Effect of Lean Management Training Program on Nurse Managers' Innovation and Crisis Management

Document Type : Original Article

Authors

1 Department of Nursing Administration, Faculty of Nursing, Port Said University, Port Said City, Egypt

2 Nursing administration- Faculty of Nursing- Port Said University

Abstract

Background: Efficiency and effectiveness in healthcare are paramount, as any deviation can result in a dire crisis, so there is a need to improve healthcare quality by implementing lean management strategies innovatively to eliminate waste, reduce costs, and resolve work issues. Aimed to: Evaluate the effect of the lean management training program on nurse managers' innovation and crisis management. Subjects and methods: Design: A quasi-experimental research design, one group (a pre-and post-intervention). Setting: the study was carried out at Belkas Central Hospital in Dakahlia Governorate. Subjects: the study sample consisted of all nurse managers working in the study setting (63). Tools: A self-administered lean management knowledge questionnaire, a lean management strategies self-reported questionnaire, an innovative work behavior scale, and a crisis management questionnaire. Results: After program implementation, nurse managers' knowledge of lean management, lean management strategies, applied lean tools, innovative work behavior, and crisis management practice improved significantly across all three program phases. In addition, the multiple comparisons reveal that every two pairs of pre- and post-, pre- and follow-up, and post- and follow-up, has a statistically significant difference in the mean score at p =.000. Conclusion: The partial (η2) values for nurse managers' lean management knowledge, lean management strategies, applied lean tools, innovative work behavior, and crisis management practice indicate that the effect size of the lean management training program for nurse managers is substantial. Recommendations: Lean management training courses should be conducted and regularly updated for all healthcare providers. More research in this area is also recommended.

Keywords

References

Abd Al Fadeel, E. R., Abd El Megeed, M. I., & Etway, E. A. E. (2023). Effect Of Lean Management Training Program On Waste Management Knowledge And Practices Among Nursing Staff. Journal of Clinical Otorhinolaryngology, Head and Neck Surgery, 27(1); 1050-1062.
Abuhejleh, A., Dulaimi, M., & Ellahham, S. (2016). Using lean management to leverage innovation in healthcare projects: Case study of a public hospital in the UAE. BMJ Innovations, 2(1), 22-32.
Akinwale, Y. O. (2021). Health Expenditure, Economic Growth and Life Expectancy at Birth in Resource-Rich Developing Countries: A Case of Saudi Arabia and Nigeria. Journal of Economic Cooperation & Development, 42(2), 13-36.
Al-Gedely, R. (2006). The reality of the use of crisis management methods major government hospitals in the Gaza Strip, published Master thesis. Commerce College, Department of Business Administration at Islamic University of Gaza.
Alharthi, A., & Aziz, T. (2018, September). Lean six sigma, crises management and innovation: A theoretical Framework. International Conference on 3rd North American IEOM Conference in Washington DC during September 27-29, 2018. Retrieved from: http://ieomsociety.org/
Aljamal, A. B. (2018): Leadership styles in health crisis management: Study of governmental hospitals in Gaza Strip, unpublished Master thesis. Crisis and disaster management in the Islamic University of Gaza. Retrieved from: https://library.iugaza.edu.ps/thesis/125310.
Bailey, R. (2016). Exploring the process of lean training in the healthcare industry, published Doctorate dissertation. College of Management and Technology, Walden University. Retrieved from: www.ekb.eg
Bannay, F. D. (2019). The impact of lean management in Organizational Ambidexterity, Conference paper. 11th International Scientific Conference - Karbala University - Faculty of Management and Economics. Retrieved from: https://www.researchgate.net/publication/333036797
Barrett, D. (2014). An empirical investigation of the influence of preparation and implementation capabilities on lean management competence (Published doctorate dissertation). Graduate Program in Business Administration; The School of Graduate and Postdoctoral Studies; The University of Western Ontario; Canada. Retrieved from https://www.proquest.com/dissertations-theses/empirical-investigation-influence-preparation/docview/2701128472/se-2
Boswihi, M. S. S. H. (2018): Effect of lean leadership training program on head nurses' performance and patient satisfaction (unpublished doctorate dissertation). Faculty of Nursing, University of Alexandria.  
Çavmak, D. & Kaptanoglu, A. (2017, April). Lean Management Implementations for Healthcare. Paper presented at the Conference: 3. International Journal of Health Administration and Education Congress (Sanitas Magisterium) paper Retrieved from: https://www.researchgate.net/publication/333681879
Corbaley, S. R. (2010). A descriptive study to determine the level of crisis preparedness frontline leaders are trained to perform during an exploding crisis in Los Angeles County healthcare facilities, providing emergency services (published Doctorate dissertation). College of education and organizational leadership, University of La Verne, California.
Demir, E., & Turan, H. (2021). An integrated spherical fuzzy AHP multi-criteria method for Covid-19 crisis management in regarding lean six sigma. International Journal of Lean Six Sigma, 12(4), 859-885.
Dizon, D. M. (2017). Lean management system in healthcare, (published Master thesis). Business Administration, University of Stanislaus, California State.
Elzohairy, M. H., Elhanafy, E. Y., & Mostafa, W. H., (2020). Impact of Lean Strategy Utilization Training program on Quality of Environmental and occupational safety. Egyptian Journal of Health Care, EJHC 11 (1), 1236- 1252.
Gaafer, F. (2018). The Effect of implementation of training program on lean strategies utilization for first-line nurse managers on quality of environmental and occupational safety (unpublished doctorate dissertation). Faculty of Nursing, University of Alexandria.
Gajda, W. & Zaplatynskyi, V. (2017). Innovations in crisis management. MEST Journal 5(1), 32-39, DOI 10.12709/mest.05.05.01.04.
Gangaram, P., Alinier, G., & Menacho, A. M. (2017). Crisis resource management in emergency medical settings in Qatar. International Paramedic Practice, 7(2), 18-23.
Helmold, M. (2020). Lean Management and Kaizen; Fundamentals from Cases and Examples in Operations and Supply Chain Management. Management for Professionals (1st ed.). Berlin,Germany: Springer international publishing. DOI: 10.1007/978-3-030-46981-8
Holmemo, M. D. Q., Ingvaldsen, J. A., & Powell, D. (2022). Beyond the lean manager: Insights on how to develop corporate lean leadership. Total Quality Management & Business Excellence, 1-13. Retrieved from: https://doi.org/10.1080/14783363.2021.2022468
International Labour Organization. (2017): Lean Manufacturing Techniques for Ready Made Garments Industry (1st ed.). Decent Work Team for North Africa/ Cairo. Published book retrieved from: https://www.ilo.org
Jackson, J., & Nowell, L. (2021). ‘The office of disaster management nurse managers' experiences during COVID‐19: A qualitative interview study using thematic analysis. Journal of Nursing Management, 29(8), 2392-2400.
Jankelová, N., Joniaková, Z., Blštáková, J., Skorková, Z., & Procházková, K. (2021). Leading employees through the crises: Key competencies of crises management in healthcare facilities in coronavirus pandemic. Risk management and healthcare policy, 561-573.
Khanna, S. (2020). ICT Enabled Learning: A tool in Crisis Management. Aptisi Transactions on Technopreneurship (ATT), 2(2), 127-132.
Kumar, J. (2021). Lean and Kaizen Application in the Healthcare during the COVID-19 Pandemic. In 11th Annual International Conference on Industrial Engineering and Operations Management, IEOM 2021 (pp. 5748-5753).
Lambriex-Schmitz, P., Van der Klink, M. R., Beausaert, S., Bijker, M., & Segers, M. (2020). Towards successful innovations in education: Development and validation of a multi-dimensional Innovative Work Behavior Instrument. Vocations and Learning, 1-28.
Lei, C., & Palm, K. (2019). Crisis resource management training in medical simulation. Book from: StatPearls Publishing, Treasure Island (FL), 24 Dec 2019 PMID: 31869172
Lyng, H. B., Ree, E., Wibe, T., & Wiig, S. (2021). Healthcare leaders’ use of innovative solutions to ensure resilience in healthcare during the Covid-19 pandemic: a qualitative study in Norwegian nursing homes and home care services. BMC health services research, 21(1), 1-11.
Machado, C. M., Scavardac, A., Vaccaro, G., Kipperd, L. M., & Khan, M. S. (2015, August). Knowledge about lean management: A study in hospitals. In Proceedings of the 23rd International Conference on Production Research.
Marandi, S. G. (2018). Adoption of lean manufacturing system with aim of efficiency improvement within a late lean adopter company (a case study), published Master thesis. University of Québec, Montreal.
McClelland, T. B. (2016). Experts' recommendations to create effective teams for successful crisis management: A Delphi study, unpublished Doctoral dissertation. Doctorate in management. University of Phoenix. Retrieved from: www.ekb.eg
Ozmen, S., & Havva, A. Y. (2022). Nurse managers' challenges and opportunities in the COVID‐19 pandemic crisis: A qualitative descriptive study. Journal of Nursing Management, 30(7), 2609-2619. doi: https://doi.org/10.1111/jonm.13817
Pring, E. T., Malietzis, G., Kendall, S. W., Jenkins, J. T., & Athanasiou, T. (2021). Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; A structured approach to developing resilience or natural organizational responses. International Journal of Surgery, 91, 105987.
Rodríguez Cornejo, V., Cervera Paz, Á., López Molina, L., & Pérez-Fernández, V. (2020). Lean Thinking to Foster the Transition from Traditional Logistics to the Physical Internet. Sustainability, 12(15), 6053.
Roszell, S. (2013). Measuring Lean Management Penetration on the Hospital Nursing Frontline: Instrument Development, unpublished Doctoral dissertation. Doctorate of Philosophy, University of North Carolina at Chapel Hill. Retrieved from: https://core.ac.uk/download/pdf/210602635.
Samuelsson, P., Witell, L., Gottfridsson, P., & Elg, M. (2019). Incremental and radical service innovation in Healthcare. In Handbook of Service Science, Volume II. Springer, Cham.
Sharma, S. S., & Khatri, R. (2021). Introduction to Lean Waste and Lean Tools. In (Ed.), Lean Manufacturing. Retrieved from: https://doi.org/10.5772/intechopen.97573
Singh, V.K.  & Lillrank, P. (2018). Planning and Designing Healthcare Facilities: A Lean, Innovative, and Evidence-Based Approach (1st ed.). CRC Press, Taylor & Francis Group. Retrieved from: https://www.pdfdrive.com
Teo, W. L., Lee, M., & Lim, W. S. (2017). The relational activation of resilience model: How leadership activates resilience in an organizational crisis. Journal of Contingencies and Crisis Management, 25(3), 136-147.
Tiso, A., Crema, M., & Verbano, C. (2021). A framework to guide the implementation of lean management in emergency department. [Lean management in emergency department] Journal of Health Organization and Management, 35(9), 315-337. doi:https://doi.org/10.1108/JHOM-01-2021-0035
Udod, S. A., Duchscher, J. B., Goodridge, D., Rotter, T., McGrath, P., & Hewitt, A. D. (2020). Nurse managers implementing the lean management system: A qualitative study in Western Canada. Journal of nursing management, 28(2), 221-228.
Varadarajan, R. (2018). Innovation, innovation strategy, and strategic innovation. In Innovation and Strategy. Emerald Publishing Limited.
Veres, C., Cotoi, O., Moica, S., Marian, L., & Pîslă, A. (2020). Case study regarding the implementation of lean management methods in healthcare. International Conference on Trends & Innovations in Management, Engineering, Sciences and Humanities, Dubai. Retrieved from: https://www.researchgate.net/publication/344362466
Yang, K., Zhou, L., Wang, Z., Lin, C., & Luo, Z. (2019). Humble leadership and innovative behavior among Chinese nurses: The mediating role of work engagement. Journal of Nursing Management, 27(8), 1801-1808.
Zdęba-Mozoła, A., Rybarczyk-Szwajkowska, A., Czapla, T., Marczak, M., & Kozłowski, R. (2022). Implementation of Lean Management in a Multi-Specialist Hospital in Poland and the Analysis of Waste. International journal of environmental research and public health, 19(2), 800.
Zvarych, R., & Tysh, T. (2020). Crisis management and leadership in a coronary crisis. Herald of Economics, 2 (96), 135-147.
Port Said Scientific Journal of Nursing
Volume 10, Issue 3
September 2023
Pages 31-64

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