• Abstract

    Quality nursing care must be supported by appropriate nurse scheduling arrangements. Inappropriate nursing scheduling harms nurses’ work. Clarification of terms is necessary to inform nurses and service managers, promote consistent theoretical and operational definitions in research, and develop prevention strategies to provide quality nursing care. This research aims to clarify the meaning of the concept of self-scheduling. The design used is concept analysis. Data sources were searched from electronic databases (Sciendirect, Google Schoolar, Taylor & Francis, SpringerLink, and IEEE). The Walker & Avant method was applied to guide the concept analysis to identify and define attributes, antecedents, and consequences. Self-scheduling has seven attributes: service schedule, flexibility, autonomy, demands, conditions and capabilities, and responsibility. The antecedents include the number of staff, competence, self-efficacy, motivation, work experience, education, age, and career ladder. Proper self-scheduling has positive effects, such as on job satisfaction, work safety, patient safety, and work‒life balance. The negative consequences of self-scheduling include workload, fatigue and stress. The conclusion is that self-scheduling is very important, and the implementation of self-scheduling on nurses' service schedules that are not quite right contributes to shift work and patient safety.

  • References

    1. Al Maqbali, M. A. (2015). Factors that influence nurses’ job satisfaction: A literature review. Nursing Management, 22(2), 30–37. https://doi.org/10.7748/nm.22.2.30.e1297
    2. Ásgeirsson, E. I. (2014). Bridging the gap between self schedules and feasible schedules in staff scheduling. Annals of Operations Research, 218(1), 51–69. https://doi.org/10.1007/s10479-012-1060-2
    3. Bailyn, L., Collins B S N, R., & Song, Y. (2007). Self-scheduling for hospital nurses: an attempt and its difficulties. Journal of Nursing Management, 15, 72–77.
    4. Batbaatar, E., Dorjdagva, J., Luvsannyam, A., & Amenta, P. (2015). Conceptualisation of patient satisfaction: a systematic narrative literature review. Perspect.Public Health, 135(1757-9139 (Print)), 243–251. https://doi.org/10.1177/1757913915594196
    5. Benzo, R. M., Farag, A., Whitaker, K. M., Xiao, Q., & Carr, L. J. (2022). Examining the impact of 12-hour day and night shifts on nurses’ fatigue: A prospective cohort study. International Journal of Nursing Studies Advances, 4. https://doi.org/10.1016/j.ijnsa.2022.100076
    6. Burke, E., Causmaecker, P., Berghe, G. Vanden, & Landeghem, H. Van. (2004). The state of the art of nurse scheduling. Journal of Scheduling, 7(6), 441–499.
    7. Chen, M., Zhao, D., Gong, Y., & Rekik, Y. (2022). An on-demand service platform with self-scheduling capacity: Uniform versus multiplier-based pricing. International Journal of Production Economics, 243. https://doi.org/10.1016/j.ijpe.2021.108329
    8. Dar, I. S., & Ahsan-ul-haq, M. (2015). Factors influencing job satisfaction of nurses in Public. Sci.Int.(Lahore), 27(3), 1761–1765.
    9. Garnett, A., Ploeg, J., Markle-Reid, M., & Strachan, P. H. (2018). Self-Management of Multiple Chronic Conditions by Community-Dwelling Older Adults: A Concept Analysis. SAGE Open Nursing, 4. https://doi.org/10.1177/2377960817752471
    10. Gustavsson, K., Szmyd, J., Jernajczyk, W., & Wichniak, A. (2022). The association of shift work schedule characteristics with mental health among nurses and physicians in Poland. Sleep Medicine, 100, S54–S55. https://doi.org/10.1016/j.sleep.2022.05.157
    11. Jackson, G., Keleher, P., & Sussman, A. (2014). Decentralized scheduling and load balancing for parallel programs. Proceedings - 14th IEEE/ACM International Symposium on Cluster, Cloud, and Grid Computing, CCGrid 2014, 324–333. https://doi.org/10.1109/CCGrid.2014.44
    12. Johnston, D. W., Allan, J. L., Powell, D. J. H., Jones, M. C., Farquharson, B., Bell, C., & Johnston, M. (2019). Why does work cause fatigue? A real-time investigation of fatigue, and determinants of fatigue in nurses working 12-hour shifts. Annals of Behavioral Medicine, 53(6), 551–562. https://doi.org/10.1093/abm/kay065
    13. Kalisch, B., & Lee, K. H. (2014). Staffing and job satisfaction: Nurses and nursing assistants. Journal of Nursing Management, 22(4), 465–471. https://doi.org/10.1111/jonm.12012
    14. Khamisa, N., Oldenburg, B., Peltzer, K., & Ilic, D. (2015). Work related stress, burnout, job satisfaction and general health of nurses. International Journal of Environmental Research and Public Health, 12(1), 652–666. https://doi.org/10.3390/ijerph120100652
    15. Koning, C. (2014). Does self-scheduling increase nurses’ job satisfaction? An integrative literature review. Nursing Management, 21(6), 24–28. https://doi.org/10.7748/nm.21.6.24.e1230
    16. Kuokkanen, L., Leino-Kilpi, H., Numminen, O., Isoaho, H., Flinkman, M., & Meretoja, R. (2016). Newly graduated nurses’ empowerment regarding professional competence and other work-related factors. BMC Nursing, 15(1), 22–29. https://doi.org/10.1186/s12912-016-0143-9
    17. Lee, J., & Jeong, I. S. (2021). Compliance with Recommendations on Work Schedule for Shift Nurses in South Korea. Safety and Health at Work, 12(2), 255–260. https://doi.org/10.1016/j.shaw.2021.01.006
    18. Lieder, A., Moeke, D., Koole, G., & Stolletz, R. (2015). Task scheduling in long-term care facilities: A client-centered approach. Operations Research for Health Care, 6, 11–17. https://doi.org/10.1016/j.orhc.2015.06.001
    19. Lin, C., Kang, J., Chiang, D., & Chen, C. (2015). Nurse scheduling with joint normalized shift and day-off preference satisfaction using a genetic algorithm with immigrant scheme. International Journal of Distributed Sensor Networks, 2015, 1–10. https://doi.org/10.1155/2015/595419
    20. Lu, H., Zhao, Y., & While, A. (2019). Job satisfaction among hospital nurses: A literature review. International Journal of Nursing Studies, 94, 21–31. https://doi.org/10.1016/j.ijnurstu.2019.01.011
    21. Maenhout, B., & Vanhoucke, M. (2013). Analyzing the nursing organizational structure and process from a scheduling perspective. Health Care Management Science, 16(3), 177–196. https://doi.org/10.1007/s10729-013-9222-6
    22. Marquez, J. J., Hillenius, S., Kanefsky, B., Zheng, J., Deliz, I., & Reagan, M. (2017, June 7). Increasing crew autonomy for long duration exploration missions: Self-scheduling. IEEE Aerospace Conference Proceedings. https://doi.org/10.1109/AERO.2017.7943838
    23. O’Neal, A. (2012). The effects of work schedule flexibility on job satisfaction of telephone advice nurses. 2012, 76. http://digitalcommons.kennesaw.edu/etd/535/
    24. Palmborg, Å., Lötvall, R., & Cardeña, E. (2022). Acute Stress among Nurses in Sweden during the COVID-19 Pandemic. European Journal of Trauma & Dissociation, 6, 100283. https://doi.org/10.1016/j.ejtd.2022.100283
    25. Parker, F., Eisen, S., & Bell, J. (2012). Comparing centralized vs. decentralized nursing unit design as a determinant of stress and job satisfaction. Journal of Nursing Education and Practice, 2(4), 66. https://doi.org/10.5430/jnep.v2n4p66
    26. Pung, L.-X., Shorey, S., & Goh, Y.-S. (2017). Job satisfaction, demands of immigration among international nursing staff working in the long-term care setting: A cross-sectional study. Applied Nursing Research, 36, 42–49. https://doi.org/10.1016/j.apnr.2017.05.008
    27. Rahmaniah, L., Rizany, I., & Setiawan, H. (2020). Hubungan Penjadwalan Dinas Perawat dengan Kepuasan Kerja Perawat di Instalasi Rawat Inap. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 3(1), 29–36. https://doi.org/10.32584/jkmk.v3i1.554
    28. Rizany, I., Hariyati, R. T. S., Afifah, E., & Rusdiyansyah. (2019). The Impact of Nurse Scheduling Management on Nurses’ Job Satisfaction in Army Hospital: A Cross-Sectional Research. SAGE Open, 9(2), 1–9. https://doi.org/10.1177/2158244019856189
    29. Rizany, I., Sri Hariyati, R. T., & Afiyanti, E. (2020). Assessing nurses’ satisfaction on their work-schedules: The case of a hospital in jakarta. Journal of Health and Translational Medicine, 23.
    30. Rönnberg, E., & Larsson, T. (2010). Automating the self-scheduling process of nurses in Swedish healthcare: A pilot study. Health Care Management Science, 13(1), 35–53. https://doi.org/10.1007/s10729-009-9107-x
    31. Russell, E., Hawkins, J., & Arnold, K. A. (2012). Guidelines for successful self-scheduling on nursing units. Journal of Nursing Administration, 42(9), 408–409. https://doi.org/10.1097/NNA.0b013e3182664dd8
    32. Shiffer, D., Minonzio, M., Dipaola, F., Bertola, M., Zamuner, A. R., Vecchia, L. A. D., Solbiati, M., Costantino, G., Furlan, R., & Barbic, F. (2018). Effects of clockwise and counterclockwise job shift work rotation on sleep and work-life balance on hospital nurses. International Journal of Environmental Research and Public Health, 15(9). https://doi.org/10.3390/ijerph15092038
    33. Sugianto, K. M. S., Hariyati, Rr. T. S., & Muhaeriwati, T. (2021). An Innovation Scheduling Program of Nurses During Covid-19 Pandemic: A Case Study. International Journal of Nursing and Health Services (IJNHS), 4(3), 344–355.
    34. Sugianto, K. M. S., Hariyati, T. S., Pujasari, H., Novieastari, E., & Handiyani, H. (2022). Nurse workforce scheduling: A qualitative study of Indonesian nurse managers’ experiences during the COVID-19 pandemic. Belitung Nursing Journal, 8(1), 53–59. https://doi.org/10.33546/BNJ.1735
    35. Suhonen, R., Papastavrou, E., Efstathiou, G., Tsangari, H., Jarosova, D., Leino-Kilpi, H., Patiraki, E., Karlou, C., Balogh, Z., & Merkouris, A. (2012). Patient satisfaction as an outcome of individualised nursing care. Scandinavian Journal of Caring Sciences, 26(2), 372–380. https://doi.org/10.1111/j.1471-6712.2011.00943.x
    36. Topaloglu, S. (2009). A shift scheduling model for employees with different seniority levels and an application in healthcare. European Journal of Operational Research, 198(3), 943–957. https://doi.org/10.1016/j.ejor.2008.10.032
    37. van den Bergh, J., Beliën, J., de Bruecker, P., Demeulemeester, E., & de Boeck, L. (2013). Personnel scheduling: A literature review. European Journal of Operational Research, 226(3), 367–385. https://doi.org/10.1016/j.ejor.2012.11.029
    38. Walker, L. O., & Avant, K. C. (2019). Strategies for theory construction in nursing (6th ed.). Pearson, Prentice Hall.
    39. Wickert, T. I., Smet, P., & Vanden Berghe, G. (2019). The nurse rerostering problem: Strategies for reconstructing disrupted schedules. Computers and Operations Research, 104, 319–337. https://doi.org/10.1016/j.cor.2018.12.014
    40. Woodcoc, E. W. (2022). Barriers to and Facilitators of Automated Patient Self-scheduling for Health Care Organizations: Scoping Review. Journal of Medical Internet Research, 24(1). https://doi.org/10.2196/28323
    41. Wright, C., McCartt, P., Raines, D., & Oermann, M. H. (2017). Implementation and Evaluation of Self-Scheduling in a Hospital System. Journal for Nurses in Professional Development, 33(1), 19–24. https://doi.org/10.1097/NND.0000000000000324
    42. Wright, P. D., & Mahar, S. (2013). Centralized nurse scheduling to simultaneously improve schedule cost and nurse satisfaction. Omega (United Kingdom), 41(6), 1042–1052. https://doi.org/10.1016/j.omega.2012.08.004
    43. Wynendaele, H., Gemmel, P., Pattyn, E., Myny, D., & Trybou, J. (2021). Systematic review: What is the impact of self-scheduling on the patient, nurse and organization? In Journal of Advanced Nursing (Vol. 77, Issue 1, pp. 47–82). Blackwell Publishing Ltd. https://doi.org/10.1111/jan.14579
    44. Wynendaele, H., Gemmel, P., Peeters, E., Myny, D., & Trybou, J. (2021). The effect of self-scheduling on organizational justice and work attitudes through leader-member exchange: A cross-sectional study using propensity scores. International Journal of Nursing Studies, 122. https://doi.org/10.1016/j.ijnurstu.2021.104032
    45. Zhou, H., Wang, X., Du, R., Cheng, X., Zheng, K., Dong, S., Henri, J., Chen, C., & Wang, T. (2021). The Work Experience of Newly Recruited Male Nurses during COVID-19: A Qualitative Study. Asian Nursing Research, 15(3), 203–209. https://doi.org/10.1016/j.anr.2021.05.001
    46. Zunaedi, R., Melaniani, S., & Ahsan, A. (2020a). Assessment of The Characteristics of Nurse Scheduling in Hospital Ward. STRADA Jurnal Ilmiah Kesehatan, 9(2), 1755–1762. https://doi.org/10.30994/sjik.v9i2.528
    47. Zunaedi, R., Melaniani, S., & Ahsan, A. (2020b). Assessment of The Characteristics of Nurse Scheduling in Hospital Ward. STRADA Jurnal Ilmiah Kesehatan, 9(2), 1755–1762. https://doi.org/10.30994/sjik.v9i2.528

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Rizany, I., Handiyani, H., Pujasari, H., Erwandi, D., & Wulandari, C. I. (2024). Self-scheduling for nurse: A concept analysis. Multidisciplinary Reviews, 8(1), 2025021. https://doi.org/10.31893/multirev.2025021
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