Sustainable Lean in psychiatry?: Assessment through socio-technical principles
2016 (English)In: International Journal of Quality and Service Sciences, ISSN 1756-669X, E-ISSN 1756-6703, Vol. 8, no 1, 53-71 p.Article in journal (Refereed) PublishedText
Purpose – This paper aims to identify conditions affecting sustainability of Lean implementations in Swedish psychiatric healthcare, from a socio-technical perspective. Design/methodology/approach – Longitudinal focus group interviews were conducted with 24 first-line managers within Swedish psychiatric healthcare. The analysis was made using Cherns’ ten socio-technical principles and a framework for sustainable development work in healthcare. Findings – The most critical socio-technical principles for a sustainable Lean implementation were boundary location; power and authority; and compatibility. At hospital level, socio-technical principles were inhibited by the weak ownership of the Lean implementation. However, strong ownership at division level meant the same principles were supported. Unclear goals made follow-ups difficult which had negative effects on the learning processes in the Lean implementation. The role and responsibility of first-line managers were unclear in that they perceived they lacked power and authority resulting in negative effects on the participation – an important sustainability concept. Originality/value – Empirically based papers assessing Lean implementations in psychiatry are rare. This study is a contribution to the research area of sustainable Lean implementations in healthcare. The practical implication of this study is that decision makers, senior managers, first-line managers and psychiatrists can be supported in reaching sustainable implementations of Lean.
Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2016. Vol. 8, no 1, 53-71 p.
First-line managers, Healthcare, Learning, Participation, Role clarity, Scandinavian
IdentifiersURN: urn:nbn:se:kth:diva-187218DOI: 10.1108/IJQSS-07-2015-0056ScopusID: 2-s2.0-84962546084OAI: oai:DiVA.org:kth-187218DiVA: diva2:929250
QC 201605182016-05-182016-05-182016-09-01Bibliographically approved