Nursing rescheduling problem with multiple rescheduling methods under uncertainty

Abstract

The nursing rescheduling problem is a challenging decision-making task in hospitals. However, this decision-making needs to be made in a stochastic setting to meet uncertain demand with insufficient historical data or inaccurate forecasting methods. In this study, a stochastic programming model and a distributionally robust model are developed for the nurse rescheduling problem with multiple rescheduling methods under uncertain demands. We show that these models can be reformulated into an integer program. To illustrate the applicability and validity of the proposed model, a study case is conducted on three joint hospitals in Chengdu, Chongzhou, and Guanghan, Sichuan Province. The results show that the stochastic programming model and the distributionally robust model can reduce the cost by 78.71% and 38.92%, respectively. We also evaluate the benefit of the distributionally robust model against the stochastic model and perform sensitivity analysis on important model parameters to derive some meaningful managerial insights.