Knapp Susan
School of Business, Kaplan University, Fort Lauderdale, Florida, United States.
Int J Health Care Qual Assur. 2015;28(8):855-63. doi: 10.1108/IJHCQA-06-2015-0079.
The purpose of this paper is to examine the relationship between four organizational cultural types defined by the Competing Values Framework and three Lean Six Sigma implementation components - management involvement, use of Lean Six Sigma methods and Lean Six Sigma infrastructure.
DESIGN/METHODOLOGY/APPROACH: The study involved surveying 446 human resource and quality managers from 223 hospitals located in Maine, New Hampshire, Vermont, Massachusetts and Rhode Island using the Organizational Culture Assessment Instrument. Findings - In total, 104 completed responses were received and analyzed using multivariate analysis of variance. Follow-up analysis of variances showed management support was significant, F(3, 100)=4.89, p < 0.01, η2=1.28; infrastructure was not significant, F(3, 100)=1.55, p=0.21, η2=0.05; and using Lean Six Sigma methods was also not significant, F(3, 100)=1.34, p=0.26, η2=0.04. Post hoc analysis identified group and development cultures having significant interactions with management support.
The relationship between organizational culture and Lean Six Sigma in hospitals provides information on how specific cultural characteristics impact the Lean Six Sigma initiative key components. This information assists hospital staff who are considering implementing quality initiatives by providing an understanding of what cultural values correspond to effective Lean Six Sigma implementation.
ORIGINALITY/VALUE: Managers understanding the quality initiative cultural underpinnings, are attentive to the culture-shared values and norm's influence can utilize strategies to better implement Lean Six Sigma.
本文旨在探讨由竞争价值观框架定义的四种组织文化类型与精益六西格玛实施的三个组成部分——管理层参与、精益六西格玛方法的使用以及精益六西格玛基础设施之间的关系。
设计/方法/途径:该研究通过使用组织文化评估工具,对位于缅因州、新罕布什尔州、佛蒙特州、马萨诸塞州和罗德岛的223家医院的446名人力资源和质量经理进行了调查。研究结果——总共收到104份完整回复,并使用多变量方差分析进行了分析。方差的后续分析表明,管理层支持具有显著性,F(3, 100)=4.89,p<0.01,η2=1.28;基础设施不具有显著性,F(3, 100)=1.55,p=0.21,η2=0.05;使用精益六西格玛方法也不具有显著性,F(3, 100)=1.34,p=0.26,η2=0.04。事后分析确定了群体文化和发展文化与管理层支持之间存在显著交互作用。
医院中组织文化与精益六西格玛之间的关系提供了关于特定文化特征如何影响精益六西格玛举措关键组成部分的信息。这些信息有助于考虑实施质量举措的医院工作人员理解哪些文化价值观与有效的精益六西格玛实施相对应。
原创性/价值:理解质量举措文化基础、关注文化共享价值观和规范影响的管理者可以利用策略更好地实施精益六西格玛。