Reducing staff turnover, improving predictability, and still ensuring 24/7 operations: Bülach Hospital uses the “Bülach Model” in its nursing department, which features four work schedule tiers—Fixed, Flex Day, Flex, and Super Flex—and rewards flexibility with bonuses. Daniela Pfeifer-Stöhr (Director of Nursing & Therapy, Management Board) explains how the model works, why employees can change their level every three months, and what guidelines are needed to ensure fairness, effective scheduling, and quality go hand in hand. We discuss the impact on retention, absenteeism, and operational readiness—and how this approach can be applied to other industries with shift work or peak workloads.