Abstract: Objective: Based on the Hospital Information System (HIS) platform, a nursing autonomous scheduling system with different willingness intensities was established and evaluated. Methods: The nursing autonomous scheduling system with different willingness intensities was designed based on HIS, and realized the autonomous shift scheduling by setting the type of shift, the number of shifts per day, the intensity of the willingness to arrange shifts, and empowering nurses to arrange shifts independently, then automatically generating shifts according to different needs of nurses. The average number of temporary shifts per week, nurses satisfaction with the scheduling and the efficiency of head nurses were compared before and after the application of the system. Results: After applying the shift scheduling system, the average number of temporary shifts per week decreased, the satisfaction of nurses with shifts increased from 70.54% to 90.89%, and the average time spent by head nurses decreased from (1.10±0.23) h to (0.39±0.15) h, the differences were statistically significant (P<0.05). Conclusion: The nursing autonomous scheduling system can meet the demand of nurses for different intensities, reduce the occurrence of temporary shifts, improve nurses' satisfaction with scheduling, and improve the efficiency of nursing management.

Key words: nurses; autonomous shift scheduling; information system; job satisfaction