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Lean implementation at different levels in Swedish hospitals: the importance for working conditions and stress
KTH Royal Institute of Technology, Sweden; University of Borås, Sweden.
KTH Royal Institute of Technology, Sweden.ORCID iD: 0000-0001-5879-2280
KTH Royal Institute of Technology, Sweden.
Vanderbuilt University, USA.
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2015 (English)In: International Journal of Human Factors and Ergonomics, Vol. 3, no 3-4, p. 235-253Article in journal (Refereed) Published
Abstract [en]

Healthcare organisations in Sweden are reorienting toward horizontal organisation around care processes. This paper’s aim was to investigate how implementation approaches for improvements of care processes in line with lean production (LP), at hospital strategic and operative levels, are associated with working conditions and stress-related health among the employees. Five hospitals working with improvements to care processes were studied using questionnaires to employees (n = 1,303) and interviews at strategic and operative levels at baseline and follow-up. The process redesign implementation strategies varied between the strategic and operative levels. There were associations between a higher degree of LP at operative level and increased work resources and decreased work demands. Physical, cognitive and mental stress-related symptoms were only weakly associated with strategic or operative LP initiatives. There was evidence of more beneficial or improved working conditions in relation to higher degree of LP at operative levels.

Place, publisher, year, edition, pages
2015. Vol. 3, no 3-4, p. 235-253
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Engineering and Technology
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URN: urn:nbn:se:ri:diva-61097DOI: 10.1504/IJHFE.2015.073001OAI: oai:DiVA.org:ri-61097DiVA, id: diva2:1705328
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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