Magalhães ALP, Erdmann AL, Silva ELD, Santos JLGD. Lean thinking in health and nursing: an integrative literature review.
Rev Lat Am Enfermagem 2017;
24:e2734. [PMID:
27508906 PMCID:
PMC4990033 DOI:
10.1590/1518-8345.0979.2734]
[Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2015] [Accepted: 11/13/2015] [Indexed: 11/30/2022] Open
Abstract
Objectives:
to demonstrate the scientific knowledge developed on lean thinking in health,
highlighting the impact and contributions in health care and nursing.
Method:
an integrative literature review in the PubMed, CINAHL, Scopus, Web of Science,
Emerald, LILACS and SciELO electronic library databases, from 2006 to 2014, with
syntax keywords for each data base, in which 47 articles were selected for
analysis.
Results:
the categories were developed from the quality triad proposed by Donabedian:
structure, process and outcome. Lean thinking is on the rise in health surveys,
particularly internationally, especially in the USA and UK, improving the
structure, process and outcome of care and management actions. However, it is an
emerging theme in nursing.
Conclusion:
this study showed that the use of lean thinking in the context of health has a
transforming effect on care and organizational aspects, promoting advantages in
terms of quality, safety and efficiency of health care and nursing focused on the
patient.
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