Improving health care from the bottom up: Factors for the successful implementation of kaizen in acute care hospitals

Autor: Andreas Gutzeit, Kaspar Huber, Kosta Shatrov, Bernhard Thomet, Carl Rudolf Blankart, Camilla Pessina
Rok vydání: 2021
Předmět:
Economics
Health Care Providers
Nurses
Social Sciences
Cognition
Hospital Administration
Acute care
Health care
Medicine and Health Sciences
Psychology
Medical Personnel
Workplace
350 Public administration & military science
Allied Health Care Professionals
Hierarchy
Multidisciplinary
Kaizen
Hygiene
Top-down and bottom-up design
Hospitals
Cohesion (linguistics)
Nursing Research
Professions
Medicine
Private Sector
Switzerland
Research Article
Employment
medicine.medical_specialty
Patients
Health Personnel
Political Science
Science
Decision Making
Staffing
MEDLINE
Physicians
medicine
Humans
Labor Studies
Motivation
Inpatients
Medical education
Public Sector
business.industry
Cognitive Psychology
Biology and Life Sciences
Health Care
Health Care Facilities
Models
Organizational
Labor Economics
People and Places
Cognitive Science
Population Groupings
Health Facilities
business
Delivery of Health Care
Neuroscience
Zdroj: PLoS ONE, Vol 16, Iss 9, p e0257412 (2021)
PLoS ONE
PLoS ONE, 16 (9)
Shatrov, Kosta; Pessina, Camilla; Huber, Kaspar; Thomet, Bernhard; Gutzeit, Andreas; Blankart, Carl Rudolf (2021). Improving health care from the bottom up: Factors for the successful implementation of kaizen in acute care hospitals. PLoS ONE, 16(9), e0257412. Public Library of Science 10.1371/journal.pone.0257412
ISSN: 1932-6203
DOI: 10.48350/159466
Popis: Background Kaizen—a management technique increasingly employed in health care—enables employees, regardless of their hierarchy level, to contribute to the improvement of their organization. The approach puts special emphasis on frontline employees because it represents one of their main opportunities to participate directly in decision making. In this study, we aimed to (1) understand the experiences of nurses in two hospitals that had recently implemented kaizen, and (2) identify factors affecting the implementation of the technique. Methods By means of purposeful sampling, we selected 30 nurses from different units in two private acute care hospitals in Switzerland in May 2018. We used the Organizational Transformation Model to conduct semi-structured interviews and perform qualitative content analysis. Lastly, originating from Herzberg’s motivation theory, we suggest two types of factor influencing the implementation of kaizen—hygiene factors that may prevent nurses from getting demotivated, and motivational factors that may boost their motivation. Results Nurses generally experienced kaizen as a positive practice that enabled them to discuss work-related activities in a more comprehensive manner. In some cases, however, a lack of visible improvement in the workplace lowered nurses’ motivation to make suggestions. Nurses’ attitudes towards kaizen differed across both hospitals depending on the available managerial support, resources such as infrastructure and staffing levels. Conclusions From our findings, we derived several coping strategies to help health practitioners implement kaizen for the benefit of their organization and employees: Strong managerial support, appropriate use of kaizen tools, and a greater sense of team cohesion, among other factors, can influence how effectively hospital teams implement kaizen. To reap the benefits of kaizen, hospital managers should promote the exchange of opinions across hierarchy levels, allocate the necessary resources in terms of personnel and infrastructure, and show nurses how the technique can help them improve their workplace.
PLoS ONE, 16 (9)
ISSN:1932-6203
Databáze: OpenAIRE
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