ArticleBMJ open2019
Role of lean leadership in the lean maturity-second-order problem-solving relationship: a mixed methods study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Article
- The contribution of leaders' and managers' attributes, values, principles, and behaviours to the sustainable implementation of Lean in healthcare: A realist review protocol.HRB open research · 2024Article
- Lean adoption in hospitals: the role of contextual factors and introduction strategy.BMC health services research · 2021Article
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Authors and funding
5 authors.
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Abstract
objectivesTo investigate the relationship between lean adoption and problem-solving behaviour in nursing teams, and to explore the practices of lean leaders on nursing wards to reveal how they can stimulate second-order problem-solving within their teams.
designA mixed-methods retrospective multiple case study using semistructured interviews. Interview data were used to assess the level of lean maturity (based on a customised validated instrument) and the level of second-order problem-solving (based on scenarios). Within-case and cross-case analyses were employed to identify lean leadership practices.
setting14 nursing teams, with different levels of lean maturity, in a Dutch hospital.
participantsThree members of each nursing team were interviewed: the team leader, one nurse from the ward's core team for the lean-based quality improvement programme and one nurse outside the core team.
interventionsThe nursing teams were in various phases of a lean-based quality improvement programme: 'The Productive Ward - Releasing Time to Care'.
resultsA strongly significant positive relationship between lean maturity and second-order problem-solving was found: β=0.68, R
conclusionsAs lean matures, nursing teams reach a higher level of second-order problem-solving. In later stages, lean leaders increasingly relinquish responsibility by developing self-managing teams.
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