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Nurses’ use of visual management in hospitals - a longitudinal, quantitative study on its implications on systems performance and working conditions
KTH Royal Institute of Technology, Sweden.ORCID iD: 0000-0001-5879-2280
2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 4, p. 760-771Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to examine potential benefits provided by dailyvisual management tool use and explore its association with systems performanceand working conditions among hospital nurses.Background: Visual management tools used in everyday work and improvementwork in health care theoretically contribute to shared understanding of complexwork systems and provide certain user benefits. Cognitive load, miscommunicationwithin and between professional groups, and pressure to engage in care processredesign add to nurses’ strained working conditions.Design: Quantitative longitudinal.Methods: Questionnaires were distributed at T0, (N = 948, 66% response rate), T1(N = 900, 70% response rate), and T2 (N = 621, 72% response rate) to nurses atfive hospitals. Three groups of users (daily users, start users, and non‐daily users)were compared by means T1–T2 (significance tested with Wilcoxon signed ranktest) and by mixed model repeated measures T0, T1, T2.Results: Daily use associated to better overview of work, collaboration, social capital,and clinical engagement. Job resources were rated higher by daily users. Mentalstress increased and development opportunities decreased over time among nondailyusers. There were associations between use and perceptions of systems performance,though the differences between groups were small.Conclusion: This study specifically explores visual management tool use in the hospitalsetting, which contributes to research by broadening the understanding of cognitive,social, and emotional benefits provided by visual management tool use. Dailyuse was associated to positive working conditions, small but positive differences insystems performance, and indicated a buffering effect on nurses’ mental stress.

Place, publisher, year, edition, pages
2019. Vol. 75, no 4, p. 760-771
Keywords [en]
care process redesign, cognitive load, longitudinal, nurses, quantitative, visual management tools, working conditions
National Category
Engineering and Technology
Identifiers
URN: urn:nbn:se:ri:diva-61107DOI: 10.1111/jan.13855OAI: oai:DiVA.org:ri-61107DiVA, id: diva2:1705320
Available from: 2022-10-21 Created: 2022-10-21 Last updated: 2023-04-27Bibliographically approved

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Williamsson, Anna

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