The authors propose a typology of “work schedule patching,” the ongoing adjustments made to plug scheduling holes after employers post schedules. Patching occurs due to changes in employer work demands, or employee nonwork demands necessitating scheduling adjustments, which are reactive or proactive. Using qualitative data from eight health-care facilities, the authors identified three narratives justifying schedule patching implementation approaches (share-the-pain, work-life-needs, and reverse-status-rotation) with variation in formalization and improvisation. Exploratory analysis showed a suggestive link between improvised work–life scheduling and lower pressure ulcers. This article advances theory on balancing the “service triangle” of scheduling in-service economies including health care.

中文翻译：

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医疗保健工作时间表修补：探索实施方法

作者提出了“工作时间表修补”的类型学，即在雇主发布时间表后为填补时间表漏洞而进行的持续调整。打补丁是由于雇主工作需求的变化，或者员工非工作需求需要调整日程安排，这是被动的或主动的。使用来自八家医疗机构的定性数据，作者确定了三种叙述方式来证明时间表修补实施方法（分担痛苦、工作生活需要和反向状态轮换）具有正式化和即兴创作的变化。探索性分析表明，即兴工作-生活安排与压力性溃疡之间存在暗示性联系。本文提出了平衡安排在职经济（包括医疗保健）的“服务三角”的理论。