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Related Experiment Videos

Discursive practice - lean thinking, nurses' responsibilities and the cost to care.

Clare Lynette Harvey1, Christophe Baret2, Christian M Rochefort3,4,5

  • 1School of Nursing, Midwifery and Social Sciences, Central Queensland University , Mackay, Australia.

Journal of Health Organization and Management
|October 10, 2018
PubMed
Summary

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This summary is machine-generated.

Nurses face work intensification and reduced resources, leading to care rationing that compromises patient care and professional accountability. This study highlights the gap between organizational cost-saving goals and frontline nursing realities.

Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Behavior

Background:

  • Work intensification is a growing concern in nursing.
  • Reduced resources impact nurses' ability to provide comprehensive patient care.
  • Organizational pressures for cost reduction conflict with frontline care delivery.

Purpose of the Study:

  • To explore literature on work intensification and its effects on nurses' capacity to provide care.
  • To examine the implications of nurses' inability to provide all required patient care on their professional responsibility.
  • To identify the discordance between organizational cost-saving strategies and nurses' experiences.

Main Methods:

  • Institutional ethnography was employed to review existing literature.
  • The study analyzed textual discourse to uncover unquestioned, institutionally accepted activities.
Keywords:
Lean managementMissed nursing careNursing practiceWork intensification

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  • Focus was on textual relationships between organizational advocacy and nursing actions.

    • Main Results:

    • Quality and risk management are key components of lean thinking, influenced by organizational culture.
    • The professional cost to nurses resulting from these changes remains underexplored.
    • Inconsistencies exist between organizational cost-saving successes and nurses' experiences with reduced resources.

    Conclusions:

    • Nurses operate in lean, stressful environments, struggling to complete care within resource constraints.
    • Care rationing negatively impacts nurses' professional practice and the quality of care.
    • Nurses' efforts to complete care place their professional accountability at risk.