Journal
GLOBAL QUALITATIVE NURSING RESEARCH
Volume 5, Issue -, Pages -Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/2333393618810658
Keywords
America; North; ethnography; focus groups; interviews; semistructured; health care; acute/critical; nursing; quality improvement; research; qualitative
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Funding
- Gordon and Betty Moore Foundation
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As hospitals around the world increasingly face pressure to improve efficiency, Lean process improvement has become a popular approach to improving patient flow. In this article, we examine nurses' perspectives on the implementation of Lean redesigns to the inpatient discharge process. We found that nurses experienced competing demands and tensions related to their time and professional roles and responsibilities as a result of Lean. Four main themes included (a) addressing the needs of individual patients, while still maintaining overall patient flow; (b) meeting discharge efficiency targets while also achieving high patient satisfaction scores; (c) wasting time to save time; and (d) the real work of providing clinical care versus the Lean work of process improvement. Our findings highlight the importance of soliciting hospital nurses' perspectives when implementing Lean process improvements to improve efficiency and patient flow.
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