Effect of Lean Leadership Training Program on Head Nurses’ Performance and Quality of Nurses’ Work-Life

Samia Mahmoud Yassen, Reem Mabrouk Abd El Rahman, Wafaa Hassan Mostafa
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Abstract

Background: The highly competitive climate in which healthcare organizations operate today necessitates flexibility, knowledge acquisition, technology adoption, and process improvement in order to introduce new services, reduce costs, and respond to market developments. Thus, healthcare organizations have needed to implement lean practices in order to improve leadership effectiveness and provide high quality and efficiency of services provided. Aim: The study aimed to determine the effect of lean leadership training program on head nurses’ performance and quality of nurses’ work-life at Hamdy El-Tabakh General Hospital. Design: Quasi-experimental, one group (pre/ post-test) research design was used. Setting: The study was carried out in all in-patient units (medical and surgical); ICU and emergency units at Hamdy El-Tabakh General Hospital. Subjects: Two groups of subjects were included; (a) All head nurses and their assistants (n=20), (b) All staff nurses (n=200). Tools: Three tools were used for data collection; head nurses’ lean performance observation checklist, quality of nursing work-life questionnaire and lean leadership knowledge questionnaire. Results: There was a highly statistical significant difference between lean leadership training program and head nurses’ performance. Also, there was a highly statistical significant difference between lean leadership training program and quality of nurses’ work life. Conclusion: There were highly positive statistical significant correlations between lean leadership performance dimensions and quality of nursing work-life dimensions at before, immediately after and after three months from lean leadership training program implementation. Recommendations: Apply in-service training programs and workshops to implant a culture of lean leadership and lean management, among hospital administrators and unit manager.
精益领导力培训项目对护士长绩效和护士工作生活质量的影响
背景:当今,医疗保健机构在激烈的竞争环境中运营,需要灵活应变、获取知识、采用技术和改进流程,以便推出新服务、降低成本和应对市场发展。因此,医疗机构需要实施精益实践,以提高领导力,提供高质量、高效率的服务。目的:本研究旨在确定精益领导力培训计划对 Hamdy El-Tabakh 综合医院护士长绩效和护士工作生活质量的影响。设计:采用准实验、一组(前/后测试)研究设计。研究环境:研究在 Hamdy El-Tabakh 综合医院的所有住院部(内科和外科)、重症监护室和急诊室进行。研究对象:包括两组研究对象:(a) 所有护士长及其助理(人数=20),(b) 所有护士(人数=200)。工具:使用三种工具收集数据:护士长精益绩效观察核对表、护理工作-生活质量问卷和精益领导力知识问卷。结果精益领导力培训计划与护士长绩效之间的差异具有高度统计学意义。此外,精益领导力培训计划与护士工作生活质量之间的差异也具有高度统计学意义。结论在精益领导力培训计划实施前、实施后和实施三个月后,精益领导力绩效维度与护士工作生活质量维度之间存在极具统计学意义的正相关。建议在医院管理人员和科室经理中开展在职培训计划和研讨会,植入精益领导和精益管理文化。
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