Format

Send to

Choose Destination

See 1 citation found by title matching your search:

J Nurs Manag. 2019 Jan;27(1):35-41. doi: 10.1111/jonm.12646. Epub 2018 Aug 6.

Problem-solving behaviour of nurses in a lean environment.

Author information

1
Department of Innovation, Entrepreneurship and Service Management, Faculty of Economics and Business Administration, Ghent University, Ghent, Belgium.
2
Moore Stephens Belgium.
3
Department of Logistics and Operations Management, HEC Montréal, Montreal, Quebec, Canada.
4
Department of Management, Department of Tranzo, Tilburg University, Tilburg, The Netherlands.

Abstract

AIM:

To investigate how the extensiveness of a lean implementation-that is, the extent to which lean as a new practice is adopted across nursing departments-relates to second-order problem solving behaviour of nurses.

BACKGROUND:

Lean implementation is expected to stimulate nurses' second-order problem-solving behaviour.

METHOD:

We used a vignette-based survey to look for differences in second-order problem-solving behaviour in early-adopter and late-adopter departments at two hospitals with differing degrees of extensiveness of lean implementation.

RESULTS:

At the hospital with an extensive lean implementation, nurses at the early-adopter department showed 71 second-order problem-solving responses from 50 problem scenarios, as compared with 39 responses from 37 scenarios in the late-adopter department. At the hospital with a less extensive lean implementation, these numbers were 16 from 23 compared with 18 from 19.

CONCLUSIONS:

The nurses in the hospital with an extensive lean implementation show more second-order problem-solving behaviour than those in the hospital with a stand-alone approach in a single department.

IMPLICATIONS FOR NURSING MANAGEMENT:

Extensive lean implementation where management clearly shows its belief in lean is a more favourable environment for changing the problem-solving behaviour of nurses.

KEYWORDS:

implementation; lean health care; nursing; problem-solving behaviour

PMID:
30079975
DOI:
10.1111/jonm.12646
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center