Impact of Lean Strategy Utilization Training program on Quality of Environmental and occupational safety. | ||||
Egyptian Journal of Health Care | ||||
Article 50, Volume 11, Issue 1, March 2020, Page 1236-1252 PDF (1.58 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhc.2020.257884 | ||||
View on SCiNiTO | ||||
Authors | ||||
Mayada Hassan Elzohairy1; Elham Youssef Elhanafy2; Wafaa Hassan Mostafa3 | ||||
1Lecturer of Nursing Administration Department, Faculty of Nursing, Damanhour University. | ||||
2Assistant Professor of Nursing Administration Department, Faculty of Nursing, Damanhour University. | ||||
3Lecturer of Nursing Administration Department, Faculty of Nursing, Damanhour University | ||||
Abstract | ||||
Background: There is a great concern about overlooking occupational, health and safety issues while lean implementation at the workplace due to its valuable effect on improving operational processes and reducing negative outcomes. The study aim: To determine the impact of a lean strategies utilization training program on quality of environmental and occupational safety. Research design: Quasi-experimental research design. Setting: The study was conducted at all El- Mansoura University Hospital inpatient (medical, surgical, and emergency) units. Subjects: All the head nurses (N=22), and all staff nurses (N=172) who were working in the previously mentioned units and who were available at the time of data collection. Tools: Three tools were used for data collection, Tool (1): Lean Knowledge Assessment Questionnaire. Tool (2): Environmental and Occupational Health and Safety Observation Checklist, and finally Tool (3): Value Stream Map (VSM). Results: There was a statistically significant relation between lean utilization training program and quality of environmental and occupational safety of staff nurses. There was a highly statistically significant difference between study subjects` knowledge regarding lean strategies at pre and post program. There was a highly significant negative correlation between total quality of environmental and occupational safety of staff nurses and total occupational hazards. Conclusion: There was an improvement in study subjects` knowledge regarding lean strategies post-program compared to pre- program. Also, there was a marked decrease in time and frequencies exposure to occupational hazards during medication administration post-program while, there was a marked increase in quality of care during medication administration post implementation of the program. Recommendations: Improve the organizational readiness for lean strategies implementation through: introduce lean approach in the healthcare settings plans as well as vision, and enhance leadership behaviors, abilities and commitment to lean principles and encourage staff contributions to continuous quality improvement. | ||||
Keywords | ||||
Lean strategy; Quality of care; Occupational safety; Environmental hazards; Value Stream Mapping | ||||
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