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Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.ORCID-id: 0000-0003-2211-620x
Högskolan i Gävle, Akademin för teknik och miljö, Avdelningen för industriell ekonomi, industridesign och maskinteknik, Industriell ekonomi. Högskolan i Gävle, Centrum för logistik och innovativ produktion.ORCID-id: 0000-0001-8238-034x
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbetshälsovetenskap och psykologi, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.ORCID-id: 0000-0003-1443-6211
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
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2019 (engelsk)Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, nr 1, artikkel-id 652Artikkel i tidsskrift (Annet vitenskapelig) 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.

sted, utgiver, år, opplag, sider
2019. Vol. 19, nr 1, artikkel-id 652
Emneord [en]
COPSOQ, JD-R theory, linear mixed model, LiHcQ Lean in healthcare questionnaire, quality of care, thriving, exhaustion
HSV kategori
Identifikatorer
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
Tilgjengelig fra: 2019-04-05 Laget: 2019-04-05 Sist oppdatert: 2019-10-09bibliografisk kontrollert

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

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