Adapting and validating the EPLIT for assessing lean healthcare maturity in Brazilian hospitals

IF 4.7 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-07-22 DOI:10.1108/ijlss-10-2023-0166

Alice Sarantopoulos, Gabriela Spagnol, Maria Rosa Colombrini, Leticia Minatogawa, Vinicius Minatogawa, R. Gasparino, Li Li Min

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Abstract

Purpose This paper aims to evaluate the measurement properties of the Employee Perception to Assess the Lean Implementation Tool (EPLIT) in the Brazilian hospital context. Design/methodology/approach A cross-sectional study was conducted in two Brazilian hospitals, adhering to COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. Exploratory factor analysis (EFA) and Cronbach's alpha were used for construct validity and reliability. Findings The adapted tool comprises 27 items across five domains, explaining 63.3% of the variance. Cronbach's alpha ranged from 0.78 to 0.86, indicating satisfactory reliability. Research limitations/implications Limitations include convenience sampling and exclusive use of EFA for validation. Future studies may employ Confirmatory Factor Analysis for further validation. Practical implications The tool aids healthcare managers in Brazil to systematically evaluate Lean implementation, contributing to process optimization and quality improvement. Social implications Effective Lean implementation using the validated tool could lead to improved healthcare delivery and patient outcomes. Originality/value This is the first study to adapt and validate EPLIT for the Brazilian healthcare sector, offering a robust tool for managers and researchers.

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改编并验证 EPLIT，以评估巴西医院的精益医疗成熟度

目的本文旨在评估巴西医院环境下员工感知评估精益实施工具（EPLIT）的测量属性。设计/方法/途径在巴西两家医院开展了一项横断面研究，研究遵循了基于共识的健康测量工具选择标准（COSMIN）指南。探索性因子分析（EFA）和 Cronbach's alpha 被用于衡量结构效度和可靠性。研究结果改编后的工具包括五个领域的 27 个项目，解释了 63.3% 的方差。Cronbach's alpha 介于 0.78 至 0.86 之间，表明可靠性令人满意。研究局限性/意义局限性包括方便取样和仅使用 EFA 进行验证。该工具可帮助巴西的医疗管理人员系统地评估精益生产的实施情况，从而促进流程优化和质量改进。

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567

期刊介绍： ACS Applied Electronic Materials is an interdisciplinary journal publishing original research covering all aspects of electronic materials. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials science, engineering, optics, physics, and chemistry into important applications of electronic materials. Sample research topics that span the journal's scope are inorganic, organic, ionic and polymeric materials with properties that include conducting, semiconducting, superconducting, insulating, dielectric, magnetic, optoelectronic, piezoelectric, ferroelectric and thermoelectric. Indexed/Abstracted： Web of Science SCIE Scopus CAS INSPEC Portico

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