Healthcare workers' perceptions of lean: A context-sensitive, mixed methods study in three Swedish hospitals
2015 (English)In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 46, 181-192 p.Article in journal (Refereed) Published
As the application of lean in healthcare expands, further research is needed in at least two areas: first, on the role of context in shaping lean and its consequences and second, on how healthcare workers perceive lean. Accordingly, this context-sensitive, mixed methods study addressed how hospital workers' perceptions of lean varied across contexts in three Swedish hospitals. Registered nurses and physicians at the hospitals and across units differing in acuity completed standardized surveys (N = 236, 57% response rate) about their perceptions of hospital-wide lean implementation. Perceptions varied by: hospital context, with one hospital's employees reporting the least favorable perceptions; unit acuity, with higher-acuity units reporting more favorable perceptions; and professional role, with nurses reporting more favorable perceptions than physicians. Individual interviews, group interviews, and observations provided insight about these dissimilar contexts and possible explanations for context-specific variability. Findings are discussed with respect to strategies for implementing lean in healthcare; the importance of attending to levels, context, and worker consequences of lean; and directions for future research.
Place, publisher, year, edition, pages
2015. Vol. 46, 181-192 p.
Other Engineering and Technologies not elsewhere specified
IdentifiersURN: urn:nbn:se:kth:diva-159672DOI: 10.1016/j.apergo.2014.09.008ISI: 000347663600021ScopusID: 2-s2.0-84919683821OAI: oai:DiVA.org:kth-159672DiVA: diva2:786767
FunderSwedish Research Council, 2010-0376
QC 201502202015-02-062015-02-062015-02-20Bibliographically approved