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Towards a model of strategic roster planning and control : an empirical study of nurse rostering practices in the UK National Health Service
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Silvestro, Rhian and Silvestro, Claudio (2008) Towards a model of strategic roster planning and control : an empirical study of nurse rostering practices in the UK National Health Service. Health Services Management Research, Volume 21 (Number 2). pp. 93-105. doi:10.1258/hsmr.2008.007025 ISSN 0951-4848.
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Official URL: http://dx.doi.org/10.1258/hsmr.2008.007025
Abstract
Despite the criticality of nurse rostering practices, there is a surprising lack of attention paid to this managerial activity both in practice and in the health-service management literature. This paper reports the results of an inductive, empirical study of rostering practices in the UK National Health Service with a view to developing a shared understanding of roster planning processes and of what constitutes rostering effectiveness. A survey of rostering practices in 50 wards, followed by five in-depth, longitudinal case studies, revealed the complexity of rostering activities, and identified the main design parameters, which were used to specify rostering systems and to prepare periodic rosters. Rostering activities were perceived to directly impact upon service delivery, resource utilization and nurse retention. A number of poor rostering practices were identified, which could lead to dysfunctional behaviour. This analysis points to a clear managerial imperative to improve local competencies in roster planning and control, recognizing their strategic significance in contributing to hospital effectiveness. A ‘Strategic Roster Planning and Control (SRPC)’ model is proposed, which may provide a framework for evaluating rostering effectiveness, and a platform for the sharing of best practice, in order to stimulate organizational learning and achieve nationwide improvements in hospital performance.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RT Nursing | ||||
| Divisions: | Faculty of Social Sciences > Warwick Business School > Operations Management Faculty of Social Sciences > Warwick Business School |
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| Library of Congress Subject Headings (LCSH): | Nurses, Shift systems | ||||
| Journal or Publication Title: | Health Services Management Research | ||||
| Publisher: | Sage | ||||
| ISSN: | 0951-4848 | ||||
| Official Date: | May 2008 | ||||
| Dates: |
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| Volume: | Volume 21 | ||||
| Number: | Number 2 | ||||
| Number of Pages: | 13 | ||||
| Page Range: | pp. 93-105 | ||||
| DOI: | 10.1258/hsmr.2008.007025 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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