Leaders’ behavioural change throughout a hospital’s lean implementation

Amanda G. de Almeida, Guilherme L. Tortorella, Desirée H. van Dun

Research output: Contribution to conferencePaper


This article empirically examines the relationship between leadership behaviours and the implementation level of Lean Healthcare (LH). At three points in time, with a six-month interval between each point, we surveyed and interviewed 12 leaders from a Brazilian public hospital adopting LH. Our findings indicate that leaders who actively adopt LH practices also demonstrate more task- and relations-oriented behaviours, whereas low LH adopters may drop their display of those behaviours over time. This finding parallels with Kübler-Ross’s change curve that describes how an individual’s confidence, morale and effectiveness levels may vary as a change process, such as LH implementation, unfolds.
Original languageEnglish
Number of pages10
Publication statusPublished - 17 Jun 2019
Event26th EurOMA Conference: Operations Adding Value to Society - Hanken School of Economics, Helsinki, Finland
Duration: 17 Jun 201919 Jun 2019
Conference number: 26


Conference26th EurOMA Conference
Abbreviated titleEurOMA 2019
Internet address

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    de Almeida, A. G., Tortorella, G. L., & van Dun, D. H. (2019). Leaders’ behavioural change throughout a hospital’s lean implementation. Paper presented at 26th EurOMA Conference, Helsinki, Finland.