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The social benefits of kaizen initiatives in healthcare: an empirical study

Thomas Bortolotti, Stefania Boscari, Pamela Danese, Hebert Alonso Medina Suni, Nicholas Rich Orcid Logo, Pietro Romano

International Journal of Operations & Production Management, Volume: 38, Issue: 2, Pages: 554 - 578

Swansea University Author: Nicholas Rich Orcid Logo

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DOI (Published version): 10.1108/IJOPM-02-2017-0085

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AbstractPurpose – This paper aims to identify the most influential determinants of employees’ problem-solving capabilities and attitude towards kaizen initiatives in healthcare and clarify how determinants are related with these two social outcomes. Design/methodology/approach – Drawing on the input...

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Published in: International Journal of Operations & Production Management
ISSN: 0144-3577
Published: Emerald 2018
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URI: https://cronfa.swan.ac.uk/Record/cronfa37400
first_indexed 2017-12-12T13:49:50Z
last_indexed 2023-01-11T14:12:46Z
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spelling 2022-12-20T15:01:07.1648511 v2 37400 2017-12-11 The social benefits of kaizen initiatives in healthcare: an empirical study 272a3165694c25efa85725e514ebbcd3 0000-0003-0216-2807 Nicholas Rich Nicholas Rich true false 2017-12-11 CBAE AbstractPurpose – This paper aims to identify the most influential determinants of employees’ problem-solving capabilities and attitude towards kaizen initiatives in healthcare and clarify how determinants are related with these two social outcomes. Design/methodology/approach – Drawing on the input-process-outcome framework applied to kaizen initiatives, we distinguished determinants into input and process factors, and developed hypotheses on the direct effect of input and process factors on social outcomes, and the indirect effect of input factors on social outcomes through process factors. The hypotheses were tested through multiple regressions using data from 105 kaizen initiatives in two hospitals.Findings – Among the 14 determinants investigated, goal clarity, team autonomy, management support, goal difficulty and affective commitment to change are the most influential determinants of kaizen capabilities and/or employees’ attitude. Additionally, we found that goal clarity, goal difficulty, team autonomy and management support influence social outcomes directly and/or indirectly through affective commitment to change, internal processes and/or action orientation. Practical implications – Results guide healthcare practitioners in understanding how to set-up focused actions levering on specific determinants to positively influence social outcomes.Originality – This study provides an original contribution to the literature on kaizen initiatives in healthcare by empirically testing a comprehensive model of the relationship between kaizen initiatives determinants and social outcomes. Unlike previous studies, mostly anecdotal and focused on one or few determinants, this research adopted a holistic view by investigating the effect of a wide set of determinants on social outcomes through a systematic and quantitative approach. Journal Article International Journal of Operations & Production Management 38 2 554 578 Emerald 0144-3577 Keywords – Kaizen, Social outcomes, Healthcare, Survey, Lean 31 12 2018 2018-12-31 10.1108/IJOPM-02-2017-0085 COLLEGE NANME Management School COLLEGE CODE CBAE Swansea University 2022-12-20T15:01:07.1648511 2017-12-11T09:35:08.5891280 Faculty of Humanities and Social Sciences School of Management - Business Management Thomas Bortolotti 1 Stefania Boscari 2 Pamela Danese 3 Hebert Alonso Medina Suni 4 Nicholas Rich 0000-0003-0216-2807 5 Pietro Romano 6 0037400-13022018120807.pdf InternationalJournalofOperationsandProductionManagement-IJOPM-02-2017-0085.R3.pdf 2018-02-13T12:08:07.4400000 Output 822968 application/pdf Accepted Manuscript true 2018-02-13T00:00:00.0000000 true eng
title The social benefits of kaizen initiatives in healthcare: an empirical study
spellingShingle The social benefits of kaizen initiatives in healthcare: an empirical study
Nicholas Rich
title_short The social benefits of kaizen initiatives in healthcare: an empirical study
title_full The social benefits of kaizen initiatives in healthcare: an empirical study
title_fullStr The social benefits of kaizen initiatives in healthcare: an empirical study
title_full_unstemmed The social benefits of kaizen initiatives in healthcare: an empirical study
title_sort The social benefits of kaizen initiatives in healthcare: an empirical study
author_id_str_mv 272a3165694c25efa85725e514ebbcd3
author_id_fullname_str_mv 272a3165694c25efa85725e514ebbcd3_***_Nicholas Rich
author Nicholas Rich
author2 Thomas Bortolotti
Stefania Boscari
Pamela Danese
Hebert Alonso Medina Suni
Nicholas Rich
Pietro Romano
format Journal article
container_title International Journal of Operations & Production Management
container_volume 38
container_issue 2
container_start_page 554
publishDate 2018
institution Swansea University
issn 0144-3577
doi_str_mv 10.1108/IJOPM-02-2017-0085
publisher Emerald
college_str Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str School of Management - Business Management{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}School of Management - Business Management
document_store_str 1
active_str 0
description AbstractPurpose – This paper aims to identify the most influential determinants of employees’ problem-solving capabilities and attitude towards kaizen initiatives in healthcare and clarify how determinants are related with these two social outcomes. Design/methodology/approach – Drawing on the input-process-outcome framework applied to kaizen initiatives, we distinguished determinants into input and process factors, and developed hypotheses on the direct effect of input and process factors on social outcomes, and the indirect effect of input factors on social outcomes through process factors. The hypotheses were tested through multiple regressions using data from 105 kaizen initiatives in two hospitals.Findings – Among the 14 determinants investigated, goal clarity, team autonomy, management support, goal difficulty and affective commitment to change are the most influential determinants of kaizen capabilities and/or employees’ attitude. Additionally, we found that goal clarity, goal difficulty, team autonomy and management support influence social outcomes directly and/or indirectly through affective commitment to change, internal processes and/or action orientation. Practical implications – Results guide healthcare practitioners in understanding how to set-up focused actions levering on specific determinants to positively influence social outcomes.Originality – This study provides an original contribution to the literature on kaizen initiatives in healthcare by empirically testing a comprehensive model of the relationship between kaizen initiatives determinants and social outcomes. Unlike previous studies, mostly anecdotal and focused on one or few determinants, this research adopted a holistic view by investigating the effect of a wide set of determinants on social outcomes through a systematic and quantitative approach.
published_date 2018-12-31T07:19:36Z
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score 11.048149

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