Construction and validation of an instrument for evaluating Lean Healthcare in healthcare institutions.

Q3 Nursing

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2024-02-12 eCollection Date: 2024-01-01 DOI:10.1590/1983-1447.2024.20230061.en

Hellen Maria de Lima Graf Fernandes, Dirceu da Silva, Rosana Ribeiro Tarifa, Edinêis de Brito Guirardello

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引用次数: 0

Abstract

Objective: To build and validate an instrument to evaluate Lean Healthcare in healthcare institutions.

Method: Methodological study conducted in three stages: 1) Instrument construction; 2) Content validity using the Delphi technique with 14 experts; and 3) Construct validation using Structural Equation Modeling with sample consisted of 113 professionals with experience in Lean Healthcare. Data collection carried out from October/2020 to January/2021 using a digital form. Data analysis performed with the SmartPLS2.0/M3 software.

Results: Items were developed after an integrative review and divided into the dimensions Structure, Process and Outcome, according to Donabedian's theoretical framework. Content validation in two rounds of the Delphi technique. Final instrument, after model adjustment, containing 16 items with Cronbach's alpha of 0.77 in Structure, 0.71 in Process and 0.83 in Outcome.

Conclusion: The instrument presented evidence of validity and reliability, enabling its use in healthcare institutions to evaluate Lean Healthcare.

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构建并验证医疗机构精益医疗评估工具。

目的建立并验证医疗机构精益医疗评估工具：方法：分三个阶段进行研究：1）构建工具；2）使用德尔菲技术与 14 位专家进行内容效度验证；3）使用结构方程模型进行结构验证，样本包括 113 位具有精益医疗经验的专业人士。数据收集时间为 2020 年 10 月至 2021 年 1 月，采用数字形式。使用 SmartPLS2.0/M3 软件进行数据分析：根据唐纳贝迪安的理论框架，在综合审查后制定了项目，并将其分为结构、过程和结果三个维度。通过两轮德尔菲技术进行内容验证。经过模型调整后，最终工具包含 16 个项目，结构的 Cronbach's alpha 为 0.77，过程的 Cronbach's alpha 为 0.71，结果的 Cronbach's alpha 为 0.83：该工具具有有效性和可靠性，可用于医疗机构的精益医疗评估。

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来源期刊

Revista gaucha de enfermagem / EENFUFRGS Medicine-Medicine (all)

CiteScore

1.70

自引率

0.00%

发文量

118

审稿时长

16 weeks

期刊介绍： A Escola de Enfermagem da Universidade Federal do Rio Grande do Sul edita e publica a Revista Gaúcha de Enfermagem para divulgar a produção científica da Enfermagem e áreas afins. Foi criada em 1976 e atualmente tem periodicidade trimestral.

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