Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study

Aims: To compare job satisfaction among emergency department staff before and after the implementation of Lean Thinking and to explore staff experiences regarding this methodology, identifying associated satisfaction factors. Background: Lean Thinking, originally developed in the automotive industry...

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Autores: Pastor-Puigdomènech, Andrea, Sánchez Sánchez, Miguel, Font Cabrera, Cristina, Fabrellas i Padrès, Núria, Benito-Aracil, Llúcia, Guix Comellas, Eva Maria
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:dnet:recercat____::983ad51767700a7dcf55bcc5203c5f9a
Acceso en línea:https://hdl.handle.net/2445/229582
Access Level:acceso abierto
Palabra clave:Infermeria d&apos
urgència
Satisfacció en el treball
Emergency nursing
Job satisfaction
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spelling Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed StudyPastor-Puigdomènech, AndreaSánchez Sánchez, MiguelFont Cabrera, CristinaFabrellas i Padrès, NúriaBenito-Aracil, LlúciaGuix Comellas, Eva MariaInfermeria d&aposurgènciaSatisfacció en el treballEmergency nursingJob satisfactionAims: To compare job satisfaction among emergency department staff before and after the implementation of Lean Thinking and to explore staff experiences regarding this methodology, identifying associated satisfaction factors. Background: Lean Thinking, originally developed in the automotive industry, is increasingly applied in healthcare to optimise processes and improve patient care. Staff engagement and perceptions are key determinants of successful implementation. Methods: A mixed-methods pre–post design was conducted. The Font-Roja job satisfaction questionnaire was administered preintervention and 1 year postimplementation, and semistructured interviews were conducted with emergency department staff. Results: Overall job satisfaction increased (3.31–3.43; p = 0.029), with significant improvements in job monotony (3.30–3.64; p = 0.038) and physical work setting (3.31–3.75; p = 0.007). Qualitative analysis revealed ten subthemes including improved organisation and teamwork, a more methodical workflow, the need for adaptation, and concerns about potential dehumanisation. Conclusion: Lean Thinking increased job satisfaction in the emergency department, favouring structured work and better interprofessional communication. The professionals supported its continuity and highlighted the need for follow-up meetings and constant improvements.John Wiley & Sons2026202620262026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion15 p.application/pdfhttps://hdl.handle.net/2445/229582Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1155/jonm/2158539Journal of Nursing Management, 2026https://doi.org/10.1155/jonm/2158539cc-by (c) Pastor-Puigdomènech, Andrea et al., 2026https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dnet:recercat____::983ad51767700a7dcf55bcc5203c5f9a2026-05-29T05:05:01Z
dc.title.none.fl_str_mv Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study
title Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study
spellingShingle Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study
Pastor-Puigdomènech, Andrea
Infermeria d&apos
urgència
Satisfacció en el treball
Emergency nursing
Job satisfaction
title_short Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study
title_full Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study
title_fullStr Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study
title_full_unstemmed Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study
title_sort Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study
dc.creator.none.fl_str_mv Pastor-Puigdomènech, Andrea
Sánchez Sánchez, Miguel
Font Cabrera, Cristina
Fabrellas i Padrès, Núria
Benito-Aracil, Llúcia
Guix Comellas, Eva Maria
author Pastor-Puigdomènech, Andrea
author_facet Pastor-Puigdomènech, Andrea
Sánchez Sánchez, Miguel
Font Cabrera, Cristina
Fabrellas i Padrès, Núria
Benito-Aracil, Llúcia
Guix Comellas, Eva Maria
author_role author
author2 Sánchez Sánchez, Miguel
Font Cabrera, Cristina
Fabrellas i Padrès, Núria
Benito-Aracil, Llúcia
Guix Comellas, Eva Maria
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Infermeria d&apos
urgència
Satisfacció en el treball
Emergency nursing
Job satisfaction
topic Infermeria d&apos
urgència
Satisfacció en el treball
Emergency nursing
Job satisfaction
description Aims: To compare job satisfaction among emergency department staff before and after the implementation of Lean Thinking and to explore staff experiences regarding this methodology, identifying associated satisfaction factors. Background: Lean Thinking, originally developed in the automotive industry, is increasingly applied in healthcare to optimise processes and improve patient care. Staff engagement and perceptions are key determinants of successful implementation. Methods: A mixed-methods pre–post design was conducted. The Font-Roja job satisfaction questionnaire was administered preintervention and 1 year postimplementation, and semistructured interviews were conducted with emergency department staff. Results: Overall job satisfaction increased (3.31–3.43; p = 0.029), with significant improvements in job monotony (3.30–3.64; p = 0.038) and physical work setting (3.31–3.75; p = 0.007). Qualitative analysis revealed ten subthemes including improved organisation and teamwork, a more methodical workflow, the need for adaptation, and concerns about potential dehumanisation. Conclusion: Lean Thinking increased job satisfaction in the emergency department, favouring structured work and better interprofessional communication. The professionals supported its continuity and highlighted the need for follow-up meetings and constant improvements.
publishDate 2026
dc.date.none.fl_str_mv 2026
2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/229582
url https://hdl.handle.net/2445/229582
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1155/jonm/2158539
Journal of Nursing Management, 2026
https://doi.org/10.1155/jonm/2158539
dc.rights.none.fl_str_mv cc-by (c) Pastor-Puigdomènech, Andrea et al., 2026
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Pastor-Puigdomènech, Andrea et al., 2026
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 15 p.
application/pdf
dc.publisher.none.fl_str_mv John Wiley & Sons
publisher.none.fl_str_mv John Wiley & Sons
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria Fonamental i Clínica)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812455

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