A novel conceptual approach to lean: value, psychological conditions for engagement with work and perceived organizational support in hospital care.
A novel conceptual approach to lean: value, psychological conditions for engagement with work and perceived organizational support in hospital care.
复制标题
DOI：
10.1093/intqhc/mzab148
复制
发表时间：
2021-12-14
期刊：
影响因子：
--
通讯作者：
Sevdalis N
中科院分区：
文献类型：
--
作者：
Al-Hakim L;Sevdalis N
精益思想（LT）已经成为减少浪费和提高效率的一种有前途的方法。然而，其适用性和有效性在医疗保健，特别是在医院为基础的护理，仍然笼罩着不确定性。本文试图回答这个问题“如何精益思想可以最好地应用于医院为基础的护理”。叙述性回顾和概念综合我们首先回顾LT的原则，以及其中一些原则如何在医院护理中应用。然后，我们强调，精益是一种方法，总是意味着作为一个技术专业知识和一个由一套人力资源管理支持实践支持的人的重点相结合。我们继续介绍来自文献研究的证据，感知组织支持和心理条件，成功的工作人员参与他们的工作（即，心理意义，可用性和安全性的工作人员所经历的），并审查他们如何可能适用于医院为基础的卫生工作者。最后，我们提出了一组假设，关于如何在医院护理路径的不同方面的价值可能是相关的，这些关系介导/调节感知组织支持和心理条件与工作的参与。最后，我们讨论了我们的工作和愿望的局限性，我们提供的概念分析是一个有用的和可操作的框架，医院管理，探索如何最好地支持他们的工作人员，最终实现更好的质量和病人的护理体验的方式。
Lean thinking (LT) has emerged as a promising approach for reducing waste and improving efficiency. However, its applicability to and effectiveness within healthcare, particularly within hospital-based care, remains clouded by uncertainty. This paper attempts to answer the question ‘how lean thinking can best be applied to hospital-based care’. Narrative review and conceptual synthesis We first review the principles of LT and how some of them are challenging to apply within hospital-based care. We then highlight that lean is an approach that was always meant as a combination of technical expertise and a focus on people—supported by a suite of human resource management supportive practices. We proceed to introduce evidence stemming from the literature studies on perceived organizational support and the psychological conditions for successful staff engagement with their work (namely, psychological meaningfulness, availability and safety as experienced by staff) and review how they may apply to hospital-based health workers. We finally advance a set of hypotheses regarding how different facets of value in a hospital care pathway may be correlated and these relationships mediated/moderated by perceived organizational support and the psychological conditions for engagement with work. We conclude with a discussion of the limitations of our work and the aspiration that the conceptual analysis we have offered is a useful and actionable framework for hospital management to explore how best to support their staff—in a manner that ultimately achieves better quality and patient experience of care.
登录
查看更多内容
影响因子：
2.6
作者：
Joosten, Tom;Bongers, Inge;Janssen, Richard
通讯作者：
Janssen, Richard
影响因子：
5.2
作者：
Fu, J.;Sun, W.;Wang, L.
通讯作者：
Wang, L.
影响因子：
0.5
作者：
Coetzee, R.;van der Merwe, K.;van Dyk, L.
通讯作者：
van Dyk, L.
影响因子：
7.6
作者：
Gelei, Andrea;Losonci, David;Matyusz, Zsolt
通讯作者：
Matyusz, Zsolt
影响因子：
5
作者：
Lee, Jung Young;Swink, Morgan;Pandejpong, Temyos
通讯作者：
Pandejpong, Temyos