Evidence map›Paper›PMID 25479987›Full record

ArticleApplied ergonomics2015

Healthcare workers' perceptions of lean: a context-sensitive, mixed methods study in three Swedish hospitals.

Richard J Holden, Andrea Eriksson, Jörgen Andreasson, Anna Williamsson, Lotta Dellve

Abstract read
In one paragraph

Article in Applied ergonomics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Richard J HoldenDepartment of BioHealth Informatics, Indiana University School of Informatics and Computing, Indianapolis, IN, USA; Center for Health Informatics Research & Innovation (CHIRI), Indianapolis, IN, USA. Electronic address: rjholden@iupui.edu.
Andrea ErikssonSchool of Technology and Health, Royal Institute of Technology (KTH), Stockholm, Sweden.
Jörgen AndreassonSchool of Technology and Health, Royal Institute of Technology (KTH), Stockholm, Sweden; School of Health Sciences, University of Borås, Sweden.
Anna WilliamssonSchool of Technology and Health, Royal Institute of Technology (KTH), Stockholm, Sweden.
Lotta DellveSchool of Technology and Health, Royal Institute of Technology (KTH), Stockholm, Sweden; School of Health Sciences, University of Borås, Sweden.

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)KL2TR000446 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$2.8M
A Human Factors Approach to Support Older Chronically Ill Patients' Home CareK01AG044439 · NIA · VANDERBILT UNIVERSITY · PI HOLDEN, RICHARD J · 2014 to 2016
$359k
NCATS NIH HHS KL2 TR000446NCATS NIH HHS UL1 TR000445NIA NIH HHS K01 AG044439NIA NIH HHS K01AG044439
6 · The paper itself

Abstract

As the application of lean in healthcare expands, further research is needed in at least two areas: first, on the role of context in shaping lean and its consequences and second, on how healthcare workers perceive lean. Accordingly, this context-sensitive, mixed methods study addressed how hospital workers' perceptions of lean varied across contexts in three Swedish hospitals. Registered nurses and physicians at the hospitals and across units differing in acuity completed standardized surveys (N = 236, 57% response rate) about their perceptions of hospital-wide lean implementation. Perceptions varied by: hospital context, with one hospital's employees reporting the least favorable perceptions; unit acuity, with higher-acuity units reporting more favorable perceptions; and professional role, with nurses reporting more favorable perceptions than physicians. Individual interviews, group interviews, and observations provided insight about these dissimilar contexts and possible explanations for context-specific variability. Findings are discussed with respect to strategies for implementing lean in healthcare; the importance of attending to levels, context, and worker consequences of lean; and directions for future research.

Indexed as

Attitude of Health PersonnelPhysician's RoleCross-Sectional StudiesFemaleHospital AdministrationHospital UnitsHumansLongitudinal StudiesMaleMedical Staff, HospitalNurse's RoleNursing Staff, HospitalPatient AcuityPerceptionQuality ImprovementSurveys and QuestionnairesLean healthcareMacroergonomicsMixed methods

Identifiers

PMID25479987
PMCPMC4258221

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.