Home health care nurse routing and scheduling problem considering ergonomic risk factors

Home health care routing and scheduling is a complex problem that requires many aspects to be considered simultaneously. One of the important aspects is ergonomics. Home health care nurses are at higher risk of work-related health problems such as musculoskeletal disorders and burnout since they are...

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Main Authors: Zehra Durak, Ozcan Mutlu
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023111042
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author Zehra Durak
Ozcan Mutlu
author_facet Zehra Durak
Ozcan Mutlu
author_sort Zehra Durak
collection DOAJ
description Home health care routing and scheduling is a complex problem that requires many aspects to be considered simultaneously. One of the important aspects is ergonomics. Home health care nurses are at higher risk of work-related health problems such as musculoskeletal disorders and burnout since they are frequently exposed to physical, mental, and environmental ergonomic risks in their jobs. Therefore, it is essential to integrate ergonomic considerations into the construction of daily schedules for home health care nurses to mitigate these health risks. The purpose of this study is to present a mathematical model that incorporate ergonomic risks. We introduce a set of constraints into our model to prevent nurses from encountering excessive workloads. To assess the workload, we propose a subjective assessment method and employ a fuzzy inference system to calculate nurses' perceived workload levels. We applied our model to a several numerical examples to investigate the impact of workload on the nurse daily schedules. We observed that, at a specified workload level, there may be alternative solutions where the number of patients visited is the same. Therefore, we defined an objective function to maximize patient visits while minimizing nurses' workload levels as much as possible. As a result, our model generates solutions that effectively reduce nurse workloads, leading to more balanced schedules. Thus, our study offers a comprehensive approach to home health care scheduling by incorporating ergonomic considerations, ultimately enhancing both patient care and nurse well-being.
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spelling doaj.art-a9a9a756872440ea9fa89d787de3f3f62024-02-01T06:34:02ZengElsevierHeliyon2405-84402024-01-01101e23896Home health care nurse routing and scheduling problem considering ergonomic risk factorsZehra Durak0Ozcan Mutlu1Corresponding author.; Department of Industrial Engineering, Engineering Faculty, Pamukkale University, Denizli, TurkeyDepartment of Industrial Engineering, Engineering Faculty, Pamukkale University, Denizli, TurkeyHome health care routing and scheduling is a complex problem that requires many aspects to be considered simultaneously. One of the important aspects is ergonomics. Home health care nurses are at higher risk of work-related health problems such as musculoskeletal disorders and burnout since they are frequently exposed to physical, mental, and environmental ergonomic risks in their jobs. Therefore, it is essential to integrate ergonomic considerations into the construction of daily schedules for home health care nurses to mitigate these health risks. The purpose of this study is to present a mathematical model that incorporate ergonomic risks. We introduce a set of constraints into our model to prevent nurses from encountering excessive workloads. To assess the workload, we propose a subjective assessment method and employ a fuzzy inference system to calculate nurses' perceived workload levels. We applied our model to a several numerical examples to investigate the impact of workload on the nurse daily schedules. We observed that, at a specified workload level, there may be alternative solutions where the number of patients visited is the same. Therefore, we defined an objective function to maximize patient visits while minimizing nurses' workload levels as much as possible. As a result, our model generates solutions that effectively reduce nurse workloads, leading to more balanced schedules. Thus, our study offers a comprehensive approach to home health care scheduling by incorporating ergonomic considerations, ultimately enhancing both patient care and nurse well-being.http://www.sciencedirect.com/science/article/pii/S2405844023111042Home health careErgonomic risksNurse routing and schedulingFuzzy inference system
spellingShingle Zehra Durak
Ozcan Mutlu
Home health care nurse routing and scheduling problem considering ergonomic risk factors
Heliyon
Home health care
Ergonomic risks
Nurse routing and scheduling
Fuzzy inference system
title Home health care nurse routing and scheduling problem considering ergonomic risk factors
title_full Home health care nurse routing and scheduling problem considering ergonomic risk factors
title_fullStr Home health care nurse routing and scheduling problem considering ergonomic risk factors
title_full_unstemmed Home health care nurse routing and scheduling problem considering ergonomic risk factors
title_short Home health care nurse routing and scheduling problem considering ergonomic risk factors
title_sort home health care nurse routing and scheduling problem considering ergonomic risk factors
topic Home health care
Ergonomic risks
Nurse routing and scheduling
Fuzzy inference system
url http://www.sciencedirect.com/science/article/pii/S2405844023111042
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