scholarly journals The impact of lean management on frontline healthcare professionals: a scoping review of the literature

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zeyad Mahmoud ◽  
Nathalie Angelé-Halgand ◽  
Kate Churruca ◽  
Louise A. Ellis ◽  
Jeffrey Braithwaite
Keyword(s):  
Scoping Review ◽  
Personal Development ◽  
Management Practices ◽  
Healthcare Professionals ◽  
Job Strain ◽  
Healthcare Setting ◽  
Lean Management ◽  
Frontline Workers ◽  
Work Intensification ◽  
The Impact

Abstract Background Lean management practices are increasingly used in hospitals. However, their impacts on staff have not been systematically synthesised. This scoping review aims to synthesise the evidence on the effects of Lean Management practices on frontline healthcare professionals. Methods A search was conducted in February 2020 on multiple databases to identify relevant sources. Studies had to satisfy the following inclusion criteria to be considered: published in English or French, peer-reviewed, empirical, studied the use of Lean in a healthcare setting and focused on its impacts on frontline workers. The studies included were heterogeneous in terms of participants. Findings were coded and classified using a thematic analysis. The quality and methodological rigour of the reviewed articles were assessed to establish a level of confidence in their findings. Results Of 998 identified articles, 17 were included in the review. The findings were coded into four themes: (1) Morale, motivation and job satisfaction (n = 9, 2) work intensification, job strain, anxiety, stress and dehumanisation (n = 7, 3) teamwork, communication and coordination (n = 6); and (4) learning, innovation and personal development (n = 3). Overall, the articles reported positive (n = 11), negative (n = 3) and mixed (n = 3) impacts of Lean on frontline healthcare professionals. Conclusion This review is the first to synthesise and highlight the gaps in the existing literature examining the impacts of Lean on frontline health professionals. The review revealed a range of both positive, negative and mixed effects, and points to the need for more empirical research to identify the underlying reasons leading to these outcomes.

scholarly journals Knowledge Transmission in Light of Recent Transformations in the Workplace

2012 ◽  
Vol 67 (2) ◽  
pp. 304-324 ◽  
Author(s):  
Esther Cloutier ◽  
Élise Ledoux ◽  
Pierre-Sébastien Fournier
Keyword(s):  
Knowledge Sharing ◽  
Organizational Performance ◽  
Management Practices ◽  
Work Teams ◽  
Health And Safety ◽  
Food Service ◽  
Experiential Knowledge ◽  
Work Intensification ◽  
Flexible Management ◽  
The Impact

In a context of changing demographics and transformations to the world of work, concerns about age management are gradually turning into concerns about knowledge management. The vast experiential knowledge and diverse skills developed by workers to cope with the numerous situations encountered in the course of their work and to protect themselves against risks to their health and safety constitute part of the intangible assets vital to the sustainability of worker expertise and even the survival of the organization. Management practices play an important role in helping safeguard experiential knowledge in organizations. However, the transformations that have been taking place in recent years in response to an unstable economic climate have driven organizations to introduce a number of changes in workplaces. Three case studies, conducted in Quebec, each focused on the study of a specific occupation (film technicians, food service helpers, and homecare nurses), and based on interviews and observations made in the field, will be presented in an effort to describe the impact of some of these changes, namely precarious employment, flexible management practices and work intensification, on knowledge sharing in real work situations. The results suggest that by undermining work teams and increasing the workload of experienced workers, these changes actually hinder the knowledge sharing process. In fact, in such a context, the work teams are continually being reconfigured, which can demotivate experienced workers who constantly have to initiate new recruits despite already having a work overload. Possible avenues for research are proposed with a view to helping organizations cope with these changes in a way that supports the experiential knowledge transfer and sharing process so vital to organizational performance and the preservation of worker health.

scholarly journals Impact of postgraduate study on healthcare professionals' academic and clinical practice

2020 ◽  
Vol 26 (7) ◽  
pp. 171-178
Author(s):  
Samantha Holloway ◽  
Ann Taylor ◽  
Michal Tombs
Keyword(s):  
Clinical Practice ◽  
Personal Growth ◽  
Healthcare Professionals ◽  
Healthcare Setting ◽  
Subject Area ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Postgraduate Study ◽  
The Impact

Aims/Background Existing literature in the healthcare setting indicates that individuals enter higher education, particularly postgraduate programmes, to gain in-depth knowledge of a subject area, with a view to improving their career opportunities. Evidence also suggests that, in addition to perceived career enhancement, individuals also report benefits such as personal growth and broadening of perspectives, which have helped their clinical practice. The aim of this study was to examine the impact of postgraduate study on healthcare professionals' academic practice and discuss the potential links to improvements in clinical practice. Method This was a descriptive cross-sectional survey of a convenience sample of graduates from a range of postgraduate healthcare programmes at one UK university. A survey comprising 18 questions was designed to explore perceptions of impact and was distributed to 962 graduates with a response rate of 9.81% (n=98). Results The majority of respondents were doctors (n=54, 55.1%), women (n=59, 60.2%), based within the UK (n=36, 36.7%) and had completed their programme between 2014 and 2016 (n=72, 73.4%). With regards to achievements in professional practice, participants felt more confident in relation to research and evaluating evidence. In relation to impact on clinical practice, improvements in multidisciplinary team working as well as increased confidence emerged as main themes. Conclusions Findings support existing evidence in relation to the importance of postgraduate study, which is able to instil an increased sense of confidence in graduates' ability. This was particularly related to having a better understanding of speciality-related evidence and its application in clinical practice. This is something that previous studies do not seem to have reported and may reflect the multiprofessional nature of many of the postgraduate programmes provided.

scholarly journals The Impact of Experience, Length of Service, and Workplace Preparedness in Physicians’ Readiness in the Response to Disasters

2020 ◽  
Vol 9 (10) ◽  
pp. 3328 ◽  
Author(s):  
Krzysztof Goniewicz ◽  
Mariusz Goniewicz ◽  
Frederick M. Burkle ◽  
Amir Khorram-Manesh
Keyword(s):  
Disaster Management ◽  
Disaster Preparedness ◽  
Healthcare Professionals ◽  
Disaster Medicine ◽  
Management Approach ◽  
Length Of Service ◽  
Frontline Workers ◽  
Medical Centers ◽  
Perceived Preparedness ◽  
The Impact

With an increasing number of natural and man-made disasters, the need for preparedness in all levels of management is obvious. Among healthcare professionals responding to these emergencies, physicians are of particular importance due to their significant roles as leaders and frontline workers in minimizing morbidity and mortality of the affected population. This study analyses the preparedness of 549 physicians from all medical centers in Lublin, Poland to formulate their observations, suggestions, and recommendations concerning the improvement of the chain of response in disaster management. The results of this study show that the perceived preparedness of physicians for disaster management and response is not as high as it should be, and the majority of the respondents perceived their disaster preparedness insufficient. Training of physicians in disaster management and principles of disaster medicine is needed, by focusing on the specificity of rescue response to emergencies following disasters, and medical and non-medical aspects of the response with particular emphasis on a management approach covering all hazards.

scholarly journals Preserving Professional Identities, Behaviors, and Values in Digital Professionalism: A Scoping Review

2020 ◽  
Author(s):  
Shaista Salman Guraya ◽  
Salman Yousuf Guraya ◽  
Muhammad Saiful Bahri Yusoff
Keyword(s):  
Social Media ◽  
Scoping Review ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Professional Values ◽  
Rapid Rise ◽  
Professional Identities ◽  
Digital Era ◽  
Use Of Social Media ◽  
The Impact

Abstract Background Despite a rapid rise of use of social media in medical disciplines, uncertainty prevails among healthcare professionals for providing medical content on social media. There are also growing concerns about unprofessional behaviors and blurring of professional identities that are undermining digital professionalism. This review tapped the literature to determine the impact of social media on medical professionalism and how can professional identities and values be maintained in digital era. Methods We searched the databases of PubMed, ProQuest, ScienceDirect, Web of Science, and EBSCO host using (professionalism AND (professionalism OR (professional identity) OR (professional behaviors) OR (professional values) OR (professional ethics))) AND ((social media) AND ((social media) OR (social networking sites) OR Twitter OR facebook)) AND (health professionals). The research questions were based on participants (health professionals), concept (professionalism), and context (social media, digital world). We screened initial yield of titles using pre-determined inclusion and exclusion criteria and selected a group of articles for qualitative analysis. We used the Biblioshiny® software package for generation of popular concepts as clustered keywords. Results Our search yielded 44 articles with four leading themes; marked rise in use of social media by healthcare professionals and students, negative impact of social media on digital professionalism, blurring of medical professional values, behaviors, and identity in digital era, limited evidence for teaching and assessing digital professionalism. A high occurrence of violation of patient privacy and professional integrity and cyberbullying is reported. There are no existing guidelines and policies for digital professionalism that can safeguard healthcare professionals, students and patients. Conclusion Our scoping review reports a rapid rise of unprofessional behaviors on social media among healthcare professionals. The boundaries between personal and professional practices are mystified in digital professionalism. These findings call for potential educational ramifications to resurrect professional virtues, behaviors and identities of healthcare professionals and students.

scholarly journals Lean Management Practices’ Effects on Brazilian Firms: A Quantitative and Qualitative Analysis

2021 ◽  
Vol 3 (3) ◽  
pp. 84-108
Author(s):  
Filipe Lage de Sousa ◽  
Mauricio Canêdo-Pinheiro ◽  
Bernardo Pereira Cabral ◽  
Glaucia Estefânia de Sousa Ferreira
Keyword(s):  
Management Practices ◽  
Management Practice ◽  
Cost Effective ◽  
Lean Management ◽  
Short Term ◽  
Firm Level ◽  
Basic Principles ◽  
The Impact ◽  
Innovation Outcomes

One of the key drivers for a firm's productivity growth is management. One lean management practice considered cost-effective is Kaizen. Originally from Japan, the Kaizen basic concept is continuous improvement with the involvement of the full workforce. Using a firm-level dataset from Brazil's innovation and manufacturing surveys, this paper evaluates quantitatively whether Kaizen has impacted the performance of domestic firms. Our initial results suggest a productivity premium on Kaizen adopters, yet when it materializes is not detectable in the short term. Moreover, the impact on innovation is observable after Kaizen implementation. Understanding these outcomes with a qualitative approach, our analysis highlights the importance of Kaizen on innovation, especially by improving worker's time at the production line as well as the long-term vision of Kaizen on productivity. In summary, Kaizen is not a magic wand that improves firms’ performance in a wide array of indicators yet it may boost innovation outcomes in the short term aiming to improve productivity in the long term if it is implemented carefully and persistently, as established by its basic principles.

scholarly journals How can we build and maintain the resilience of our health care professionals during COVID-19? Recommendations based on a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043718
Author(s):  
Anja Rieckert ◽  
Ewoud Schuit ◽  
Nienke Bleijenberg ◽  
Debbie ten Cate ◽  
Wendela de Lange ◽  
...  
Keyword(s):  
Mental Health ◽  
Working Conditions ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Psychosocial Support ◽  
Grey Literature ◽  
Hospital Setting ◽  
Physical And Mental Health ◽  
The Impact

ObjectiveTo explore how to build and maintain the resilience of frontline healthcare professionals exposed to COVID-19 outbreak working conditions.DesignScoping review supplemented with expert interviews to validate the findings.SettingHospitals.MethodsWe searched PubMed, Embase, PsycINFO, CINAHL, bioRxiv and medRxiv systematically and grey literature for articles focusing on the impact of COVID-19-like working conditions on the physical and/or mental health of healthcare professionals in a hospital setting. Articles using an empirical design about determinants or causes of physical and/or mental health and about interventions, measures and policies to preserve physical and/or mental health were included. Four experts were interviewed to reflect on the results from the scoping review.ResultsIn total, 4471 records were screened leading to an inclusion of 73 articles. Recommendations prior to the outbreak fostering resilience included optimal provision of education and training, resilience training and interventions to create a feeling of being prepared. Recommendations during the outbreak consisted of (1) enhancing resilience by proper provision of information, psychosocial support and treatment (eg, create enabling conditions such as forming a psychosocial support team), monitoring the health status of professionals and using various forms and content of psychosocial support (eg, encouraging peer support, sharing and celebrating successes), (2) tasks and responsibilities, in which attention should be paid to kind of tasks, task mix and responsibilities as well as the intensity and weight of these tasks and (3) work patterns and working conditions. Findings of the review were validated by experts.ConclusionsRecommendations were developed on how to build and maintain resilience of frontline healthcare professionals exposed to COVID-19 outbreak working conditions. These practical and easy to implement recommendations can be used by hospitals and other healthcare organisations to foster and preserve short-term and long-term physical and mental health and employability of their professionals.

scholarly journals A scoping review of clinical reasoning research with Asian healthcare professionals

2021 ◽  
Author(s):  
Ching-Yi Lee ◽  
Chang-Chyi Jenq ◽  
Madawa Chandratilake ◽  
Julie Chen ◽  
Mi-Mi Chen ◽  
...  
Keyword(s):  
Medical Students ◽  
Nursing Students ◽  
Clinical Reasoning ◽  
Scoping Review ◽  
Healthcare Professionals ◽  
Steady Increase ◽  
Healthcare Profession ◽  
Education Today ◽  
Number Of Publications ◽  
The Impact

AbstractClinical reasoning is the thought process that guides practice. Although a plethora of clinical reasoning studies in healthcare professionals exists, the majority appear to originate from Western cultures. A scoping review was undertaken to examine clinical reasoning related research across Asian cultures. PubMed, SciVerse Scopus, Web of Science and Airiti Library databases were searched. Inclusion criteria included full-text articles published in Asian countries (2007 to 2019). Search terms included clinical reasoning, thinking process, differential diagnosis, decision making, problem-based learning, critical thinking, healthcare profession, institution, medical students and nursing students. After applying exclusion criteria, n = 240 were included in the review. The number of publications increased in 2012 (from 5%, n = 13 in 2011 to 9%, n = 22) with a steady increase onwards to 12% (n = 29) in 2016. South Korea published the most articles (19%, n = 46) followed by Iran (17%, n = 41). Nurse Education Today published 11% of the articles (n = 26), followed by BMC Medical Education (5%, n = 13). Nursing and Medical students account for the largest population groups studied. Analysis of the articles resulted in seven themes: Evaluation of existing courses (30%, n = 73) being the most frequently identified theme. Only seven comparative articles showed cultural implications, but none provided direct evidence of the impact of culture on clinical reasoning. We illuminate the potential necessity of further research in clinical reasoning, specifically with a focus on how clinical reasoning is affected by national culture. A better understanding of current clinical reasoning research in Asian cultures may assist curricula developers in establishing a culturally appropriate learning environment.

scholarly journals The Association of PPE Availability, Training and Practices with COVID-19 Sero-prevalence in Nurses and Paramedics in Tertiary Care Hospitals of Peshawar, Pakistan

2020 ◽  
pp. 1-18
Author(s):  
Junaid Ahmad ◽  
Saeed Anwar ◽  
Abdul Latif ◽  
Najib Ul Haq ◽  
Muhammad Sharif ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Teaching Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Frontline Workers ◽  
Healthcare Profession ◽  
Tertiary Care Hospitals ◽  
The Impact

Abstract Background Nurses and paramedics by being the frontline workers of the healthcare profession need to be equipped with the relevant knowledge, skills and protective gears against different forms of infection, including COVID-19. Though the governments and concerned stakeholders have provided P.P.E.s, training and information to protect the healthcare professionals, however until now the scientific literature has virtually not reported the impact of P.P.Es availability, training and practices on the COVID-19 sero-prevalence among the nurses and paramedics. Objective This study aimed to assess the Impact of P.P.Es availability, training and practices on COVID-19 sero-prevalence among nurses and paramedics in teaching hospitals of Peshawar, Pakistan. Methods A cross-sectional survey was conducted with a total of 133 nurses and paramedics as subjects of the study. Results A univariate analysis was done for four variables. The findings indicate that the healthcare professionals (nurses & paramedics) who have received P.P.Es on time at the start of COVID-19 emergence has fewer chances of contracting the COVID-19 infection (O.R = 0.96); while the odds for P.P.Es supplies was 0.73, and the odds of hand hygiene training was 0.95. Conclusion The study concluded that the availability of the P.P.E.s, COVID-19 related training and compliance with W.H.O recommended practices against COVID-19 were instrumental in protection against the infection and its spread.

scholarly journals Association between Burnout Syndrome and the SARSCov-2 pandemic in healthcare professionals - a literature review

2021 ◽  
Author(s):  
Iara Ramos Tosta ◽  
Giulia Martini ◽  
Larissa Moreira Ribeiro ◽  
Vinicius Batista Corrêa da Silva ◽  
Amanda Cintra Pires ◽  
...  
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Healthcare Professionals ◽  
Health Workers ◽  
Strong Association ◽  
Burnout Syndrome ◽  
Frontline Workers ◽  
Narrative Literature Review ◽  
Self Reporting Questionnaire ◽  
The Impact

Background: The SARS-Cov-2 pandemic has presented numerous challenges to health systems. Exposure to stress scenarios by frontline workers has generated the exhaustion of this group as a response. Consequently, there was an increase in the incidence of Burnout Syndrome (BS) amongst these professionals. Objectives: Analysis of the correlation between BS in the healthcare professionals and the SARS-Cov-2 pandemic. Design and setting: Narrative literature review conducted by Centro Universitário de Mineiros, Campus Trindade. Methods: Articles selected from the PubMed and Scielo database between 2020 and 2021, with the descriptors “Burnout” AND “SARS-CoV-2”. 9 articles were analyzed. Results: The quantitative study carried out by the Jornal Brasileiro de Psiquiatria with 94 nursing technicians working in the SARS-CoV-2 pandemic indicated that 25% had BS (p ≤ 0.25). Another study carried out by the same magazine identified health problems as impaired mental health workers. The study was carried out with 123 professionals, using scores from the Self-Reporting Questionnaire, in which approximately 45% had a score compatible with BS (p <0.05). Amongst the causalities, the professionals’ lack of emotional preparation, extended shifts, limited resources, lack of access to updated information, disturbed sleep patterns, anxiety and depression stood out. The increase in these stressors during the pandemic exposed professionals to a greater risk of developing Burnout Conclusions: This study suggests a strong association between the SARSCov-2 pandemic and the development of BS among health professionals, emphasizing the importance of measures to minimize the impact on these professionals’ mental health.

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