IDEAS home Printed from
   My bibliography  Save this article

An integrated nurse staffing and scheduling analysis for longer-term nursing staff allocation problems


  • Maenhout, Broos
  • Vanhoucke, Mario


The efficient and effective management of nursing personnel is of critical importance in a hospital's environment comprising a vast share of the operational costs. The adopted nurse workforce practices and policies highly affect the nurses' working conditions and the provided quality of care. Policy decisions on the staffing level have an impact on the outcome of the scheduling level and vice versa. Isolated reasoning typically leads to suboptimal decisions often resulting in ineffective outcomes of care. In order to overcome these inefficiencies, we propose in this paper a new integrative nurse staffing and shift scheduling approach. We test and assess the benefits of our approach in a reallife environment. Moreover, we examine the impact of several personnel policies on the staffing decision.

Suggested Citation

  • Maenhout, Broos & Vanhoucke, Mario, 2013. "An integrated nurse staffing and scheduling analysis for longer-term nursing staff allocation problems," Omega, Elsevier, vol. 41(2), pages 485-499.
  • Handle: RePEc:eee:jomega:v:41:y:2013:i:2:p:485-499
    DOI: 10.1016/

    Download full text from publisher

    File URL:
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. Brusco, MJ & Showalter, MJ, 1993. "Constrained nurse staffing analysis," Omega, Elsevier, vol. 21(2), pages 175-186, March.
    2. Edieal J. Pinker & Robert A. Shumsky, 2000. "The Efficiency-Quality Trade-Off of Cross-Trained Workers," Manufacturing & Service Operations Management, INFORMS, vol. 2(1), pages 32-48, July.
    3. Kao, Edward P. C. & Tung, Grace G., 1981. "Aggregate nursing requirement planning in a public health care delivery system," Socio-Economic Planning Sciences, Elsevier, vol. 15(3), pages 119-127.
    4. William S. Brownell & James M. Lowerre, 1976. "Scheduling of Work Forces Required in Continuous Operations Under Alternative Labor Policies," Management Science, INFORMS, vol. 22(5), pages 597-605, January.
    5. Rosenbloom, E. S. & Goertzen, N. F., 1987. "Cyclic nurse scheduling," European Journal of Operational Research, Elsevier, vol. 31(1), pages 19-23, July.
    6. Stewart, B. D. & Webster, D. B. & Ahmad, S. & Matson, J. O., 1994. "Mathematical models for developing a flexible workforce," International Journal of Production Economics, Elsevier, vol. 36(3), pages 243-254, October.
    7. Christine Edwards & Olive Robinson, 2004. "Evaluating the Business Case for Part-time Working amongst Qualified Nurses," British Journal of Industrial Relations, London School of Economics, vol. 42(1), pages 167-183, March.
    8. Chang, Shyr-Juh & Hsiao, Hsing-Chin & Huang, Li-Hua & Chang, Hsihui, 2011. "Taiwan quality indicator project and hospital productivity growth," Omega, Elsevier, vol. 39(1), pages 14-22, January.
    9. Song, Haiqing & Huang, Huei-Chuen, 2008. "A successive convex approximation method for multistage workforce capacity planning problem with turnover," European Journal of Operational Research, Elsevier, vol. 188(1), pages 29-48, July.
    10. A.T. Ernst & H. Jiang & M. Krishnamoorthy & B. Owens & D. Sier, 2004. "An Annotated Bibliography of Personnel Scheduling and Rostering," Annals of Operations Research, Springer, vol. 127(1), pages 21-144, March.
    11. Li, Jingpeng & Burke, Edmund K. & Curtois, Tim & Petrovic, Sanja & Qu, Rong, 2012. "The falling tide algorithm: A new multi-objective approach for complex workforce scheduling," Omega, Elsevier, vol. 40(3), pages 283-293.
    12. Ernst, A. T. & Jiang, H. & Krishnamoorthy, M. & Sier, D., 2004. "Staff scheduling and rostering: A review of applications, methods and models," European Journal of Operational Research, Elsevier, vol. 153(1), pages 3-27, February.
    13. Vanhoucke, Mario & Maenhout, Broos, 2009. "On the characterization and generation of nurse scheduling problem instances," European Journal of Operational Research, Elsevier, vol. 196(2), pages 457-467, July.
    14. Campbell, Gerard M. & Diaby, Moustapha, 2002. "Development and evaluation of an assignment heuristic for allocating cross-trained workers," European Journal of Operational Research, Elsevier, vol. 138(1), pages 9-20, April.
    15. Venkataraman, R. & Brusco, M. J., 1996. "An integrated analysis of nurse staffing and scheduling policies," Omega, Elsevier, vol. 24(1), pages 57-71, February.
    16. Gerard M. Campbell, 1999. "Cross-Utilization of Workers Whose Capabilities Differ," Management Science, INFORMS, vol. 45(5), pages 722-732, May.
    17. Worthington, David & Guy, Mike, 1988. "Allocating nursing staff to hospital wards-- A case study," European Journal of Operational Research, Elsevier, vol. 33(2), pages 174-182, January.
    18. Henderson, John C & Krajewski, Lee J & Showalter, Michael J, 1982. "An integrated approach for manpower planning in the service sector," Omega, Elsevier, vol. 10(1), pages 61-73.
    19. Belien, Jeroen & Demeulemeester, Erik, 2006. "Scheduling trainees at a hospital department using a branch-and-price approach," European Journal of Operational Research, Elsevier, vol. 175(1), pages 258-278, November.
    20. Gary M. Thompson, 1995. "Improved Implicit Optimal Modeling of the Labor Shift Scheduling Problem," Management Science, INFORMS, vol. 41(4), pages 595-607, April.
    21. Jaumard, Brigitte & Semet, Frederic & Vovor, Tsevi, 1998. "A generalized linear programming model for nurse scheduling," European Journal of Operational Research, Elsevier, vol. 107(1), pages 1-18, May.
    22. Vandankumar M. Trivedi & D. Michael Warner, 1976. "A Branch and Bound Algorithm for Optimum Allocation of Float Nurses," Management Science, INFORMS, vol. 22(9), pages 972-981, May.
    23. Bard, Jonathan F. & Purnomo, Hadi W., 2005. "Preference scheduling for nurses using column generation," European Journal of Operational Research, Elsevier, vol. 164(2), pages 510-534, July.
    24. Belií«n, Jeroen & Demeulemeester, Erik, 2008. "A branch-and-price approach for integrating nurse and surgery scheduling," European Journal of Operational Research, Elsevier, vol. 189(3), pages 652-668, September.
    Full references (including those not matched with items on IDEAS)


    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.

    Cited by:

    1. Silke Jütte & Daniel Müller & Ulrich W. Thonemann, 2017. "Optimizing railway crew schedules with fairness preferences," Journal of Scheduling, Springer, vol. 20(1), pages 43-55, February.
    2. Volland, Jonas & Fügener, Andreas & Brunner, Jens O., 2017. "A column generation approach for the integrated shift and task scheduling problem of logistics assistants in hospitals," European Journal of Operational Research, Elsevier, vol. 260(1), pages 316-334.
    3. Salazar-González, Juan-José, 2014. "Approaches to solve the fleet-assignment, aircraft-routing, crew-pairing and crew-rostering problems of a regional carrier," Omega, Elsevier, vol. 43(C), pages 71-82.
    4. Defraeye, Mieke & Van Nieuwenhuyse, Inneke, 2016. "Staffing and scheduling under nonstationary demand for service: A literature review," Omega, Elsevier, vol. 58(C), pages 4-25.
    5. Xue, Li & Luo, Zhixing & Lim, Andrew, 2016. "Exact approaches for the pickup and delivery problem with loading cost," Omega, Elsevier, vol. 59(PB), pages 131-145.
    6. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2016. "Moving towards an equitable long-term care network: A multi-objective and multi-period planning approach," Omega, Elsevier, vol. 58(C), pages 69-85.
    7. Parisio, Alessandra & Neil Jones, Colin, 2015. "A two-stage stochastic programming approach to employee scheduling in retail outlets with uncertain demand," Omega, Elsevier, vol. 53(C), pages 97-103.
    8. Monica C. Villarreal & Pinar Keskinocak, 2016. "Staff planning for operating rooms with different surgical services lines," Health Care Management Science, Springer, vol. 19(2), pages 144-169, June.
    9. Örmeci, E. Lerzan & Salman, F. Sibel & Yücel, Eda, 2014. "Staff rostering in call centers providing employee transportation," Omega, Elsevier, vol. 43(C), pages 41-53.
    10. Cardoso, Teresa & Oliveira, Mónica Duarte & Barbosa-Póvoa, Ana & Nickel, Stefan, 2015. "An integrated approach for planning a long-term care network with uncertainty, strategic policy and equity considerations," European Journal of Operational Research, Elsevier, vol. 247(1), pages 321-334.
    11. repec:eee:jomega:v:78:y:2018:i:c:p:222-236 is not listed on IDEAS
    12. Van den Bergh, Jorne & Beliën, Jeroen & De Bruecker, Philippe & Demeulemeester, Erik & De Boeck, Liesje, 2013. "Personnel scheduling: A literature review," European Journal of Operational Research, Elsevier, vol. 226(3), pages 367-385.
    13. De Bruecker, Philippe & Van den Bergh, Jorne & Beliën, Jeroen & Demeulemeester, Erik, 2015. "Workforce planning incorporating skills: State of the art," European Journal of Operational Research, Elsevier, vol. 243(1), pages 1-16.
    14. de la Torre, R. & Lusa, A. & Mateo, M., 2016. "A MILP model for the long term academic staff size and composition planning in public universities," Omega, Elsevier, vol. 63(C), pages 1-11.
    15. repec:eee:proeco:v:196:y:2018:i:c:p:176-187 is not listed on IDEAS


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jomega:v:41:y:2013:i:2:p:485-499. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.