Evidence map›Paper›PMID 31680367›Full record

ArticleJournal of nursing management2020

Nurse managers implementing the lean management system: A qualitative study in Western Canada.

Sonia A Udod, Judy Boychuk Duchscher, Donna Goodridge, Thomas Rotter, Petrina McGrath, Anna Dawn Hewitt

Abstract read
In one paragraph

Article in Journal of nursing management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Diminishment by Design: The Role of Class, Gender and Architecture in Shaping the Nursing Profession.Nursing philosophy : an international journal for healthcare professionals · 2025
    Article
  3. Article
  4. Article
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

6 authors.

Sonia A UdodRady Faculty of Health Sciences, College of Nursing, University of Manitoba, Winnipeg, MB, Canada.ORCID https://orcid.org/0000-0001-6604-4055
Judy Boychuk DuchscherSchool of Nursing, Thompson Rivers University, Kamloops, BC, Canada.ORCID https://orcid.org/0000-0001-5059-7149
Donna GoodridgeCollege of Medicine, Saskatoon, SK, Canada.ORCID https://orcid.org/0000-0002-8680-8646
Thomas RotterHealth Quality Programs, Queen's University, Kingston, ON, Canada.ORCID https://orcid.org/0000-0002-8979-0111
Petrina McGrathQuality and Safety, Saskatchewan Health Authority, Saskatoon City Hospital, Saskatoon, SK, Canada.
Anna Dawn HewittSaskatchewan Health Authority, Tisdale, SK, Canada.

Funding

Saskatchewan Health Research Foundation 3724
6 · The paper itself

Abstract

aimThis study explores the perceptions and experiences of nurse managers involved in implementing the Lean management system in a Western Canadian province.

backgroundThe provincial government of Saskatchewan, Canada, implemented a multimillion-dollar investment in the Lean management system to transform health care delivery by reducing waste and increasing efficiency of processes and outcomes.

methodsThis qualitative exploratory study employed semi-structured interviews with 14 nurse managers in urban and rural health regions in one Canadian province.

resultsSix themes outline the difficulties nurse managers experienced in juggling role responsibilities alongside a poorly implemented change system with scarce resources.

conclusionThe results showed tensions in the implementation of a Lean model adapted in the context of health care organisations. The expectations for nurse managers to be pivotal players in the implementation of transformative health care practices that promote and sustain strategies to reduce waste, improve coordination and increase patient safety require investment in leadership development. IMPLICATIONS FOR NURSING MANAGEMENT: Lean management systems significantly impact the roles of nurse managers who require adequate resources and training to successfully adapt. The results of this study may be used for more effective support mechanisms for nurse managers.

Indexed as

AdultAgedFemaleHumansMaleMiddle AgedNurse AdministratorsProgram DevelopmentQualitative ResearchSaskatchewanTotal Quality Managementhealth care deliveryhealth care systemsleadershipnurse administratorsnursing supervisory

Identifiers

PMID31680367
PMCPMC7328733

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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.