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Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0003-2211-620x
University of Gävle, Faculty of Engineering and Sustainable Development, Department of Industrial Management, Industrial Design and Mechanical Engineering, Industrial Management. University of Gävle, Center for Logistics and Innovative Production.ORCID iD: 0000-0001-8238-034x
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0003-1443-6211
University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
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2019 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, no 1, article id 652Article in journal (Other academic) Published
Abstract [en]

Background

Lean is commonly adopted in healthcare to increase quality of care and efficiency. Few studies of Lean involve staff-related outcomes, and few have a longitudinal design. Thus, the aim was to examine the extent to which changes over time in Lean maturity are associated with changes over time in care-giving, thriving and exhaustion, as perceived by staff, with a particular emphasis on the extent to which job demands and job resources, as perceived by staff, have a moderated mediation effect.

Method

A longitudinal study with a correlational design was used. In total, 260 staff at 46 primary care units responded to a web survey in 2015 and 2016. All variables in the study were measured using staff ratings. Ratings of Lean maturity reflect participants’ judgements regarding the entire unit; ratings of care-giving, thriving, exhaustion and job demands and resources reflect participants’ judgements regarding their own situation.

Results

First, over time, increased Lean maturity was associated with increased staff satisfaction with their care-giving and increased thriving, mediated by increased job resources. Second, over time, increased Lean maturity was associated with decreased staff exhaustion, mediated by decreased job demands. No evidence was found showing that job demands and job resources had a moderated mediation effect.

Conclusion

The results indicate that primary care staff may benefit from working in organizations characterized by high levels of Lean maturity and that caregiving may also be improved as perceived by staff.

Place, publisher, year, edition, pages
2019. Vol. 19, no 1, article id 652
Keywords [en]
COPSOQ, JD-R theory, linear mixed model, LiHcQ Lean in healthcare questionnaire, quality of care, thriving, exhaustion
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hig:diva-29441DOI: 10.1186/s12913-019-4502-6ISI: 000484951700004PubMedID: 31500624Scopus ID: 2-s2.0-85071970266OAI: oai:DiVA.org:hig-29441DiVA, id: diva2:1302798
Available from: 2019-04-05 Created: 2019-04-05 Last updated: 2019-10-09Bibliographically approved

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Kaltenbrunner Nykvist, MonicaBengtsson, LarsMathiassen, Svend ErikHögberg, HansEngström, Maria

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Kaltenbrunner Nykvist, MonicaBengtsson, LarsMathiassen, Svend ErikHögberg, HansEngström, Maria
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Occupational Health ScienceCentre for Musculoskeletal ResearchIndustrial ManagementCenter for Logistics and Innovative ProductionCaring Science
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Health Care Service and Management, Health Policy and Services and Health Economy

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