- Staff Shortages: One of the biggest challenges is dealing with staff shortages. Contingency plans should be in place to manage unexpected absences. - Balancing Preferences: Balancing staff preferences with organizational needs can be difficult, but it is crucial for maintaining staff morale. - Compliance Issues: Ensuring compliance with labor laws and organizational policies can be complex and time-consuming. - Last-Minute Changes: Handling last-minute changes due to emergencies or sudden shifts in patient acuity levels can disrupt the schedule.