Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care

Abstract

Background Lean is commonly adopted in healthcare to increase quality of care and efficiency. Few studies of Lean involve staff-related outcomes, and few have a longitudinal design. Thus, the aim was to examine the extent to which changes over time in Lean maturity are associated with changes over time in care-giving, thriving and exhaustion, as perceived by staff, with a particular emphasis on the extent to which job demands and job resources, as perceived by staff, have a moderated mediation effect. Method A longitudinal study with a correlational design was used. In total, 260 staff at 46 primary care units responded to a web survey in 2015 and 2016. All variables in the study were measured using staff ratings. Ratings of Lean maturity reflect participants’ judgements regarding the entire unit; ratings of care-giving, thriving, exhaustion and job demands and resources reflect participants’ judgements regarding their own situation. Results First, over time, increased Lean maturity was associated with increased staff satisfaction with their care-giving and increased thriving, mediated by increased job resources. Second, over time, increased Lean maturity was associated with decreased staff exhaustion, mediated by decreased job demands. No evidence was found showing that job demands and job resources had a moderated mediation effect. Conclusion The results indicate that primary care staff may benefit from working in organizations characterized by high levels of Lean maturity and that caregiving may also be improved as perceived by staff.

Psychosocial factors in nursing work and occupational risks: a systematic review

“…The lack of resources in situations of high demands contributes to the increased exhaustion of health professionals (33)(34) . Lean management method, adopted in some hospitals, apparently had a positive impact on patient care satisfaction (17)(18) . This result was contradictory, since, in most studies, this method contributed to increase stress and exhaustion (35)(36)(37) .…”

Validation of the Copenhagen Psychosocial Questionnaire Version III and Establishment of Benchmarks for Psychosocial Risk Management in Sweden

“…Studies across different occupations have corroborated the internal consistency reliability and construct validity of the scales [11][12][13][15][16][17][18][19]. The ability to distinguish different groups (organizations with similar missions, work teams or occupational groups) has been demonstrated [20][21][22], as also the relevance of multilevel analyses and for intervention and organizational change studies [23][24][25][26][27][28][29].…”

How do family supportive supervisors affect nurses' thriving: A research before and during COVID-19 pandemic

“…Despite its importance, thriving has been given little attention on nursing sample, as family supportive supervisor behaviors. Formal and informal implications reducing work-to-family conflict and increasing psychological well-being are inevitable to promote nurses' thriving (Fiksenbaum, 2014;Kaltenbrunner et al, 2019). This is because nurses need psychological resources (supervisor support, co-workers support, etc.…”