{"id":300,"date":"2024-11-06T15:38:10","date_gmt":"2024-11-06T15:38:10","guid":{"rendered":"https:\/\/iims.uthscsa.edu\/isrn\/?page_id=300"},"modified":"2024-11-06T15:38:10","modified_gmt":"2024-11-06T15:38:10","slug":"lean-thinking-in-nurses-on-a-patient-care-unit-instrument-development","status":"publish","type":"page","link":"https:\/\/iims.uthscsa.edu\/isrn\/resources\/ereading-room\/abstracts\/lean-thinking-in-nurses-on-a-patient-care-unit-instrument-development\/","title":{"rendered":"Lean Thinking in Nurses on a Patient Care Unit: Instrument Development"},"content":{"rendered":"

[vc_row][vc_column width=”2\/3″][vc_column_text css=””]<\/p>\n\n\n\n\n\n
Primary Author:<\/td>\nShelia Roszell, MSN, RN, BC<\/td>\n<\/tr>\n
Co-Principal Investigators\/Collaborators:<\/td>\nMary Lynn, PhD, Lukasz Mazur, PhD<\/td>\n<\/tr>\n
Organization<\/td>\nUniversity of North Carolina School of Nursing<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Abstract<\/h2>\n

Purpose<\/h3>\n

The ultimate purpose of the study is to develop and test an instrument to measure the penetration of lean improvement thinking in nurses working as front line caregivers in hospital patient care units. The first two phases identified what constitutes lean improvement thinking on a nursing unit. The purpose of the upcoming third phase is to test the measure on a large sample of nurses to assess its psychometric properties.<\/p>\n

Background<\/h3>\n

Lean management, based on the Toyota Production System, is an organizational approach to diffusing improvement thinking from leadership to the frontline. Lean methodology teaches the individual who works with a process to apply the scientific method to improve work flow design. The literature has not clearly demonstrated that lean management in hospitals improves the quality of care delivered to the patients by nurses. Diffusion of Innovations theory suggests this may reflect the fact that organizations have differing degrees of innovation, i.e. lean penetration.<\/p>\n

Materials & Methods<\/h3>\n

The measure development consisted of three phases. In the first phase, a panel of lean healthcare experts gave feedback to questions using an online survey format. In Phase 2, panels of nurses familiar with lean improvement methods rated the survey for construct validity, formatting and on-line characteristics. Phase 3 will survey 200 nurses to assess the psychometric properties of the instrument.<\/p>\n

Results<\/h3>\n

Elements that make up lean or improvement thinking included mindset for improvement, elimination of waste, process identification and design, value to the patient and patient focus as well as attitudes about the cultural climate in the unit and organization.<\/p>\n

Conclusion<\/h3>\n

With a valid and reliable measurement of the degree of lean improvement thinking the relationship of lean management to outcomes can be assessed. Hospital units that use lean management methods can be more accurately compared. Measuring improvement thinking will help leadership know how their improvement program is reaching the frontline of care.<\/p>\n

Bibliography<\/h3>\n

Spear SJ. Chasing the Rabbit : How market leaders outdistance the competition and how great companies can catch up and win. New York: McGraw-Hill; 2009:404.<\/p>\n

Womack JP, Jones DT, Roos D. The Machine that Changed the world: How Japan’s secret weapon in the global auto wars will revolutionize western industry. New York, NY: Harper Perennial; 1991; 1990:323.<\/p>\n

Womack JP, Jones DT. Lean Thinking: Banish waste and create wealth in your corporation. New York, NY: Simon & Schuster; 1996:350.<\/p>\n

Spear SJ. Fixing Health Care from the Inside, Today. Harv Bus Rev. 2005;83(9):78-91, 158.<\/p>\n

Toussaint JS, Gerard RA, Adams E. On the Mend: Revolutionizing healthcare to save lives and transform the industry. 1st ed. Cambridge, MA: Lean Enterprise Institute; 2010.
\n\u00a9 Improvement Science Research Network, 2012<\/p>\n

The ISRN\u00a0published this as received and with permission from the author(s).[\/vc_column_text][\/vc_column][vc_column width=”1\/3″]