การใช้แนวคิดลีนในการพัฒนาคุณภาพบริการพยาบาล : กรณีศึกษาโรงพยาบาลตติยภูมิ / วัชนาภา ชาติมนตรี = Lean concept utilization in nursing service quality improvement : a case study of tertiary hospital / Watchanapa Chartmontree
The objectives of this qualitative research by case study approach was to describe the lean concept utilization in nursing service quality improvement. The hospital in this research was 1/5 of pilot hospitals participating in Demonstration Project for Lean Application in Health Industry. Informants were purposive selected, including 1) Dean of Quality Improvement Division. 2) Nursing Group. 3) Coordinator Group, total 18 persons. The data collection was conducted by the method of in-depth interviews that were tape recorded in combination with field notes, and result of this research was classified into 3 phases, as follows:
Phase 1: Starting the project, the quality improvement in this phase was summarized as follows: 1) Inducement from Thailand Productivity Institute. 2) Notified public relation policy throughout the organization. 3) Considered the problem, benefit and participation. And 4) Actual training.
Phase 2: Operation phase for leaning concept utilization in nursing service quality improvement was continuously operated in succeeding from phase 1 were summarized as follows: 1) Established Lean Committee for teaching. 2) Stimulated desire for continuous action from the success. 3) Applied lean concept for use in nursing service was classified into 5 processes as follows 3.1) Jointly thought about the problem. 3.2) Viewed it as the value. 3.3) Continuous operation and seamless. 3.4) Immediate respond upon required and 3.5) Continuous improvement for processes development. 4) Visited and surveyed to activate improvement. 5) Arranged stage to demonstrate work achievement, meeting and discussion. 6) Assessed, followed up improvement. And 7) Continuous learning and improvement.
Phase 3: Results of lean concept utilization in nursing service quality improvement in tertiary hospital were: 1) Quality treatment for the patient. 2) Clients feel satisfied, happy teamwork. 3) Activated creative idea for innovation. 4) Opportunities for continuous research. And 5) Actual action from surrounding factors.
