A qualitative analysis of Lean implementation in Brazilian surgical centres: a multiple-case study

2021 ◽  
Vol 18 (3/4) ◽  
pp. 168
Author(s):  
Paulo Renato De Sousa ◽  
Marcelo Werneck Barbosa ◽  
Gerson Tontini ◽  
Aloísio Rosado Filho ◽  
Maria Madalena Macedo Pires Ferreira
Keyword(s):  
Qualitative Analysis ◽  
Multiple Case Study ◽  
Lean Implementation ◽  
Multiple Case

A qualitative analysis of Lean implementation in Brazilian surgical centres: a multiple-case study

2021 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Maria Madalena Pereira ◽  
Paulo R. De Sousa ◽  
Aloisio Rosado Filho ◽  
Gerson Tontini ◽  
Marcelo Werneck Barbosa
Keyword(s):  
Qualitative Analysis ◽  
Multiple Case Study ◽  
Lean Implementation ◽  
Multiple Case

Evaluation of BPS and its Impact

2015 ◽  
pp. 242-357
Keyword(s):  
Qualitative Analysis ◽  
Case Studies ◽  
Research Method ◽  
Case Study Research ◽  
Multiple Case Study ◽  
Case Analysis ◽  
Study Research ◽  
Multiple Case ◽  
Cross Case Analysis

The goal of this chapter is a qualitative analysis of the research models and the hypotheses developed in Chapter 4. Firstly, the case study research method, for both single and multiple case study research, is introduced. Then, the four case studies conducted are presented in detail, including the respective case background, the BPS initiative, as well as reflections on the respective BPS value creation. Finally, a cross-case analysis is presented in which the authors discuss the cases against the background of the research models developed in Chapter 4 and corroborate, respectively falsify the research hypotheses.

scholarly journals How Can the Organizing Work Involved in the Joint Regulation of Lean Projects Promote an Enabling Organization and Occupational Health?

2018 ◽  
Vol 73 (1) ◽  
pp. 93-116
Author(s):  
Sébastien Bruère ◽  
Marie Bellemare ◽  
Sandrine Caroly
Keyword(s):  
Occupational Health ◽  
Empirical Study ◽  
Health Outcomes ◽  
Research Question ◽  
Multiple Case Study ◽  
Lean Implementation ◽  
Case Study Design ◽  
Individual Interviews ◽  
Multiple Case

The objective of this article is, through an empirical study, to further understanding of the actions and decisions taken in the context of Lean implementation projects carried out under joint regulation (Lévesque and Murray, 1998) agreements. We, therefore, attempt to identify factors that may facilitate the organizing work involved in joint regulation of Lean projects to allow workers to develop a broader range of health-minded work methods and habits. Our assumption is that factors which influence joint regulation, such as the union’s capacity for action, management’s attitude and the purpose of the change, also influence the occupational health outcomes of Lean projects. We believe that the organizing work involved in joint regulation (actions and decisions) has an impact on these factors and influences the occupational health outcomes. Our research question is therefore this: What are the actions and decisions involved in joint regulation of Lean implementation projects that lead to closer correspondence with enabling organization criteria? This empirical study was exploratory in nature and had a multiple case study design. Two cases of lean projects were documented through eight individual interviews and the collection of documents. The main results indicate that, while joint regulation appears essential in terms of meeting enabling organization criteria, it alone is insufficient to explain the health effects of Lean projects. All stakeholders need to define the project goals, modes of assessment and management rules, both cooperatively and transparently, and through their involvement in decisions regarding all processes.

scholarly journals System-wide lean implementation in health care: A multiple case study

2018 ◽  
Vol 31 (2) ◽  
pp. 60-73 ◽  
Author(s):  
Federica Centauri ◽  
Pamela Mazzocato ◽  
Stefano Villa ◽  
Marta Marsilio
Keyword(s):  
Health Care ◽  
Organizational Context ◽  
Multiple Case Study ◽  
Hospital System ◽  
Lean Implementation ◽  
Organizational Conditions ◽  
Effective System ◽  
Efficiency Performance ◽  
Multiple Case

Background Lean practices have been widely used by health care organizations to meet efficiency, performance and quality improvement needs. The lean health care literature shows that the effective implementation of lean requires a holistic system-wide approach. However, there is still limited evidence on what drives effective system-wide lean implementation in health care. The existing literature suggests that a deeper understanding of how lean interventions interact with the organizational context is necessary to identify the critical variables to successfully sustain system-wide lean strategies. Purpose and methodology: A multiple case study of three Italian hospitals is conducted with the aim to explore the organizational conditions that are relevant for an effective system-wide lean implementation. A conceptual framework, built on socio-technical system schemas, is used to guide data collection and analysis. Findings: The analysis points out the importance to support lean implementation with an integrated and coordinated strategy involving the social, technical, and external components of the overall hospital system.

Die Problematik der Implementierung von Kinästhetik in Einrichtungen der stationären Langzeitpflege – Eine Multiple Case-Study

Pflege ◽  
2020 ◽  
pp. 1-9
Author(s):  
Carola Maurer ◽  
Heidrun Gattinger ◽  
Hanna Mayer
Keyword(s):  
Multiple Case Study ◽  
Multiple Case

Zusammenfassung. Hintergrund: Einrichtungen der stationären Langzeitpflege investieren seit Jahren Ressourcen in die Entwicklung der Kinästhetikkompetenz der Pflegenden. Aus aktuellen Studien geht hervor, dass die Implementierung, bzw. die nachhaltige Förderung der Kinästhetikkompetenz problematisch ist, vertiefte Erkenntnisse zu den Ursachen fehlen jedoch. Fragestellung: Welche Hemmnisse verhindern eine nachhaltige Implementierung von Kinästhetik in Einrichtungen der stationären Langzeitpflege? Methode: Es wurde eine Multiple Case-Study in drei Einrichtungen der deutschsprachigen Schweiz durchgeführt. Aus leitfadengestützten Interviews und (fallbezogener) Literatur zum externen Kontext wurden in den Within-Case-Analysen die Daten induktiv verdichtet und diese Ergebnisse in der Cross-Case-Synthese miteinander verglichen und abstrahierend zusammengeführt. Ergebnisse: Die Synthese zeigt, dass die Implementierung von Kinästhetik innerhalb der Einrichtung auf drei verschiedenen Ebenen – der Leitungs-, Pflegeteam- und Pflegeperson-Ebene – als auch durch externe Faktoren negativ beeinflusst werden kann. Schlussfolgerungen: In der Pflegepraxis und -wissenschaft sowie im Gesundheitswesen benötigt es ein grundlegendes Verständnis von Kinästhetik und wie dieses im Kontext des professionellen Pflegehandelns einzuordnen ist. Insbesondere Leitungs- und implementierungsverantwortliche Personen müssen mögliche Hemmnisse kennen, um entsprechende Strategien entwickeln zu können.

Creating autonomous learners in the teaching of English as a second language (ESL) in Zimbabwean secondary schools : a reality or a myth?

2020 ◽  
Vol 1 (3) ◽  
pp. 103-132
Author(s):  
Rungamirai Matiure ◽  
Erick Nyoni
Keyword(s):  
Decision Making ◽  
Second Language ◽  
Multiple Case Study ◽  
Document Analysis ◽  
Learner Autonomy ◽  
Case Study Design ◽  
Midlands Province ◽  
Multiple Case ◽  
Comprehensive Framework

This study explored the utility of the learner autonomy concept in the Zimbabwean O Level English as a Second Language (ESL) classroom focusing on three Gweru urban high schools of the Midlands Province. The researchers intended to establish whether learner autonomy was a reality or just a myth in Zimbabwean classrooms. A qualitative multiple case study design was applied focusing on teaching strategies, availability of resources, challenges faced and ways of optimising it. Questionnaires and document analysis were used for data collection. The findings revealed that the concept did not manifest in explicit terms, the learners did not participate in decision making, and the teachers were not adequately prepared to administer autonomous processes with students. For it to be a reality, the Education Ministry is recommended to establish a comprehensive framework of how autonomous learning should be implemented. Teacher training should explicitly focus on how to develop autonomous learners. Teachers ought to be flexible enough to accommodate learners' contributions towards their learning.

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