10 research outputs found

    Human resource management, Lean processes and outcomes for employees: towards a research agenda

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    Lean management or lean thinking is a process improvement technique that along with Six Sigma is used in an increasing range of workplaces. This special issue focuses on the use of Lean in developed countries. This increased usage reflects a growing propensity for managers to launch initiatives to upgrade the efficiency and productivity of the enterprises that they manage, usually in an attempt to enhance the cost- effectiveness of operations. This special issue of the IJHRM includes eight articles in addition to this one on various aspects of the connections between lean management, human resource management (HRM) and outcomes for employees. The present article reviews the context for the increasing popularity of lean ideas among managers. Drawing on research in a range of countries, the articles in the special issue provide interesting insights into the relationships between process improvement innovations and HRM, as well as raise further important questions for research, which enable us to suggest an agenda for future research. This includes asking: what are the differences in the ways that Lean is implemented, for example the differences that may reflect industry, regional and national variables

    New development: 4P recommendations for implementing change, from research in hospitals

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    How are hospital staff involved in process improvement initiatives such as Lean? What can we learn from Lean implementation experiences about the sustainability of such initiatives? The authors considered such questions in a study of workplace change in Australia and Canada. They found that Lean is more likely to be sustained when leaders adopted the 4P recommendations presented in this article

    Implementing lean management/Six Sigma in hospitals: beyond empowerment or work intensification?

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    This article analyses a process improvement project based on Lean Six Sigma (LSS) techniques in the emergency department (ED) of a large Australian hospital. We consider perspectives of the clinical and managerial staff involved in the project implementation, its implications for empowerment and work intensification. We find that the project appeared to improve patient flow from the ED to the wards and to have positive implications for some staff. However, these achievements tended to be the result of senior staff using the project to leverage resources and create desirable outcomes, rather than the result of the use of LSS, in particular. We found some evidence of work intensification, but this was attributable to wider systemic issues and budget constraints, rather than being a direct consequence of the use of LSS. We argue that translating LSS from a manufacturing context into the politicised and professionalised context of healthcare changes the usual questions about empowerment or work intensification to questions about the influences of powerful stakeholders

    Engaging professionals in sustainable workplace innovation: Medical doctors and institutional Work

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    This paper investigates the role of medical professionals in the success and longevity of the implementation of workplace innovation and organizational change in the Accident and Emergency (A&E) Departments of two large public hospitals, in Australia and Canada, during the introduction of process improvement using Lean Management (LM) methodologies. We ask why and how doctors resist, influence or enable LM initiatives in healthcare. Using a qualitative methodology, we contribute to institutional work theory by unpacking the complex forms of boundary and practice work undertaken by key actors who effectively use their professional status and power to enable practice changes to be embedded. Our findings lend support to the importance of the involvement and ownership of senior doctors in the design, introduction and implementation of successful workplace innovation and organizational change. Senior doctors use their professional expertise, positional and political power at the industry, organization and workplace levels to influence strategically the use of resources designated for workplace innovation to improve efficiencies, quality of patient care and maintain their dominance. The significant organizational change achieved reflected the ownership and leadership of the workplace innovation by senior doctors in ‘hybrid roles’ who captured the rhetoric and minimized adversarialism among key stakeholders

    Process redesign for time-based emergency admission targets

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    Purpose: Hospitals have used process redesign to increase the efficiency of the emergency department (ED) to cope with increasing demand. While there are published studies suggesting a positive outcome, recent reviews have reported that it is difficult to conclude that these approaches are effective as a result of substandard research methodology. The purpose of this paper is to explore the perceptions of hospital staff on the impact of a process redesign initiative on quality of care. Design/methodology/approach: A retrospective qualitative case study examining a Lean Six Sigma (LSS) initiative in a large metropolitan hospital from 2009 to 2010. Non-probability sampling identified interview subjects who, through their participation in the redesign initiative, had a detailed understanding of the implementation and outcomes of the initiative. Between April 2012 and January 2013 26 in-depth semi-structured interviews were conducted and analysed with thematic content analysis. Findings: There were four important findings. First, when asked to comment on the impact of the LSS implementation, without prompting the staff spoke of quality of care. Second, there was little agreement among the participants as to whether the project had been successful. Third, despite the recognition of the need for a coordinated effort across the hospital to improve ED access, the redesign process was not successful in reducing existing divides among clinicians and among managers and clinicians. Finally, staff expressed tension between production processes to move patients more quickly and their duty of care to their patients as individuals. Originality/value: One of the first studies to explore the impact of process redesign through in-depth interviews with participating staff, this study adds further evidence that organisation implementing process redesign must ensure the supporting management practices are in place

    Introduction : Losing the Plot - Tangling with Narrative Complexity

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    What is narrative? The question lies at the heart of narrative approaches to research. The simplicity of the common response to this question, however, ‘a story with a beginning, a middle and an end’, with its implied coherence, veils significant tensions and ambiguities. This special edition brings together a range of papers from a recent conference that explored some of the uncertainty around the role of coherence in narrative and narrative research. The conference ‘Losing the Plot – Tangling with Narrative Complexity,’ held in Melbourne, in July, 2010 was inspired by a recent publication, Beyond Narrative Coherence (Hyvarinen, Hyden, Saarenheimo and Tamboukou, 2010). This present collection of papers is a response to these questions and ideas from an Australian perspective and it represents a range of disciplinary backgrounds including media and communication, creative writing and psychosocial studies

    Introduction : Losing the Plot - Tangling with Narrative Complexity

    Get PDF
    What is narrative? The question lies at the heart of narrative approaches to research. The simplicity of the common response to this question, however, ‘a story with a beginning, a middle and an end’, with its implied coherence, veils significant tensions and ambiguities. This special edition brings together a range of papers from a recent conference that explored some of the uncertainty around the role of coherence in narrative and narrative research. The conference ‘Losing the Plot – Tangling with Narrative Complexity,’ held in Melbourne, in July, 2010 was inspired by a recent publication, Beyond Narrative Coherence (Hyvarinen, Hyden, Saarenheimo and Tamboukou, 2010). This present collection of papers is a response to these questions and ideas from an Australian perspective and it represents a range of disciplinary backgrounds including media and communication, creative writing and psychosocial studies

    Current Narratives 3 : Contents

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    Table of contents for Current Narratives, issue 3, 2011
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