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A ImplementaĆ§Ć£o 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 extensĆ£o da evidĆŖncia cientĆfica referente ao papel dos enfermeiros gestores na implementaĆ§Ć£o do lean thinking na Ć”rea da saĆŗde.
IntroduĆ§Ć£o- Com a crescente pressĆ£o sobre o setor da saĆŗde para melhorar a eficiĆŖncia aliado Ć escassez de recursos, o lean thinking tornou-se uma abordagem popular nas Ćŗltimas dĆ©cadas, que promete eliminar desperdĆcios e criar valor. O enfermeiro gestor Ć© o profissional ideal para conduzir uma transformaĆ§Ć£o lean, uma vez que Ć© uma referĆŖncia para a melhoria contĆnua da qualidade da prestaĆ§Ć£o de cuidados de saĆŗde nas organizaƧƵes.
CritĆ©rios de inclusĆ£o- Foram incluĆdos estudos primĆ”rios, mas tambĆ©m qualquer tipo de fonte de evidĆŖncia que responda ao objetivo de estudo na lĆngua portuguesa, inglesa e espanhola. NĆ£o foram impostas restriƧƵes temporais ou geogrĆ”ficas.
MĆ©todos- Scoping Review, de acordo com as orientaƧƵes 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 referĆŖncias dos documentos aceites para inclusĆ£o, e pesquisa manual de literatura cinzenta. Outras bases de dados utilizadas incluĆram: Academic Search Complete, Business Source Complete, MedicLatina, Scopus e Web of Science.
Resultados- Foram incluĆdos oito estudos. Os enfermeiros gestores implementaram o lean thinking maioritariamente atravĆ©s do uso de ferramentas lean. Em cinco dos estudos incluĆdos os enfermeiros gestores tiveram uma experiĆŖncia positiva ao implementar o lean thinking, enquanto nos restantes estudos foram verificadas tensƵes durante a implementaĆ§Ć£o desta metodologia.
ConclusƵes- As evidĆŖncias confirmaram a escassez de estudos acerca da implementaĆ§Ć£o do lean thinking pelos enfermeiros gestores, bem como estudos que abordem as suas experiĆŖncias e opiniƵes relativamente Ć temĆ”tica. Esta revisĆ£o constitui uma base de evidĆŖncia para o desenvolvimento de mais estudos primĆ”rios nesta Ć”rea.
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.
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Keywords
Lean Enfermeiro gestor SaĆŗde