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A Implementação do Lean Thinking pelos Enfermeiros Gestores: Uma Scoping Review
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Abstract(s)
Objetivo- Este estudo teve como objetivo mapear a natureza e extensão da evidência científica referente ao papel dos enfermeiros gestores na implementação do lean thinking na área da saúde.
Introdução- Com a crescente pressão sobre o setor da saúde para melhorar a eficiência aliado à escassez de recursos, o lean thinking tornou-se uma abordagem popular nas últimas décadas, que promete eliminar desperdícios e criar valor. O enfermeiro gestor é o profissional ideal para conduzir uma transformação lean, uma vez que é uma referência para a melhoria contínua da qualidade da prestação de cuidados de saúde nas organizações.
Critérios de inclusão- Foram incluídos estudos primários, mas também qualquer tipo de fonte de evidência que responda ao objetivo de estudo na língua portuguesa, inglesa e espanhola. Não foram impostas restrições temporais ou geográficas.
Métodos- Scoping Review, de acordo com as orientações do Instituto Joanna Briggs (2020) e do PRISMA-ScR. Foi realizada uma pesquisa inicial nas bases de dados MEDLINE e CINAHL, seguida de pesquisa manual nas listas de referências dos documentos aceites para inclusão, e pesquisa manual de literatura cinzenta. Outras bases de dados utilizadas incluíram: Academic Search Complete, Business Source Complete, MedicLatina, Scopus e Web of Science.
Resultados- Foram incluídos oito estudos. Os enfermeiros gestores implementaram o lean thinking maioritariamente através do uso de ferramentas lean. Em cinco dos estudos incluídos os enfermeiros gestores tiveram uma experiência positiva ao implementar o lean thinking, enquanto nos restantes estudos foram verificadas tensões durante a implementação desta metodologia.
Conclusões- As evidências confirmaram a escassez de estudos acerca da implementação do lean thinking pelos enfermeiros gestores, bem como estudos que abordem as suas experiências e opiniões relativamente à temática. Esta revisão constitui uma base de evidência para o desenvolvimento de mais estudos primários nesta área.
Objective- This study aimed to map the nature and extent of scientific evidence regarding the role of nurse managers in the implementation of lean thinking in healthcare. Introduction- With increasing pressure on the healthcare sector to improve efficiency with fewer resources, lean thinking has become a popular approach over the past few decades promising to eliminate waste and create value. The nurse manager is the ideal professional to lead a lean transformation since he is a reference for the continuous improvement of the quality of health care in organizations. Inclusion criteria- Primary studies were included, but also any type of evidence source that responds to the objective of the study in Portuguese, English and Spanish. No time or geographic restrictions were imposed. Methods- Scoping Review, according with the guidelines of the Joanna Briggs Institute (2020) and PRISMA-ScR. An initial search was conducted in databases including MEDLINE and CINAHL, followed by a manual search of the reference lists from the documents accepted for inclusion, and a hand search of gray literature. Other databases used included: Academic Search Complete, Business Source Complete, MedicLatina, Scopus and Web of Science. Results- Eight studies were included. Nurse managers implemented lean thinking through lean tools. In five of the studies included, nurse managers had a positive experience with implementing lean thinking, while in the remaining studies tensions were verified during the implementation of this methodology. Conclusions- The evidence confirms that there are still few studies about the implementation of lean thinking by manager nurses, as well as studies that address their experiences and opinions regarding the subject. This review constitutes an evidence base for the development of more primary studies in this area.
Objective- This study aimed to map the nature and extent of scientific evidence regarding the role of nurse managers in the implementation of lean thinking in healthcare. Introduction- With increasing pressure on the healthcare sector to improve efficiency with fewer resources, lean thinking has become a popular approach over the past few decades promising to eliminate waste and create value. The nurse manager is the ideal professional to lead a lean transformation since he is a reference for the continuous improvement of the quality of health care in organizations. Inclusion criteria- Primary studies were included, but also any type of evidence source that responds to the objective of the study in Portuguese, English and Spanish. No time or geographic restrictions were imposed. Methods- Scoping Review, according with the guidelines of the Joanna Briggs Institute (2020) and PRISMA-ScR. An initial search was conducted in databases including MEDLINE and CINAHL, followed by a manual search of the reference lists from the documents accepted for inclusion, and a hand search of gray literature. Other databases used included: Academic Search Complete, Business Source Complete, MedicLatina, Scopus and Web of Science. Results- Eight studies were included. Nurse managers implemented lean thinking through lean tools. In five of the studies included, nurse managers had a positive experience with implementing lean thinking, while in the remaining studies tensions were verified during the implementation of this methodology. Conclusions- The evidence confirms that there are still few studies about the implementation of lean thinking by manager nurses, as well as studies that address their experiences and opinions regarding the subject. This review constitutes an evidence base for the development of more primary studies in this area.
Description
Keywords
Lean Enfermeiro gestor Saúde