The nurse scheduling problem (NSP) has been a crucial and challenging research issue for hospitals, especially considering the serious deterioration in nursing shortages in recent years owing to long working hours, considerable work pressure, and irregular lifestyle, which are important in the service industry. This study investigates the NSP that aims to maximize nurse satisfaction with the generated schedule subject to government laws, internal regulations of hospitals, doctor-nurse pairing rules, shift and day off preferences of nurses, etc. The computational experiment results show that our proposed hybrid metaheuristic outperforms other metaheuristics and manual scheduling in terms of both computation time and solution quality. The presented solution procedure is implemented in a real-world clinic, which is used as a case study. The developed scheduling technique reduced the time spent on scheduling by 93% and increased the satisfaction of the schedule by 21%, which further enhanced the operating efficiency and service quality.
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http://dx.doi.org/10.1007/s10916-024-02092-w | DOI Listing |
J Nurs Adm
February 2025
Author Affiliations: Nurse Scientist (Dr Smith-Miller), Center for Nursing Excellence, UNC Medical Center; Chair - IRB Committee E (Dr Smith-Miller), UNC-CH Office of Human Research Ethics University of North Carolina, Chapel Hill; Adjunct Faculty (Dr Smith-Miller), UNC School of Nursing; and Oncology Nurse Navigator (Cline), Mary Anne Long Patient Family Resource Center, UNC Cancer Hospital, Chapel Hill, North Carolina.
Background: Persistently high turnover rates reflect nurses' discontent. Although personal reasons, career advancement, and relocation are cited as the top reasons for departures, macro-level data overlook the organizational and unit-level factors that erode nurses' desire to stay.
Methods: Survey methods were used for data collection.
Minerva Anestesiol
December 2024
Department of Anesthesiology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Background: Frail elderly patients have a higher risk of postoperative morbidity and mortality. Prehabilitation is a potential intervention for optimizing postoperative outcomes in frail patients. We studied the impact of a prehabilitation program on length of stay (LOS) in frail elderly patients undergoing elective surgery.
View Article and Find Full Text PDFJ Eval Clin Pract
February 2025
Department of Nursing, Trakya University Faculty of Health Sciences, Edirne, Turkey.
Objective: This study aims to assess the performance of machine learning (ML) techniques in optimising nurse staffing and evaluating the appropriateness of nursing care delivery models in hospital wards. The primary outcome measures include the adequacy of nurse staffing and the appropriateness of the nursing care delivery system.
Background: Historical and current healthcare challenges, such as nurse shortages and increasing patient acuity, necessitate innovative approaches to nursing care delivery.
BMC Neurol
January 2025
Real World Solutions, IQVIA, 2400 Ellis Road, Durham, NC, 27703, USA.
Background: To evaluate the overall satisfaction, device usability, and injection experience of MS patients self-administering ofatumumab using the Sensoready autoinjector device in the United States (US).
Methods: This US-based, cross-sectional survey study included patients with MS (≥ 18 years) who self-administered ofatumumab using the Sensoready device within the previous 12 months of the survey. Eligible patients were administered a 30-item de novo questionnaire that focused on overall device satisfaction, device usability, convenience/flexibility for travel with the device, user confidence, injection experience, and time to administer the injection.
Int J Nurs Sci
September 2024
School of Nursing, Yasuda Women's University, Hiroshima, Japan.
Objectives: Newly graduated nurses commence night shifts during a phase of heightened vulnerability to reality shock, exacerbating the challenges faced by these graduates. Therefore, this study aimed to identify the challenges experienced by newly graduated nurses when undertaking night shifts in order to help identify a strategy for supporting their adaptation to these shifts.
Methods: Semi-structured personal interviews were used to collect data.
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