Using Gemba Boards to Facilitate Evidence-Based Practice in Critical Care
Annette M Bourgault1,2,3, Michele J Upvall4,5,6, Alison Graham4,5,6
1Annette M. Bourgault is an assistant professor of nursing at the University of Central Florida and a nurse scientist at Orlando Health, Orlando, Florida annette.bourgault@ucf.edu.
Critical Care Nurse
|June 3, 2018
Summary
Gemba boards and huddles effectively engage healthcare teams, fostering communication and disseminating evidence-based practices. These visual tools are crucial for driving practice change and integrating new research into patient care.
Area of Science:
- Healthcare Management
- Nursing Practice
- Organizational Change
Background:
- Traditional practices often lack evidence and can be ineffective or harmful.
- Engaging stakeholders is essential for implementing evidence-based practices.
- Gemba boards offer an innovative visual management approach to engage stakeholders.
Purpose of the Study:
- To explore the utilization of Gemba boards and Gemba huddles.
- To assess their role in facilitating practice change within healthcare settings.
Main Methods:
- Qualitative, descriptive study involving 22 critical care nurses.
- Thematic analysis of interview data to identify key themes.
- Utilized qualitative analysis software for data management.
Main Results:
- Thematic analysis revealed four key themes related to Gemba: improved communication, data transparency, idea solicitation, and dissemination of changes.
- Gemba boards and huddles became integral to the organizational culture for promoting evidence-based practices.
- Frequent occurrence of the 'Gemba' code indicated its significant impact on practice change.
Conclusions:
- Unit-based Gemba boards and huddles are vital for an evidence-based practice culture.
- Gemba serves as a tool and process for engaging teams in practice change.
- Further research is needed to evaluate the effectiveness of Gemba boards in facilitating evidence-based practice.
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