ArticleGlobal qualitative nursing research
Nurses' Perspectives on Lean Redesigns to Patient Flow and Inpatient Discharge Process Efficiency.
Article in Global qualitative nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of Lean Interventions Supported by Digital Technologies on Healthcare Services: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study.Journal of nursing management · 2026Article
- Hospital-to-Home Transitions for Lung Cancer Patients-A Qualitative Study of Healthcare Professionals' Experiences.Nursing open · 2025Article
- 'Development and Psychometric Testing of the Lean Management Scale for Nursing Services in Hospitals'.International journal of nursing practice · 2024Article
- Improving Care Continuity in Oncology Settings: A Lean Management Approach to Minimize Discharges Without Follow-Up Appointments.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- The better work, better care framework: 7 strategies for sustainable healthcare system process improvement.Health systems (Basingstoke, England) · 2023Article
- A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting.International journal of environmental research and public health · 2022Article
- The impact of COVID-19 testing on length of hospital stay and patient flow in hospitals.Journal of community hospital internal medicine perspectives · 2021Article
- Person-Centered Gerontological Nursing: An Overview Across Care Settings.Journal of gerontological nursing · 2021Review
- Nurse managers implementing the lean management system: A qualitative study in Western Canada.Journal of nursing management · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As hospitals around the world increasingly face pressure to improve efficiency, "Lean" process improvement has become a popular approach to improving patient flow. In this article, we examine nurses' perspectives on the implementation of Lean redesigns to the inpatient discharge process. We found that nurses experienced competing demands and tensions related to their time and professional roles and responsibilities as a result of Lean. Four main themes included (a) addressing the needs of individual patients, while still maintaining overall patient flow; (b) meeting discharge efficiency targets while also achieving high patient satisfaction scores; (c) "wasting time" to save time; and (d) the "real" work of providing clinical care versus the "Lean" work of process improvement. Our findings highlight the importance of soliciting hospital nurses' perspectives when implementing Lean process improvements to improve efficiency and patient flow.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.