The impact of lean management on frontline healthcare professionals: a scoping review of the literature

Zeyad Mahmoud (), Nathalie Angelé-Halgand (), Kate Churruca, Louise Ellis and Jeffrey Braithwaite
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Zeyad Mahmoud: Macquarie University [Sydney], LEMNA - Laboratoire d'économie et de management de Nantes Atlantique - IEMN-IAE Nantes - Institut d'Économie et de Management de Nantes - Institut d'Administration des Entreprises - Nantes - UN - Université de Nantes
Nathalie Angelé-Halgand: LARJE - Laboratoire de Recherches Juridique et Economique - UNC - Université de la Nouvelle-Calédonie
Kate Churruca: Macquarie University [Sydney]
Louise Ellis: Macquarie University [Sydney]
Jeffrey Braithwaite: Macquarie University [Sydney]

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Abstract: Background: Lean management practices are increasingly used in hospitals. However, their impacts on staff have not been systematically synthesised. This scoping review aims to synthesise the evidence on the effects of Lean Management practices on frontline healthcare professionals. Methods: A search was conducted in February 2020 on multiple databases to identify relevant sources. Studies had to satisfy the following inclusion criteria to be considered: published in English or French, peer-reviewed, empirical, studied the use of Lean in a healthcare setting and focused on its impacts on frontline workers. The studies included were heterogeneous in terms of participants. Findings were coded and classified using a thematic analysis. The quality and methodological rigour of the reviewed articles were assessed to establish a level of confidence in their findings. Results: Of 998 identified articles, 17 were included in the review. The findings were coded into four themes: (1) Morale, motivation and job satisfaction (n = 9, 2) work intensification, job strain, anxiety, stress and dehumanisation (n = 7, 3) teamwork, communication and coordination (n = 6); and (4) learning, innovation and personal development (n = 3). Overall, the articles reported positive (n = 11), negative (n = 3) and mixed (n = 3) impacts of Lean on frontline healthcare professionals. Conclusion: This review is the first to synthesise and highlight the gaps in the existing literature examining the impacts of Lean on frontline health professionals. The review revealed a range of both positive, negative and mixed effects, and points to the need for more empirical research to identify the underlying reasons leading to these outcomes.

Keywords: Lean management Health care Staff outcomes Healthcare professionals Literature review; Lean management; Health care; Staff outcomes; Healthcare professionals; Literature review (search for similar items in EconPapers)
Date: 2021-04-26
Note: View the original document on HAL open archive server: https://hal.science/hal-04256078v1
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Published in BMC Health Services Research, 2021, 21 (1), pp.383. ⟨10.1186/s12913-021-06344-0⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04256078

DOI: 10.1186/s12913-021-06344-0

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