The contribution of leaders' and managers' attributes, values, principles, and behaviours to the sustainable implementation of Lean in healthcare: A realist review protocol [version 1; peer review: 2 approved]
Background Global healthcare faces challenges such as rising costs, budget constraints, aging populations, chronic diseases, and increasing patient expectations. Healthcare organisations are deploying continuous improvement methodologies to address these challenges. Lean, derived from the Toyota Pro...
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F1000 Research Ltd
2024-08-01
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| Online Access: | https://hrbopenresearch.org/articles/7-54/v1 |
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| author | Seán Paul Teeling Anne Marie Keown Martin McNamara |
| author_facet | Seán Paul Teeling Anne Marie Keown Martin McNamara |
| author_sort | Seán Paul Teeling |
| collection | DOAJ |
| description | Background Global healthcare faces challenges such as rising costs, budget constraints, aging populations, chronic diseases, and increasing patient expectations. Healthcare organisations are deploying continuous improvement methodologies to address these challenges. Lean, derived from the Toyota Production System, focuses on eliminating non-value-adding activity and enhancing efficiency, making it a prominent quality improvement approach in healthcare. Effective implementation of Lean requires robust leadership to sustain improvements and foster a culture of continuous improvement. However, the attributes, values, principles, and behaviours of effective Lean leaders in healthcare remain underexplored. Methods This realist review protocol details methods to research how leaders' and managers' attributes, values, principles, and behaviours contribute to the sustainable implementation of Lean in healthcare. Following the RAMESES guidelines, a five-stage structured methodology will be used: defining the scope of the review and developing initial theories, developing the search strategy, reviewing primary studies and extracting data, synthesising evidence and developing conclusions, refining theory iteratively, and disseminating findings. An Expert Panel and reference groups of healthcare managers and leaders will refine candidate programme theories (CPTs) into initial programme theories (IPTs), guiding detailed evidence searches and data extraction. Conclusion This realist review will deepen our understanding of the specific mechanisms by which leadership impacts Lean implementation outcomes in the context of acute hospitals. By exploring how leadership attributes, values, principles and behaviours shape outcomes for diverse stakeholders, the review aims to provide critical insights into the dynamics driving the success of Lean in healthcare. The findings will inform policy and practice, enhancing leadership strategies to improve patient and staff experiences, patient outcomes, and organizational performance. |
| format | Article |
| id | doaj-art-3907f13de2014709a70423f930b5c47b |
| institution | Kabale University |
| issn | 2515-4826 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | F1000 Research Ltd |
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| series | HRB Open Research |
| spelling | doaj-art-3907f13de2014709a70423f930b5c47b2025-02-01T01:00:01ZengF1000 Research LtdHRB Open Research2515-48262024-08-01715288The contribution of leaders' and managers' attributes, values, principles, and behaviours to the sustainable implementation of Lean in healthcare: A realist review protocol [version 1; peer review: 2 approved]Seán Paul Teeling0https://orcid.org/0000-0002-4102-7280Anne Marie Keown1Martin McNamara2https://orcid.org/0000-0001-7257-9654UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, D04 V1W8, IrelandUCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, D04 V1W8, IrelandUCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, D04 V1W8, IrelandBackground Global healthcare faces challenges such as rising costs, budget constraints, aging populations, chronic diseases, and increasing patient expectations. Healthcare organisations are deploying continuous improvement methodologies to address these challenges. Lean, derived from the Toyota Production System, focuses on eliminating non-value-adding activity and enhancing efficiency, making it a prominent quality improvement approach in healthcare. Effective implementation of Lean requires robust leadership to sustain improvements and foster a culture of continuous improvement. However, the attributes, values, principles, and behaviours of effective Lean leaders in healthcare remain underexplored. Methods This realist review protocol details methods to research how leaders' and managers' attributes, values, principles, and behaviours contribute to the sustainable implementation of Lean in healthcare. Following the RAMESES guidelines, a five-stage structured methodology will be used: defining the scope of the review and developing initial theories, developing the search strategy, reviewing primary studies and extracting data, synthesising evidence and developing conclusions, refining theory iteratively, and disseminating findings. An Expert Panel and reference groups of healthcare managers and leaders will refine candidate programme theories (CPTs) into initial programme theories (IPTs), guiding detailed evidence searches and data extraction. Conclusion This realist review will deepen our understanding of the specific mechanisms by which leadership impacts Lean implementation outcomes in the context of acute hospitals. By exploring how leadership attributes, values, principles and behaviours shape outcomes for diverse stakeholders, the review aims to provide critical insights into the dynamics driving the success of Lean in healthcare. The findings will inform policy and practice, enhancing leadership strategies to improve patient and staff experiences, patient outcomes, and organizational performance.https://hrbopenresearch.org/articles/7-54/v1Realist Review Protocol Leadership Lean Improvement Healthcare.eng |
| spellingShingle | Seán Paul Teeling Anne Marie Keown Martin McNamara The contribution of leaders' and managers' attributes, values, principles, and behaviours to the sustainable implementation of Lean in healthcare: A realist review protocol [version 1; peer review: 2 approved] HRB Open Research Realist Review Protocol Leadership Lean Improvement Healthcare. eng |
| title | The contribution of leaders' and managers' attributes, values, principles, and behaviours to the sustainable implementation of Lean in healthcare: A realist review protocol [version 1; peer review: 2 approved] |
| title_full | The contribution of leaders' and managers' attributes, values, principles, and behaviours to the sustainable implementation of Lean in healthcare: A realist review protocol [version 1; peer review: 2 approved] |
| title_fullStr | The contribution of leaders' and managers' attributes, values, principles, and behaviours to the sustainable implementation of Lean in healthcare: A realist review protocol [version 1; peer review: 2 approved] |
| title_full_unstemmed | The contribution of leaders' and managers' attributes, values, principles, and behaviours to the sustainable implementation of Lean in healthcare: A realist review protocol [version 1; peer review: 2 approved] |
| title_short | The contribution of leaders' and managers' attributes, values, principles, and behaviours to the sustainable implementation of Lean in healthcare: A realist review protocol [version 1; peer review: 2 approved] |
| title_sort | contribution of leaders and managers attributes values principles and behaviours to the sustainable implementation of lean in healthcare a realist review protocol version 1 peer review 2 approved |
| topic | Realist Review Protocol Leadership Lean Improvement Healthcare. eng |
| url | https://hrbopenresearch.org/articles/7-54/v1 |
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