Sijm-Eeken Marieke, Greif Annick, Peute Linda, Jaspers Monique
Department of Medical Informatics, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
Amsterdam UMC Center for Sustainable Healthcare, Postbus 22660, 1100 DD Amsterdam, The Netherlands.
Nurs Rep. 2024 Oct 9;14(4):2877-2895. doi: 10.3390/nursrep14040210.
The healthcare sector significantly contributes to environmental degradation, highlighting the need for sustainable practices. Green Lean Six Sigma (GLSS) offers a relevant and impactful approach to reduce healthcare's environmental footprint while improving efficiency. By incorporating environmental considerations into Lean Six Sigma, GLSS has the potential to mitigate healthcare's environmental impact and promote environmental sustainability. This study aims to gain insight into healthcare professionals' experiences with GLSS at their workplace. : This qualitative exploratory study employed semi-structured surveys based on theory of training evaluation from Kirkpatrick with Dutch healthcare professionals in the first six to eight months after completing GLSS training. Even though 76% ( = 16) of trained healthcare professionals applied GLSS at their workplace and 43% of them ( = 9) completed a project within the first six to eight months after training, they all experienced one or more barriers. The most frequently reported barriers were lack of time, difficulties with project selection and a lack of management support. GLSS project results included reduction of products, energy, costs and travel, green choices in procurement and sustainable food choices. GLSS also helped to create awareness on the environmental impact of healthcare and to optimize processes by reducing costs, waiting time, workload and defects. : This is the first study to report experiences from applying GLSS in healthcare. Furthermore, it is the first study presenting GLSS training evaluation results in terms of participant behaviour and organizational outcomes. : Results of this study can be used to enhance GLSS deployment programs and to optimize organizational settings for successful GLSS implementation in healthcare.
医疗保健部门对环境退化有重大影响，凸显了可持续发展实践的必要性。绿色精益六西格玛（GLSS）提供了一种相关且有效的方法，既能减少医疗保健行业的环境足迹，又能提高效率。通过将环境因素纳入精益六西格玛，GLSS有潜力减轻医疗保健行业的环境影响，促进环境可持续性。本研究旨在深入了解医疗保健专业人员在工作场所应用GLSS的经验。：这项定性探索性研究在完成GLSS培训后的头六至八个月，对荷兰医疗保健专业人员采用了基于柯克帕特里克培训评估理论的半结构化调查。尽管76%（n = 16）接受培训的医疗保健专业人员在工作场所应用了GLSS，其中43%（n = 9）在培训后的头六至八个月内完成了一个项目，但他们都遇到了一个或多个障碍。最常报告的障碍是时间不足、项目选择困难和缺乏管理支持。GLSS项目成果包括减少产品、能源、成本和出行，采购中的绿色选择以及可持续食品选择。GLSS还有助于提高对医疗保健环境影响的认识，并通过降低成本、等待时间、工作量和缺陷来优化流程。：这是第一项报告在医疗保健领域应用GLSS经验的研究。此外，这是第一项从参与者行为和组织成果方面展示GLSS培训评估结果的研究。：本研究结果可用于加强GLSS部署计划，并优化组织环境，以在医疗保健领域成功实施GLSS。
