Does%20Self%20Scheduling%20for%20Nurses%20Increase%20Job%20Satisfaction?

1
Does Self Scheduling for Nurses Increase Job
Satisfaction?

• Deidre Dennison, RN VICU
• Shane Cappadocia, RN CPS

2
What is Self Scheduling?

• Nurses within a given unit collaborate over which
  days/shifts each nurse would like to work based
  on unit needs and requirements (Bluett 2008)

3
How Does Self Scheduling Work?

• Four stages similar to nursing process (Bluett
  2008)
• Assessment
• Planning
• Implementation
• Evaluation

4
Assessment

• Nursing leadership to assess unit specific
  staffing needs
• Examination of potential obstacles to success
• Determination of staff willingness to participate

5
Planning

• Organize a scheduling committee
• Develop scheduling by-laws or guidelines
• Address weekend, holiday, and shift requirements
• Provide staff education

6
Implementation

• Initiate pilot program
• Provide clarification, re-education, support
  encouragement
• Review bylaws with staff to ensure all
  requirements are being met

7
Evaluation

• Review positive negative factors that affected
  success or failure
• Provide employee surveys to collect satisfaction
  data
• Review absenteeism, turnover, and time off
  requests
• Adjust program as needed

8
Bylaws/Guidelines

• Examples based on VICU/CPS self-scheduling system
• Wish week
• Self readjustment week
• Readjustment week
• Clear weekend/holiday rotations

9
Benefits of Self-Scheduling

• Empowering nursing staff
• Increased ownership control of unit
• Promotes accountability and staff conhesiveness
• Encourages increased professionalism and morale
• Offers more flexibility in scheduling

10
Benefits Continued

• Decreased absenteeism and schedule changes
• Less time spent by management on scheduling
  duties
• Improved patient care
• Decreased turnover
• Leads to decreased personnel costs (Hung
  2002)

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Challenges of Self Scheduling

• Unwillingness of staff to participate
• Sense of entitlement regarding desired shifts
• Unwillingness of staff to be flexible to the
  needs of the unit
• Unwillingness for staff to follow set bylaws and
  requirements

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Tips for Successful Self Scheduling

• Collaboration between management, scheduling
  committee and nursing staff
• Easily accessible bylaws, requirements and
  expectations
• Regular committee meetings
• Provide articles, research and staff meetings to
  educate and re-educate staff regarding process
• Patience

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So Does Self Scheduling Improve Job
Satisfaction??

• According to research (Bailyn et al. 2007), if
  implemented properly it can be a powerful tool
  for staff satisfaction and retention
• Success depends on management AND staff
• It works for us!
• May be a viable option for other units

14
References

• Bailyn, L., Collins, R., Song, Y. (2007).
  Self-scheduling for hospital nurses an attempt
  and its difficulties. Journal Of Nursing
  Management, 15(1), 72-77.
• Bluett, L. (2008). Self-scheduling facilitate,
  don't control. Nursing Management, 39(6), 12.
• Harton, B. B., Marshburn, D., Kuykendall, J.,
  Poston, C., Mears, D. (2012). Self-scheduling
  Help or hindrance?. Nursing Management, 43(1),
  10-11.
• Hung, R. (2002). uccess tories. A note on nurse
  self-scheduling. Nursing Economic, 20(1), 37-39.
  
• Robb, E., Determan, A., Lampat, L., Scherbring,
  M., Slifka, R., Smith, N. (2003). Recruitment
  retention report. Strategies at work.
  Self-scheduling satisfaction guaranteed?.
  Nursing Management, 34(7), 16-18.

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Literature Review

• Bailyn, L., Collins, R., Song, Y. (2007).
  Self-scheduling for hospital nurses an attempt
  and its difficulties.
• Pilot program consisting of 70 RNs who oversee 31
  total beds, including 12 step-down beds which
  required ICU nurse care
• Plan was to implement self-scheduling
• Four times during the year long pilot program
  nurses were given questionnaires to assess nurse
  perceptions of program
• In this case, self scheduling did not work and
  the reasons are reviewed in the literature