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App hires nurse — patient at risk?
DW (English)
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7/1/2025
In the US, care workers can be booked for single shifts using apps. Platforms unite care workers with hospitals, much like dating apps. But experts say this trend is dangerous.
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00:00
The heart of these gig nursing platforms are AI scheduling tools that basically create a match.
00:08
You can think of a dating app like Tinder or Grindr.
00:11
And this is what it basically is for understaffed medical facilities
00:15
and available and trained nurses or health care workers.
00:20
Getting booked for a shift is easy.
00:23
It gets complicated when the work starts.
00:26
Workers are able to pull out their phone,
00:28
indicate their interest in a shift and get assigned to a facility to which they've never been.
00:34
So it creates tremendous risk for patient safety because as workers tell us,
00:38
they don't often even have the basic information about how to log into a portal on a machine
00:43
to indicate what a patient's medications are.
00:47
For a study, researcher Katie Wells interviewed nurses.
00:51
They told her how isolated they feel at work.
00:54
There's often no one to talk to when problems arise.
01:00
What's more, those booked through a platform have fewer rights than nurses who are employed in one place.
01:05
They're not recognized as workers. They are not given any right to protection from discrimination.
01:12
They're not given a right to minimum wage.
01:15
They're not given a right to workers' compensation if they're injured on the job.
01:19
Nurses exchange experiences in Facebook groups.
01:23
However, no one wanted to speak about it on camera, partly out of fear of being deported from the U.S.
01:29
To get a shift, some platforms require workers to underbid competitors.
01:34
Workers in the gig economy are often poised against each other.
01:38
Something that's very, very new that we're seeing that I dearly hope will not be deployed to other industries
01:43
is the idea that nurses can indicate on their phone the lowest amount they're willing to work per hour.
01:50
And so then if I am a healthcare administrator, I can set my parameters so that the app will automatically,
02:00
the platform company will select the worker who goes lowest.
02:03
Now, let's take a look at all the different kinds of requirements.
02:18
Now, let's take a look at what the app does.
02:21
Now, let's take a look at what it looks like.
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