Jinan Central Hospital Affiliated to Shandong University, Jinan, China.
Shandong University, Jinan, China.
Leadersh Health Serv (Bradf Engl). 2020 Jul 23;33(4):325-337. doi: 10.1108/LHS-12-2019-0085.
The purpose of this paper is to explore the importance of lean leadership in an implementation in a Chinese hospital, considering a particular focus on the attitudes of nursing professionals while identifying specific cultural or institutional factors in China that might affect the implementation.
DESIGN/METHODOLOGY/APPROACH: The authors use Harrison 's (2016) framework to explore the outcomes of a nine-month action research project whereby the authors observed the process and outcomes of implementing lean in a pharmacy intravenous admixture service of a Chinese hospital.
The implementation of lean had positive results, which improved the efficiency of the operation, reduced the work start time and the amount of staff, and improved clinical satisfaction. In the process of implementation, nursing professionals showed a positive attitude toward the implementation and showed no obvious resistance under the positive influence of the head nurse. The combination of Chinese cultural characteristics, nursing culture and strong leadership enabled lean success.
ORIGINALITY/VALUE: The unit moved from self-management to a systemized process of using lean concepts and methods, it is an important change for hospital managers.
本文旨在探讨精益领导力在一家中国医院实施中的重要性，特别关注护理专业人员的态度，并确定中国可能影响实施的具体文化或制度因素。
设计/方法/途径：作者使用哈里森（2016 年）的框架来探讨为期九个月的行动研究项目的结果，作者观察了在中国一家医院的药房静脉输液混合服务中实施精益的过程和结果。
精益的实施产生了积极的结果，提高了运营效率，减少了工作启动时间和员工数量，提高了临床满意度。在实施过程中，护理专业人员对实施表现出积极的态度，在护士长的积极影响下，没有表现出明显的抵触情绪。中国文化特点、护理文化和强有力的领导相结合，使精益取得了成功。
原创性/价值：该单位从自我管理转变为系统地使用精益概念和方法的过程，这对医院管理者来说是一个重要的变革。
