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Intersecting Evidence-Based Practice With a Lean Improvement Model.

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  • 1Nursing Professional Services, VA Portland Health Care System, Portland, Oregon (Dr Halm); and Salem Health, Salem, Oregon (Mss Alway, Bunn, Dunn, Hirschkorn, Ramos, and St. Pierre).

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Summary
This summary is machine-generated.

Advanced practice nurses integrated evidence-based practice (EBP) with Lean methodologies to enhance problem-solving. This blended Lean-EBP model guides organizational improvement, exemplified by updating peripheral intravenous catheter change protocols.

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Area of Science:

  • Healthcare Management
  • Nursing Science
  • Process Improvement

Background:

  • Organizations seek to integrate evidence-based practice (EBP) with operational efficiency.
  • Magnet designation and Lean principles represent distinct but complementary approaches to quality healthcare.

Purpose of the Study:

  • To develop a crosswalk integrating evidence-based practice (EBP) with Lean principles.
  • To embed the use of evidence explicitly within a Lean problem-solving framework.
  • To guide organizational improvement initiatives using a blended Lean-EBP model.

Main Methods:

  • A multidisciplinary team, including advanced practice nurses, a nurse scientist, and Lean specialists, collaborated.
  • A crosswalk was developed to map EBP concepts onto a 4-step Lean problem-solving method.
  • The model's application was demonstrated through a specific clinical practice update.

Main Results:

  • A finalized blended Lean-EBP model was created.
  • The model provides a structured approach for incorporating evidence into Lean improvement work.
  • The model was successfully applied to revise the frequency of peripheral intravenous catheter changes.

Conclusions:

  • Integrating EBP with Lean methodologies offers a robust framework for healthcare improvement.
  • The developed Lean-EBP model facilitates the systematic use of evidence in practice.
  • This approach supports the transition towards Lean healthcare organizations committed to evidence-based care.