Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • 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.
Show others and affiliations
2019 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, no 1, article id 652Article in journal (Refereed) 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, Exhaustion, JD-R theory, LiHcQ Lean in healthcare questionnaire, Linear mixed model, Quality of care, Thriving
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-394227DOI: 10.1186/s12913-019-4502-6ISI: 000484951700004PubMedID: 31500624OAI: oai:DiVA.org:uu-394227DiVA, id: diva2:1357983
Available from: 2019-10-05 Created: 2019-10-05 Last updated: 2019-10-22Bibliographically approved

Open Access in DiVA

fulltext(1250 kB)22 downloads
File information
File name FULLTEXT01.pdfFile size 1250 kBChecksum SHA-512
9d1e7db1712441de6fe923e81d0e7f98cc6bd4c0ee9fc0d5c7fac7f600a856458c0e6d4bc5dff8a6952be4b664243605be42791c3be03fd4f34d5e48ac3a94d8
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Engström, Maria
By organisation
Caring Sciences
In the same journal
BMC Health Services Research
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 22 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 21 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf