Evidence map›Paper›PMID 41860164›Full record

ArticleJournal of nursing management2026

Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study.

Andrea Pastor-Puigdomènech, Miquel Sánchez, Cristina Font-Cabrera, Núria Fabrellas, Llúcia Benito-Aracil, Eva Maria Guix-Comellas

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Andrea Pastor-PuigdomènechEmergency Department, Clínic University Hospital, Barcelona, Catalonia, Spain.ORCID https://orcid.org/0000-0002-2207-1008
Miquel SánchezEmergency Department, Clínic University Hospital, Barcelona, Catalonia, Spain.ORCID https://orcid.org/0000-0002-4989-0046
Cristina Font-CabreraDepartment of Fundamental and Clinical Nursing, Faculty of Nursing, University of Barcelona, Barcelona, Catalonia, Spain, ub.edu.ORCID https://orcid.org/0000-0002-6524-0721
Núria FabrellasDepartment of Public Health, Faculty of Nursing, University of Barcelona, Barcelona, Catalonia, Spain, ub.edu.ORCID https://orcid.org/0000-0001-6720-0291
Llúcia Benito-AracilDepartment of Fundamental and Clinical Nursing, Faculty of Nursing, University of Barcelona, Barcelona, Catalonia, Spain, ub.edu.ORCID https://orcid.org/0000-0002-9956-3633
Eva Maria Guix-ComellasDepartment of Fundamental and Clinical Nursing, Faculty of Nursing, University of Barcelona, Barcelona, Catalonia, Spain, ub.edu.ORCID https://orcid.org/0000-0001-9866-7265

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo compare job satisfaction among emergency department staff before and after the implementation of Lean Thinking and to explore staff experiences regarding this methodology, identifying associated satisfaction factors.

backgroundLean Thinking, originally developed in the automotive industry, is increasingly applied in healthcare to optimise processes and improve patient care. Staff engagement and perceptions are key determinants of successful implementation.

methodsA mixed-methods pre-post design was conducted. The Font-Roja job satisfaction questionnaire was administered preintervention and 1 year postimplementation, and semistructured interviews were conducted with emergency department staff.

resultsOverall job satisfaction increased (3.31-3.43; p = 0.029), with significant improvements in job monotony (3.30-3.64; p = 0.038) and physical work setting (3.31-3.75; p = 0.007). Qualitative analysis revealed ten subthemes including improved organisation and teamwork, a more methodical workflow, the need for adaptation, and concerns about potential dehumanisation.

conclusionLean Thinking increased job satisfaction in the emergency department, favouring structured work and better interprofessional communication. The professionals supported its continuity and highlighted the need for follow-up meetings and constant improvements.

Indexed as

Job SatisfactionAdultEmergency Service, HospitalFemaleHumansMaleMiddle AgedQualitative ResearchSurveys and QuestionnairesTotal Quality Managementemergency departmenthealthcare managementjob satisfactionLean Thinkingmixed methodsquality improvement

Identifiers

PMID41860164
PMCPMC13140332

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.