健康与护理中的精益思维：一项综合文献综述。
Lean thinking in health and nursing: an integrative literature review.
作者信息
Magalhães Aline Lima Pestana, Erdmann Alacoque Lorenzini, Silva Elza Lima da, Santos José Luís Guedes Dos
机构信息
PhD, Adjunct Professor, Departamento de Enfermagem, Universidade do Estado de Santa Catarina, Chapecó, SC, Brazil.
PhD, Full Professor, Departamento de Enfermagem, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
出版信息
Rev Lat Am Enfermagem. 2016 Aug 8;24:e2734. doi: 10.1590/1518-8345.0979.2734.
OBJECTIVES
to demonstrate the scientific knowledge developed on lean thinking in health, highlighting the impact and contributions in health care and nursing.
METHOD
an integrative literature review in the PubMed, CINAHL, Scopus, Web of Science, Emerald, LILACS and SciELO electronic library databases, from 2006 to 2014, with syntax keywords for each data base, in which 47 articles were selected for analysis.
RESULTS
the categories were developed from the quality triad proposed by Donabedian: structure, process and outcome. Lean thinking is on the rise in health surveys, particularly internationally, especially in the USA and UK, improving the structure, process and outcome of care and management actions. However, it is an emerging theme in nursing.
CONCLUSION
this study showed that the use of lean thinking in the context of health has a transforming effect on care and organizational aspects, promoting advantages in terms of quality, safety and efficiency of health care and nursing focused on the patient.
目的
展示在医疗领域基于精益思维所发展出的科学知识，突出其在医疗保健和护理方面的影响及贡献。
方法
于2006年至2014年期间，在PubMed、CINAHL、Scopus、Web of Science、Emerald、LILACS和SciELO电子图书馆数据库中进行综合文献回顾，针对每个数据库使用句法关键词，从中选取47篇文章进行分析。
结果
这些类别是根据唐纳贝迪安提出的质量三元组发展而来的：结构、过程和结果。精益思维在医疗调查中呈上升趋势，尤其是在国际上，特别是在美国和英国，改善了护理和管理行动的结构、过程及结果。然而，它在护理领域是一个新兴主题。
结论
本研究表明，在医疗背景下运用精益思维对护理和组织层面具有变革作用，在以患者为中心的医疗保健和护理的质量、安全及效率方面带来优势。
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