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Loyalty building and professional attractivity have come to depend on the confidence, autonomy, and responsibility granted to employees. The cruciality of the physician\/head nurse tandem in professional quality of life and patient care is now widely recognized. That much said, as demonstrated in 2020 by the World Health Organization (WH0), scheduling management has remained complex and time-consuming, and continues to represent a major managerial challenge, exacerbated by absenteeism, disinvestment and loss of caregiver motivation. Individual expectations, generational diversity and the quest for self-governance render management tasks even more sensitive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Conducted in France in 2024, this explanatory sequential mixed methods study of 208 hospital-based nurses is aimed at measuring the effect of collaborative schedule management on nurses\u2019 satisfaction, and investment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The results demonstrate that nurses\u2019 active participation in schedule preparation leads to increased satisfaction. Empowerment and collective discipline reinforce their satisafaction and involvement, thereby rendering collaborative management a lever for attractiveness and loyalty building.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The study lends perspective to the notion of collective governance, which arose during the 1970s. As a source of collective and individual motivation, team empowerment necessitates progressive acculturation. An enabling environment allying adaptability and flexibility is of paramount importance, and the front-line manager assumes a central role. Models such as the \u201cMagnet-designated Hospital\u201d illustrate the effectiveness of collaborative management as a means of optimizing the nurse\u2019s time management. By favouring autonomy and responsibility, collaborative management has become an attractivity factor conducive to loyalty building in the hospital sector.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12912-026-04713-w","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T09:45:57Z","timestamp":1779702357000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The effect of schedule management empowerment on hospital attractivity and nurses\u2019 loyalty: a mixed method study"],"prefix":"10.1186","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9821-8170","authenticated-orcid":false,"given":"Sophie","family":"Pajoux","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Loizeau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"4713_CR1","doi-asserted-by":"crossref","unstructured":"Gervais A. 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Clinical trial number is not applicable. This study adhered to the delaration of Helsinki. Informed consent to participate was obtained from all of the participants in the study. The questionnaires were anonymized. They were accompanied by a note indicating the possibility of recontacting the researcher so as to participate in the second part of the study by interview via a dedicated e-address. The interviews were recorded following the consent of the interviewed party and anonymized. The interview grid was revisited subsequent to study of the questionnaire responses, the objective being to render the semi-structured interviews increasingly relevant.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"646"}}