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Although manyacademicstudies report on the development of Decision SupportSystems(DSSs) for nurse schedulingand related mathematical models, fewof these systems andmodels are actually used.The purpose of this paper is to contribute to the adoption of thesesolutions, specifically in the public healthcare system of South Africa. Factors that influencethe uptake of nurse scheduling DSSs are identified by means of a study of state of the art,interviews with various role players. A root cause analysis is conductedaccordingly in orderto identify issues that need to be considered for sustainable facilitation of nurse schedulingDSS, and so contributing toward future development of workforce management solutions fornursing in public healthcare