lnu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
A questionnaire measuring staff perceptions of Lean adoption in healthcare: development and psychometric testing
University of Gävle Sweden.ORCID iD: 0000-0003-2211-620X
University of Gävle Sweden.
University of Gävle Sweden.
University of Gävle Sweden;Uppsala University, Sweden;Lishui University, China.
2017 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 17, no 1, article id 235Article in journal (Refereed) Published
Abstract [en]

Background During the past decade, the concept of Lean has spread rapidly within the healthcare sector, but there is a lack of instruments that can measure staff’s perceptions of Lean adoption. Thus, the aim of the present study was to develop a questionnaire measuring Lean in healthcare, based on Liker’s description of Lean, by adapting an existing instrument developed for the service sector.

Methods A mixed-method design was used. Initially, items from the service sector instrument were categorized according to Liker’s 14 principles describing Lean within four domains: philosophy, processes, people and partners and problem-solving. Items were lacking for three of Liker’s principles and were therefore developed de novo. Think-aloud interviews were conducted with 12 healthcare staff from different professions to contextualize and examine the face validity of the questionnaire prototype. Thereafter, the adjusted questionnaire’s psychometric properties were assessed on the basis of a cross-sectional survey among 386 staff working in primary care.

Results The think-aloud interviews led to adjustments in the questionnaire to better suit a healthcare context, and the number of items was reduced. Confirmatory factor analysis of the adjusted questionnaire showed a generally acceptable correspondence with Liker’s description of Lean. Internal consistency, measured using Cronbach’s alpha, for the factors in Liker’s description of Lean was 0.60 for the factor people and partners, and over 0.70 for the three other factors. Test-retest reliability measured by the intra-class correlation coefficient ranged from 0.77 to 0.88 for the four factors.

Conclusions We designed a questionnaire capturing staff’s perceptions of Lean adoption in healthcare on the basis of Liker’s description. This Lean in Healthcare Questionnaire (LiHcQ) showed generally acceptable psychometric properties, which supports its usability for measuring Lean adoption in healthcare. We suggest that further research focus on verifying the usability of LiHcQ in other healthcare settings, and on adjusting the instrument if needed.

Place, publisher, year, edition, pages
BioMed Central, 2017. Vol. 17, no 1, article id 235
National Category
Medical and Health Sciences Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-112838DOI: 10.1186/s12913-017-2163-xOAI: oai:DiVA.org:lnu-112838DiVA, id: diva2:1657991
Available from: 2022-05-13 Created: 2022-05-13 Last updated: 2022-10-28Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full text

Authority records

Kaltenbrunner, Monica

Search in DiVA

By author/editor
Kaltenbrunner, Monica
In the same journal
BMC Health Services Research
Medical and Health SciencesNursing

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 57 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf