Applicability of Lean Management in Nursing

Nurses also bring added advantages to the role of inclination of an orbit leader-an uncompromising commitment to enduring c atomic number 18 and the natural ability to view hospital yester through the electron lens of the forbearing. The second literature run away Management in Med/Surge By Barbara Mercer talks ab by the pros and cons of be given Management as Tracy Galilee, MBA, URN, has developed a professional and personal investment in the victory of the organization- one after tutorships argument facilitators. extend counseling principles are derived from the manufacturing industry, specifically from Toyota Motor Corporation, which espouses continuous improvement and heed for people. Sounds like a great idea to incorporate into healthcare, wouldnt you think? The be for Healthcare Improvement (III) agreed. The His 2005 White Paper Going extend in Healthcare was based on expert presentations from the HI Calls to Action Series.Among the experts was prank Toasting, MD, president and CEO at Teacher, who was integral to bringing ply solicitude to the organization. The white papers executive summary briefly explained the purpose and goals of go prudence as they would relate to healthcare The Institute for Healthcare Improvement believes that angle of dip principles underside be indeed, already are being successfully utilize to the deliin truth of health care. persist thinking begins with driving out abandon so that all work adds value and reverse the customers needs.For those unfamiliar with work guidance practices, Galilee did not take over as a dietetical counselor instead, she assisted nursing cater to cut the fat from perfunctory act upones that stand in the way of the most efficient practices and the best feasible outcomes for patients. Now the business unit manager of the med/surge unit, Galilee continues to assist ply in employing lean principles in a developing community of authorize problem-solvers. (2) The last literat ure to be reviewed is an article that spoke against the implementation of Lean ManagementDont Lean on Me, infirmary Workers Say by Alexandra Bradbury August 1 5, 2013. Part of the lean ethos is getting workers to participate in their own exploitation. Some hospitals offer nurses a pressurise of pay and status for championing a lean project. Hospitals are very a lot successful at co-opting natural leadership, Mencken said. What can the union do? offset printing is to educate members to see through managements hype-?what labor educator Charley Richardson called the tricks and traps designed to quieten you into believing you and management urinate the same concerns at heart.These include articulation brainstorming, win-win rhetoric, and trust exercises. One strategy is to try to get your people onto the lean team-?but they probably wont be picked, and its a slippery slope, Sheridan-Gonzalez said. Union members on Joint committees should treat every meeting as if it were a barg ain session, with two opposing sides. They can say, We dont accept your framing. We see this as a potential for harm, Mencken recommends. And the usual union tactics can be utilize against lean, too petitions, forms that document unsafe staffing, button/ sticker days, and marches on the boss to resist speed-up. 3) Study Population Nurses have served as leaders of 2 very successful Lean initiatives at the Robert Wood Johnson University Hospital ( brace). Founded in 1884, RUSH is a Magnet hospital that is the principal article of faith hospital of the University of Medicine and Dentistry of New Jerseys Robert Wood Johnson medical examination School. separately year Rushs 1300 physicians and 1500 nurses care for more than 200 000 patients. The first guinea pig study-OR Lean-details the Lean transformation of Rushs operating room (OR).The second case study describes the remodeling of Rushs emergency department (DEED) with Lean principles and practices. Monsoons et al,2012) While nu rses in Interiors Medical Center, New York and California Pacific Medical Center have iced out the disadvantages of Lean Management in their respective hospitals. Sources of info A firsthand source data was utilized in this study. Lean management as cited in journals, articles and blobs and are mostly Internet based were employ and ack todayledged.Some of these Journals and articles are From Toyota to the Bedside Nurses Can Lead the Lean Way in Health commission Reform by Joyce E. Johnson, Amy L. Smith and Kari A. Master (Nursing Administration Quarterly,September 2012 ,Volume 36 come up 3 ,Pages 234 242), Lean Management in Med/Surge By Barbara Mercer, and Lean Management Dont Lean on Me, Hospital Workers Say by Alexandra Bradbury August 1 5, 2013 among others. Data Analysis As stated in the researchs sources 2 data clearly evolved and both(prenominal) stating favor and opposition towards lean management.The 2 cases in RUSH that favor lean management has the following resul ts from their studies case study 1 OR LEAN The need for improved efficiency in OR scheduling has been although the number of Lean interventions in the OR reported in the literature is relatively small when compared with interventions in other hospital departments. most recently in 2011, Violence reported a 20% ontogeny in OR productivity and capacity n a Canadian hospital that adopted Lean methods.The electronic paperwork to discharge a patient is eight pages of clicks, said Betsy Prescott, a leader in the Massachusetts Nurses Association. despoil get spoken to if you miss one thing. well-nigh of these floors can have 15-19 discharges a day, she said. Mires not taking care of the patient, youre documenting. (Bradbury,2013 ) Standardization is a parole of lean management. Nurses at SST. Charles Medical Center in central operating room were Justly proud of their Rapid Response Team-?it had saved lives. But that didnt incumbrance the administration from announcing plans to end t he team.The rationale? Other hospitals dont have one. Most hospitals now use computers to set staffing. You enter the number of patients on the unit today, and the software package spits out how m whatsoever nurses and nursing assistants are needed. Employers claim they factor in the severity of patients conditions-?but Mortally none of them do, Burros said. (Bradbury,2013 ) Strengths and Weaknesses of the Study The strengths of this study can be summarized as the following lean management was applied to a advantageously known and prestigious hospital Robert Wood Johnson University Hospital (RUSH).Founded in 1884, RUSH is a Magnet hospital that is the principal teaching hospital of the University of Medicine and Dentistry of New Jerseys Robert Wood Johnson Medical School and with well documented evidences that lean management worked for them. Other credible articles as to the pertinency of lean management were also cited and gave a good argument to the bid that lean management c an work for the healthcare sector. So in terms of credibility, accurate accumulation and evidence based arguments both for and against lean management were well presented.On the other hand, it is very clear that the main impuissance of the study is its very limited scope and hence the uncertain coating as to whether lean management is applicable or not in nursing management. Conclusion It is very clear that the study has a very limited scope but we will summarize below both arguments for and against lean management in regards to its applicability in Nursing management. As shown in the results of the 2 case studies in order for lean management to succeed it must be Leadership is searing for successThe literature exclamatory the central role of committed leadership in the success of Lean work. According to Doss and Orr, leadership is an integral part of the Lean in operation(p) System, not an afterthought. The support of leaders, they suggest, can make the difference between foo tling attempts at implementing Lean-where the tools and techniques are evident, but the behaviors havent changed-and full transformational deployments where the entire organization embraces Lean from the bottom up and the top down. Monsoons et al,2012) Lean work is outlines work In their 2010 review, Macho and Litter emphasized that Lean work is a solely yester strategy that cannot be done piecemeal and that no single argent bullet solution, such as a new computer ashes or automated equipment, can achieve the same results. Systems thinking, the discipline of see wholes and inter- relationships, is certainly not new. As Sense suggested more than 20 old age ago, the systems perspective is badly needed in a world overwhelmed by rapid technological change, changing demographics, shifting borders, and increasing complexity. 5)(6) Monsoons et al,2012) Communication is critical to success From the outset of our Lean work, we knew that communication was the key to the horn-term and lo ng-term success of our work. As we had done with past quality improvement efforts, we regularly reminded the staff to keep the vision of the future state in mind because, as the anticipatory principle suggests, the image of the future is what guides the current behavior deep down an organization. Monsoon et al,2012) As for the argument of those who are against lean management, the following reasons are cited Lean management according to critics does not consider human factor for it stresses no downtime, Just in time staffing, emphasis on the use of engineering to monitor staffs performance, among others. Standardization is an emphasis of lean management that also go alarm bells among employees who do not yet have a holistic appreciation for lean. In lean, first you standardize, then you improve. Improving a non-standard process is like remodeling a house built on quicksand.It wont do you lots good in the long run. (Bait, 2010 ) If we continue to standardize work in hospitals witho ut accounting for the variety nurses and hospitals get from patients we will make things worse for patients, nurses, doctors and the bottom-line. The system needs to be redesigned almost the work by management, ruses, doctors and others working unitedly to improve the system. This all begins by management changing their thinking around the design and management of work. Once management understands by seeing the legal injury of their thinking in a normative way can original changes impact the work. Bait,2010 ) Now, to answer our query whether lean management is applicable or not in Nursing management, we say it is still remain to be seen. Learning from both sides of the argument of for or against lean, it is safe to conclude that lean management is applicable but not to all types of health care institution and setting. As much as success of lean management s well documented in the ROUGH, we have to remember this is a Magnet accredited hospital and employees are expected to get us ed to high standard work and compliance to a strong administrative leadership and management.Lean management is also about culture change and protection will be expected so those who oppose have some valid points in which management has to seriously consider. After all for any system or management to work, peoples satisfaction and cooperation should be addressed foremost and not to be ignored or taken for granted. Otherwise, what is the use of introducing a promising system such as lean management when in he process it will lead to dissatisfied and tired staff?