Dataset Information

Role of lean leadership in the lean maturity-second-order problem-solving relationship: a mixed methods study.

ABSTRACT:

Objectives

To investigate the relationship between lean adoption and problem-solving behaviour in nursing teams, and to explore the practices of lean leaders on nursing wards to reveal how they can stimulate second-order problem-solving within their teams.

Design

A mixed-methods retrospective multiple case study using semistructured interviews. Interview data were used to assess the level of lean maturity (based on a customised validated instrument) and the level of second-order problem-solving (based on scenarios). Within-case and cross-case analyses were employed to identify lean leadership practices.

Setting

14 nursing teams, with different levels of lean maturity, in a Dutch hospital.

Participants

Three members of each nursing team were interviewed: the team leader, one nurse from the ward's core team for the lean-based quality improvement programme and one nurse outside the core team.

Interventions

The nursing teams were in various phases of a lean-based quality improvement programme: 'The Productive Ward - Releasing Time to Care'.

Results

A strongly significant positive relationship between lean maturity and second-order problem-solving was found: ?=0.68, R²=0.46, p<0.001. Further, the results indicated a potential strengthening effect of lean leadership on this relationship. Seven lean leadership practices emerged from the data collected in a nursing ward setting: (1) convincing and setting an example; (2) unlocking individual and team potential; (3) solving problems systematically; (4) enthusing, actively participating and visualising; (5) developing self-managing teams; (6) sensing, as orchestrator, what is needed for change; and (7) listening, sharing information and appreciating. These practices have a strong link with transformational leadership.

Conclusions

As lean matures, nursing teams reach a higher level of second-order problem-solving. In later stages, lean leaders increasingly relinquish responsibility by developing self-managing teams.

SUBMITTER: Bijl A

PROVIDER: S-EPMC6561417 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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Publications

Role of lean leadership in the lean maturity-second-order problem-solving relationship: a mixed methods study.

Bijl Arie A Ahaus Kees K Ruël Gwenny G Gemmel Paul P Meijboom Bert B

BMJ open 20190603 6

<h4>Objectives</h4>To investigate the relationship between lean adoption and problem-solving behaviour in nursing teams, and to explore the practices of lean leaders on nursing wards to reveal how they can stimulate second-order problem-solving within their teams.<h4>Design</h4>A mixed-methods retrospective multiple case study using semistructured interviews. Interview data were used to assess the level of lean maturity (based on a customised validated instrument) and the level of second-order p ...[more]

PMID: 31164365

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Dataset Information

Role of lean leadership in the lean maturity-second-order problem-solving relationship: a mixed methods study.

Objectives

Design

Setting

Participants

Interventions

Results

Conclusions

Publications

Role of lean leadership in the lean maturity-second-order problem-solving relationship: a mixed methods study.

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