Using Mathematical Modeling to Improve the Emergency Department Nurse-Scheduling Process

Anna Camille Svirsko, Bryan A. Norman, David Rausch, Jennifer Woodring

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Introduction: Nurse scheduling within an emergency department can be a very time-consuming process as nursing leadership works to reach sufficient nurse-staffing levels across every day of the schedule while also working to satisfy nurse preferences. Methods: A mathematical model is formulated to determine nursing shifts to minimize the number of shifts across a day while accounting for staffing level requirements, nurse preferences, and meal breaks. Results: A daily schedule based on nursing shifts was created and used within the self-scheduling process. Implementing the schedule improved nurse-staffing levels while decreasing the time necessary to reconcile the monthly schedule, resulting in the potential to increase nurse satisfaction. Discussion: The emergency department can use mathematical modeling to improve the nurse-scheduling process.

Original languageEnglish
Pages (from-to)425-432
Number of pages8
JournalJournal of Emergency Nursing
Issue number4
StatePublished - Jul 2019


  • Emergency department nurse scheduling
  • Mathematical modeling
  • Nurse self-scheduling


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