Unit managers typically develop the complex staff schedules for their units. This process often fails to account for staff preferences, leading to unplanned vacancies. This can force organizations to use costly overtime measures to fill gaps in staffing, in turn causing nurse dissatisfaction, staff disengagement, and turnover.
Johns Hopkins Aramco Healthcare (JHA) is a 263-bed hospital in Saudi Arabia. It is a joint venture between Saudi Aramco and Johns Hopkins Medicine.
Tiered self-scheduling allows nurses to craft their own schedule with approval from nursing leaders. To address staff concerns about excessive overtime, JHA piloted the approach on two units before rolling out the strategy across the organization.
Using tiered self-scheduling, JHA has reduced overtime usage across their organization and increased staff satisfaction of work-life balance.