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Problem-solving behaviour of nurses in a lean environment.

Paul Gemmel1, Simon Van Beveren2, Sylvain Landry3

  • 1Department of Innovation, Entrepreneurship and Service Management, Faculty of Economics and Business Administration, Ghent University, Ghent, Belgium.

Journal of Nursing Management
|August 7, 2018
PubMed
Summary

Extensive lean implementation in nursing departments significantly enhances nurses' second-order problem-solving skills. A widespread adoption of lean practices, supported by management, fosters a better environment for improving nurses' problem-solving behaviors.

Keywords:
implementationlean health carenursingproblem-solving behaviour

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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Organizational Behavior

Background:

  • Lean implementation is theorized to enhance nurses' capacity for complex problem-solving.
  • Understanding the relationship between the breadth of lean adoption and problem-solving is crucial for healthcare quality.

Purpose of the Study:

  • To examine the association between the extensiveness of lean implementation across nursing departments and nurses' second-order problem-solving behavior.
  • To compare problem-solving behaviors in early-adopter versus late-adopter departments within hospitals with varying lean adoption levels.

Main Methods:

  • A vignette-based survey was employed to assess second-order problem-solving behavior.
  • Data were collected from early- and late-adopter nursing departments at two hospitals with different scales of lean implementation.

Main Results:

  • Nurses in an extensively lean-implemented hospital demonstrated higher second-order problem-solving responses (71/50 scenarios) compared to a less extensively implemented hospital (16/23 scenarios).
  • In the less extensively implemented hospital, late adopters showed slightly more responses (18/19 scenarios) than early adopters (16/23 scenarios), indicating a potential ceiling effect or different adoption dynamics.

Conclusions:

  • Extensive, hospital-wide lean implementation is linked to superior second-order problem-solving behavior among nurses compared to single-department lean approaches.
  • Strong management commitment to lean principles creates a more conducive environment for cultivating and improving nurses' problem-solving capabilities.