Evidence map›Paper›PMID 40225667›Full record

ArticleJournal of nursing management2023

Managing Sustainable Working Hours within Participatory Working Time Scheduling for Nurses and Assistant Nurses: A Qualitative Interview Study with Managers and Staffing Assistants.

Majken Epstein, Erebouni Arakelian, Philip Tucker, Anna Dahlgren

Abstract read
In one paragraph

Article in Journal of nursing management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Majken EpsteinDepartment of Clinical Neuroscience, Division of Psychology, Karolinska Institute, Solna 171 65, Sweden.ORCID 0000-0001-8397-5986
Erebouni ArakelianDepartment of Clinical Neuroscience, Division of Psychology, Karolinska Institute, Solna 171 65, Sweden.ORCID 0000-0003-3790-3505
Philip TuckerSchool of Psychology, Swansea University, Swansea SA2 8PP, UK.ORCID 0000-0002-8105-0901
Anna DahlgrenDepartment of Clinical Neuroscience, Division of Psychology, Karolinska Institute, Solna 171 65, Sweden.ORCID 0000-0001-8252-3961

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To bring insights into how healthcare managers and staffing assistants work to achieve sustainable working hours within a participatory scheduling system. Background: Hospital nurses and assistant nurses often work on rotating shifts, which affects their opportunities for sleep, recovery, and work-life balance. In Sweden, a participatory scheduling approach is commonly used, where working hours are planned in collaboration between employees, managers, and staffing assistants. Influence over working hours is related to positive outcomes among shift workers. However, it also places responsibility on the employee to schedule working hours that promote health and patient safety, i.e., sustainable working hours. Accordingly, the organisation has responsibilities to support the employee in this regard. Methods: Semistructured individual interviews were conducted with 11 managers and 9 staffing assistants from four Swedish regions and analysed using thematic analysis. Results: Several key factors for achieving sustainable working hours within the context of participatory scheduling were described: distribution and clarity of responsibilities, allocating time for scheduling, establishing shared responsibility, considering fairness, fostering an individual relationship with the employee, managing dissatisfaction, providing support, clarifying guidelines for sustainable scheduling, managing inconsistencies between employee requests and sustainable working hours, and considering recovery opportunities and the competence mix on shifts. Additionally, contextual factors, such as staffing levels, working procedures, working time arrangements for night work, and technological support, were highlighted as important. Conclusion: Achieving sustainable working hours within participatory scheduling involves considering the interactions between factors at the levels of the organisation, the individual, and the technological systems.

Indexed as

Nurse AdministratorsNursesNursing AssistantsPersonnel Staffing and SchedulingWork Schedule ToleranceAdultFemaleHumansInterviews as TopicJob SatisfactionMaleMiddle AgedQualitative ResearchSweden

Identifiers

PMID40225667
PMCPMC11918713

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.