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Healthcare workers' perceptions of lean: A context-sensitive, mixed methods study in three Swedish hospitals
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
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2015 (English)In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 47, 181-192 p.Article in journal (Refereed) Published
Sustainable development
The content falls within the scope of Sustainable Development
Abstract [en]

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
Pergamon Press , 2015. Vol. 47, 181-192 p.
Keyword [en]
lean, health care
Keyword [sv]
Ledarskap, lärande, etik
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Social Sciences Interdisciplinary
Research subject
Integrated Caring Science
Identifiers
URN: urn:nbn:se:hb:diva-2009DOI: 10.1016/j.apergo.2014.09.008PubMedID: 25479987Local ID: 2320/14571OAI: oai:DiVA.org:hb-2009DiVA: diva2:870090
Available from: 2015-11-13 Created: 2015-11-13 Last updated: 2017-03-21Bibliographically approved

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Andreasson, JörgenDellve, Lotta
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf