Catherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland.
Kerry Mental Health Services, Cork/Kerry Community Healthcare, Health Service Executive Community Buildings, Tralee, Co. Kerry, Ireland.
J Clin Nurs. 2024 Jul;33(7):2374-2387. doi: 10.1111/jocn.17114. Epub 2024 Mar 13.
To synthesise evidence from studies that explored the impact of electronic and self-rostering systems to schedule staff on healthcare organisations and healthcare workers.
Mixed-method systematic review.
Studies were screened by two independent reviewers and data were extracted using standardised data extraction tables. The quality of studies was assessed, and parallel-results convergent synthesis was conducted.
Academic Search Complete, CINAHL, ERIC, MEDLINE, PsycINFO and PsycARTICLES were searched on January 3, 2023.
Eighteen studies were included (10 quantitative descriptive studies, seven non-randomised studies and one qualitative study). Studies examined two rostering interventions including self-rostering (n = 12) and electronic rostering (n = 6). It was found that the implementation of electronic and self-rostering systems for staff scheduling impacted positively on both, healthcare workers and healthcare organisations. Benefits included enhanced roster efficiency, staff satisfaction, greater control and empowerment, improved work-life balance, higher staff retention and reduced turnover, decreased absence rates and enhanced healthcare efficiency. However, self-rostering was found to be less equitable than fixed rostering, was associated with increased overtime, and correlated with a higher frequency of staff requests for shift changes.
The impact of electronic and self-rostering systems to schedule staff on healthcare organisations and healthcare workers' outcomes was predominantly positive. Further randomised controlled trials and longitudinal studies are warranted to evaluate the long-term impact of various rostering systems, including electronic and self-rostering systems.
Rostering is a multifaceted responsibility for healthcare administrators, impacting patient care quality, workforce planning and healthcare expenditure.
Given that healthcare staffing costs constitute a substantial portion of global healthcare expenditure, efficient and strategic resource management, inclusive of healthcare staff rostering, is imperative.
The 27-item Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) checklist.
No Patient or Public Contribution.
综合研究电子和自助排班系统对医疗机构和医护人员排班的影响。
混合方法系统评价。
两位独立评审员筛选研究，使用标准化数据提取表提取数据。评估研究质量，并进行平行结果收敛综合。
2023 年 1 月 3 日在 Academic Search Complete、CINAHL、ERIC、MEDLINE、PsycINFO 和 PsycARTICLES 上进行了搜索。
纳入 18 项研究（10 项定量描述性研究，7 项非随机研究和 1 项定性研究）。研究考察了两种排班干预措施，包括自助排班（n=12）和电子排班（n=6）。结果发现，实施电子和自助排班系统对医护人员和医疗机构都有积极影响。好处包括提高排班效率、员工满意度、更大的控制和赋权、改善工作生活平衡、更高的员工保留率和降低离职率、降低缺勤率和提高医疗效率。然而，自助排班被发现不如固定排班公平，与加班有关，与员工请求换班的频率较高有关。
电子和自助排班系统对医疗机构和医护人员的影响主要是积极的。需要进一步的随机对照试验和纵向研究来评估各种排班系统的长期影响，包括电子和自助排班系统。
排班是医疗机构管理者的一项多方面责任，影响患者护理质量、劳动力规划和医疗支出。
鉴于医疗保健人员成本构成全球医疗保健支出的重要部分，高效和战略性的资源管理，包括医疗保健人员排班，至关重要。
使用 27 项系统评价和荟萃分析的 Preferred Reporting Items（PRISMA）清单。
无患者或公众贡献。
