Skip to main content

Balancing Nursing Workload by Constraint Programming

  • Conference paper
  • First Online:
Integration of AI and OR Techniques in Constraint Programming (CPAIOR 2016)

Part of the book series: Lecture Notes in Computer Science ((LNTCS,volume 9676))

Abstract

Nursing workload in hospitals has an impact on the quality of care and on job satisfaction. Understandably there has been much recent research on improving the staffing and nurse-patient assignment decisions in increasingly realistic settings. On a version of the nurse-patient assignment problem given a fixed staffing of neonatal intensive care units, constraint programming (CP) was shown to perform better than competing optimization methods. In this paper we take advantage of recent improvements to the CP approach to solve the integrated problem of staffing and nurse-patient assignment. We then consider a more difficult but also more realistic version of the problem in which patients are categorized into a small number of types and the workload associated with each type is nurse-dependent.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    Personal communication from the authors of [2].

  2. 2.

    For these 2-zone instances they can show that their solutions are optimal for the integrated problem. Their initial model combining staffing and nurse-patient assignment took about two orders of magnitude more time.

References

  1. Hertz, A., Lahrichi, N.: A patient assignment algorithm for home care services. JORS 60(4), 481–495 (2009)

    Article  MATH  Google Scholar 

  2. Ku, W.-Y., Pinheiro, T., Beck, J.C.: CIP and MIQP models for the load balancing nurse-to-patient assignment problem. In: O’Sullivan, B. (ed.) CP 2014. LNCS, vol. 8656, pp. 424–439. Springer, Heidelberg (2014)

    Google Scholar 

  3. Mullinax, C., Lawley, M.: Assigning patients to nurses in neonatal intensive. J. Oper. Res. Soc. 53, 25–35 (2002)

    Article  MATH  Google Scholar 

  4. Myny, D., Van Hecke, A., De Bacquer, D., Verhaeghe, S., Gobert, M., Defloor, T., Van Goubergen, D.: Determining a set of measurable and relevant factors affecting nursing workload in the acute care hospital setting: a cross-sectional study. Int. J. Nurs. Stud. 49, 427–436 (2012)

    Article  Google Scholar 

  5. Pesant, G.: Achieving domain consistency and counting solutions for dispersion constraints. INFORMS J. Comput. 27(4), 690–703 (2015)

    Article  MathSciNet  MATH  Google Scholar 

  6. Pesant, G., Régin, J.-C.: SPREAD: a balancing constraint based on statistics. In: van Beek, P. (ed.) CP 2005. LNCS, vol. 3709, pp. 460–474. Springer, Heidelberg (2005)

    Chapter  Google Scholar 

  7. Punnakitikashem, P., Rosenberber, J.M., Buckley-Behan, D.F.: A stochastic programming approach for integrated nurse staffing and assignment. IIE Trans. 45(10), 1059–1076 (2013)

    Article  Google Scholar 

  8. Schaus, P., Van Hentenryck, P., Régin, J.-C.: Scalable load balancing in nurse to patient assignment problems. In: van Hoeve, W.-J., Hooker, J.N. (eds.) CPAIOR 2009. LNCS, vol. 5547, pp. 248–262. Springer, Heidelberg (2009)

    Chapter  Google Scholar 

  9. Schaus, P., Régin, J.-C.: Bound-consistent spread constraint. EURO J. Comput. Optim. 2, 123–146 (2014)

    Article  MATH  Google Scholar 

  10. Sir, M.Y., Dundar, B., Steege, L.M.B., Pasupathy, K.S.: Nurse-patient assignment models considering patient acuity metrics and nurses’ perceived workload. J. Biomed. Inform. 55, 237–248 (2015)

    Article  Google Scholar 

  11. Sundaramoorthi, D., Chen, V.C.P., Rosenberger, J.M., Kim, S., Buckley-Behan, D.F.: A data-integrated simulation-based optimization for assigning nurses to patient admissions. Health Care Manag. Sci. 13(3), 210–221 (2010)

    Article  Google Scholar 

Download references

Acknowledgements

Financial support for this research was provided by Discovery Grant 218028/2012 from the Natural Sciences and Engineering Research Council of Canada.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gilles Pesant .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this paper

Cite this paper

Pesant, G. (2016). Balancing Nursing Workload by Constraint Programming. In: Quimper, CG. (eds) Integration of AI and OR Techniques in Constraint Programming. CPAIOR 2016. Lecture Notes in Computer Science(), vol 9676. Springer, Cham. https://doi.org/10.1007/978-3-319-33954-2_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-33954-2_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33953-5

  • Online ISBN: 978-3-319-33954-2

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics