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Reactive Nurse Scheduling in Hospitals

Human resources are one of the main causes for schedule disruptions in all kinds of companies and organizations. In the health sector, schedule disruptions caused by unplanned personnel absences have a dramatic effect on the budget for workforce staffing. In total 4% of the total resources spent on staffing are lost to schedule disruptions [1]. Since uncertainty is considerable in healthcare applications and these disruptions cannot be eliminated, decision support systems should be developed that adequately react to unexpected events or that workforce schedules are improved to be more responsive to disruptions. The adopted personnel policies and practices are important determinants for the motivation and work quality of employees [2]. Hence, in this context, constructing an appropriate nurse roster and/or being responsive to changes is essential for the delivery of care to patients.