostering. Exploratory regression analyses suggested that the need for regularity and predictability to plan one's life and the presence of compulsory shifts was associated with a preference for fixed schedules.…”

Section: Explorative Findingsmentioning

confidence: 99%

Periodic self-rostering in shift work: correspondence between objective work hours, work hour preferences (personal fit), and work schedule satisfaction

Ingre¹,

Åkerstedt²,

Ekstedt³

et al. 2012

Scand J Work Environ Health

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ObjectivesThe main objective of the present study was to investigate relative personal fit as the association between rated needs and preferences for work hours, on the one hand, and actual work hours, on the other hand, in three groups (hospital, call-center, and police) working with periodic self-rostering. We also examined the association between personal fit and satisfaction with the work schedule and preference for a fixed and regular shift schedule, respectively. MethodsWe collected questionnaire data and objective work hour data over 6-12 months from the computerized self-rostering system. The response rate of the questionnaire was 69% at the hospital and call-center and 98% among the police. In total, 29 433 shifts for 285 shift workers were included in the study. Data was analyzed by means of mixed ANOVA, Kendal tau correlations and ordinal (proportional odds) logistic regression. ResultsThe results show that evening types worked relatively more hours during the evening and night hours compared to morning types as an indication of relative personal fit. Relative personal fit was also found for long shift, short rest, and morning-, evening-and night-shift frequency, but only personal fit related to morning, evening and night-shift was associated with satisfaction with work hours. Reported conflicts at the workplace about work hours and problems with lack of predictability of time for family/leisure activities, was associated with poor satisfaction and a preference for a fixed shift schedule. ConclusionsThe present study shows that periodic self-rostering is associated with relative personal fit, in particular with respect to night, evening, and morning work. Personal fit seems to be associated with satisfaction with work hours and may be a moderator of tolerance to shift work exposure.

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Self-scheduling for hospital nurses: an attempt and its difficulties

Cited by 65 publications

References 6 publications

Automating the self-scheduling process of nurses in Swedish healthcare: a pilot study

Automating the self-scheduling process of nurses in Swedish healthcare: a pilot study

Automatic Scheduling of Nurses: What Does It Take in Practice?

Periodic self-rostering in shift work: correspondence between objective work hours, work hour preferences (personal fit), and work schedule satisfaction

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