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

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Kaltenbrunner Nykvist, Monica,1975-Högskolan i Gävle,Arbetshälsovetenskap,Centrum för belastningsskadeforskning,Department of Occupational Health Sciences and Psychology, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden (författare)

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

Artikel/kapitelEngelska2019

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2019-09-09
Springer Science and Business Media LLC,2019
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:hig-29441
https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-29441URI
https://doi.org/10.1186/s12913-019-4502-6DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-394227URI
https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-112837URI

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Språk:engelska
Sammanfattning på:engelska

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BackgroundLean 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.MethodA 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.ResultsFirst, 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.ConclusionThe 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.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
COPSOQ
JD-R theory
linear mixed model
LiHcQ Lean in healthcare questionnaire
quality of care
thriving
exhaustion
Health-Promoting Work
Hälsofrämjande arbete

Biuppslag (personer, institutioner, konferenser, titlar ...)

Bengtsson, Lars,1958-Högskolan i Gävle,Industriell ekonomi,Centrum för logistik och innovativ produktion,Department of Industrial Management, Industrial Design and Mechanical Engineering, Faculty of Engineering and Sustainable Development, University of Gävle, 801 76, Gävle, Sweden(Swepub:hig)lbn (författare)
Mathiassen, Svend ErikHögskolan i Gävle,Arbetshälsovetenskap,Centrum för belastningsskadeforskning,Department of Occupational Health Sciences and Psychology, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden(Swepub:hig)smn (författare)
Högberg, HansHögskolan i Gävle,Med-Vårdvetenskap,Department of Caring Science, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden(Swepub:hig)hashog (författare)
Engström, MariaUppsala universitet,Högskolan i Gävle,Med-Vårdvetenskap,Vårdvetenskap,Department of Caring Science, Faculty of Health and Occupational Studies, University of Gävle, 801 76, Gävle, Sweden; Nursing Department, Medicine and Health College, Lishui University, Lishui, China,University of Gävle, Sweden;Uppsala University, Sweden;Lishui University, China(Swepub:uu)maren144 (författare)
Högskolan i GävleArbetshälsovetenskap (creator_code:org_t)

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Ingår i:BMC Health Services Research: Springer Science and Business Media LLC19:11472-6963

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Av författaren/redakt...: Kaltenbrunner Ny ...; Bengtsson, Lars, ...; Mathiassen, Sven ...; Högberg, Hans; Engström, Maria

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