Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care
Department of Occupational Health Sciences and Psychology, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden.
Department of Industrial Management, Industrial Design and Mechanical Engineering, Faculty of Engineering and Sustainable Development, University of Gävle, 801 76, Gävle, Sweden.
Department of Occupational Health Sciences and Psychology, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden.
Department of Caring Science, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden.
Vise andre og tillknytning
2019 (engelsk)Inngår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, nr 1, artikkel-id 652Artikkel i tidsskrift (Fagfellevurdert) 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, Exhaustion, JD-R theory, LiHcQ Lean in healthcare questionnaire, Linear mixed model, Quality of care, Thriving
HSV kategori
Identifikatorer
URN: urn:nbn:se:uu:diva-394227DOI: 10.1186/s12913-019-4502-6ISI: 000484951700004PubMedID: 31500624OAI: oai:DiVA.org:uu-394227DiVA, id: diva2:1357983
Tilgjengelig fra: 2019-10-05 Laget: 2019-10-05 Sist oppdatert: 2019-10-22bibliografisk kontrollert

Open Access i DiVA

fulltext(1250 kB)44 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 1250 kBChecksum SHA-512
9d1e7db1712441de6fe923e81d0e7f98cc6bd4c0ee9fc0d5c7fac7f600a856458c0e6d4bc5dff8a6952be4b664243605be42791c3be03fd4f34d5e48ac3a94d8
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMed

Søk i DiVA

Av forfatter/redaktør
Engström, Maria
Av organisasjonen
I samme tidsskrift
BMC Health Services Research

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 44 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 33 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf