A novel conceptual approach to lean: value, psychological conditions for engagement with work and perceived organizational support in hospital care

TY - JOUR

T1 - A novel conceptual approach to lean

T2 - value, psychological conditions for engagement with work and perceived organizational support in hospital care

AU - Al-Hakim, Latif

AU - Sevdalis, Nick

N1 - Publisher Copyright: © The Author(s) 2021. Published by Oxford University Press on behalf of International Society for Quality in Health Care.

PY - 2021/12/14

Y1 - 2021/12/14

N2 - BACKGROUND: 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'. METHODS: Narrative review and conceptual synthesis. RESULTS: 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. CONCLUSION: 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.

AB - BACKGROUND: 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'. METHODS: Narrative review and conceptual synthesis. RESULTS: 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. CONCLUSION: 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.

KW - human resource management

KW - leadership

KW - lean

KW - perceived organizational support

KW - psychological meaningfulness

UR - http://www.scopus.com/inward/record.url?scp=85122714383&partnerID=8YFLogxK

U2 - 10.1093/intqhc/mzab148

DO - 10.1093/intqhc/mzab148

M3 - Review article

C2 - 34668018

AN - SCOPUS:85122714383

SN - 1353-4505

VL - 33

JO - International journal for quality in health care : journal of the International Society for Quality in Health Care

JF - International journal for quality in health care : journal of the International Society for Quality in Health Care

IS - 4

ER -