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dc.rights.licenseCreative Commons Attribution (CC-BY) 3.0 license
dc.contributor.authorTeeling, Sean Paulen
dc.contributor.authorDewing, Janen
dc.contributor.authorBaldie, Deborahen
dc.date.accessioned2020-05-22T08:03:27Z
dc.date.available2020-05-22T08:03:27Z
dc.date.issued2020-04-13
dc.identifierhttps://eresearch.qmu.ac.uk/bitstream/handle/20.500.12289/10600/10600.pdf
dc.identifier.citationTeeling, S. P., Dewing, J. & Baldie, D. (2020) A discussion of the synergy and divergence between Lean Six Sigma and person-centred improvement sciences. International Journal of Research in Nursing, 11, pp. 10-23.en
dc.identifier.issn1949-0194en
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/10600
dc.identifier.urihttps://doi.org/10.3844/ijrnsp.2020.10.23
dc.description.abstractBackground: This paper discusses if and how the improvement sciences of Lean Six Sigma and person-centred approaches can be melded or blended in the health care context. The discussion highlights the relationship between each approach to improvement science in terms of their respective purposes, intentions and probable outcomes; positioning these as either synergies or divergences. Comparison of the key theoretical and methodological principles underpinning each approach to improvement is also considered and implications for future practice, policy and research are drawn out. The discussion is informed by part of the findings of a realist review of relevant literature.en
dc.description.abstractConclusions: Lean Six Sigma as a process improvement methodology appeals to a wide range of stakeholders in healthcare internationally. Four key synergies and three key divergences between Lean Six Sigma and person-centred approaches were found. The discussion here highlights the need for further research into Lean Six Sigma implementation and its possible contribution to developing person-centred cultures.
dc.description.abstractImpact: Adoption of Lean Six Sigma in health care by stakeholder groups, external to nursing, has been taking place. At the same time there has been a loss of Lean’s original intention of respect for people in favour of a technical efficiency focus on reducing waste and variation. Our findings of four key synergies and three key divergences between both approaches indicate where synergies can be maximised and divergence narrowed to improve implementation and enhance methodological coherence. Researchers, policy makers and practitioners should be aware that use of Lean Six Sigma alone may have a limited impact on developing personcentred care and culture. Use of Lean combined with person-centred approaches may appeal to a wider range of stakeholders. Yet, their combined use and effectiveness has not as yet been evaluated.
dc.description.sponsorshipThis paper was supported by Queen Margaret University Edinburgh and University College Dublinen
dc.description.urihttps://doi.org/10.3844/ijrnsp.2020.10.23en
dc.format.extent10-23en
dc.language.isoenen
dc.publisherScience Publicationsen
dc.relation.ispartofInternational Journal of Research in Nursingen
dc.rights© 2020 Seán Paul Teeling, Jan Dewing and Deborah Baldie.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectLean
dc.subjectLean Six Sigma
dc.subjectProcess Improvement
dc.subjectPersonhood
dc.subjectPerson-Centred Care
dc.subjectPerson-Centred Cultures
dc.subjectSix Sigma
dc.subjectKaizen
dc.titleA discussion of the synergy and divergence between Lean Six Sigma and person-centred improvement sciencesen
dc.typeArticleen
dcterms.accessRightspublic
dcterms.dateAccepted2020-04-09
dc.description.volume11en
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2020-04-13
refterms.dateFCD2020-05-22
refterms.depositExceptionpublishedGoldOAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorDewing, Janen
qmu.authorBaldie, Deborahen
qmu.centreCentre for Person-centred Practise Researchen
dc.description.statuspub
refterms.versionVoRen
refterms.dateDeposit2020-05-22


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