Leadership Behaviors During Lean Healthcare Implementation: A Review and Longitudinal Study

Guilherme Tortorella*, Desirée H. van Dun, Amanda Gundes de Almeida

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose: The purpose of this paper is to examine leadership behaviors associated with lean healthcare (LH) implementation and how they develop throughout the change process.

Design/methodology/approach: After a systematic literature review of 107 peer-reviewed articles on lean leaders’ behaviors, the authors undertook a one-year mixed-methods study of 12 leaders within a Brazilian public hospital undergoing LH implementation. Multivariate data analysis techniques were employed.

Findings: The literature review showed some convergence between effective lean leader behaviors in both manufacturing and healthcare work settings, implying that lean leaders’ behaviors are generalizable to other contexts than manufacturing. The empirical findings suggest that LH implementation needs leaders to demonstrate a set of task-oriented behaviors, especially if short-term results are mandatory. More mature lean leaders should also continue developing their relations-oriented behaviors.

Research limitations/implications: While the contingency theory assumes that contexts influence (lean) practices adoption, leadership behaviors may not be bound to the work context. The finding resembles the augmentation effect of leadership whereby more mature lean leaders adopt both task- and relations-oriented behaviors.

Originality/value: Longitudinal studies in this field are scarce, regardless of the industrial setting. Many manufacturing and healthcare organizations crave for knowledge about lean leader behaviors throughout the lean implementation journey in order to enhance the effectiveness of their often-struggling lean initiatives. The insights derived from this study could help organizations to adjust their expectations as well as identify behavioral gaps and needs in terms of soft skills development among their leaders.

Original languageEnglish
Number of pages23
JournalJournal of manufacturing technology management
Early online date2019
DOIs
Publication statusE-pub ahead of print/First online - 2019

Fingerprint

Healthcare
Longitudinal study
Leadership behavior
Manufacturing
Literature review
Soft skills
Change process
Skill development
Design methodology
Peers
Contingency theory
Manufacturing organizations
Augmentation
Health care organization
Public hospitals
Mixed methods

Keywords

  • UT-Hybrid-D
  • Leadership
  • Lean manufacturing
  • Methods

Cite this

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title = "Leadership Behaviors During Lean Healthcare Implementation: A Review and Longitudinal Study",
abstract = "Purpose: The purpose of this paper is to examine leadership behaviors associated with lean healthcare (LH) implementation and how they develop throughout the change process.Design/methodology/approach: After a systematic literature review of 107 peer-reviewed articles on lean leaders’ behaviors, the authors undertook a one-year mixed-methods study of 12 leaders within a Brazilian public hospital undergoing LH implementation. Multivariate data analysis techniques were employed.Findings: The literature review showed some convergence between effective lean leader behaviors in both manufacturing and healthcare work settings, implying that lean leaders’ behaviors are generalizable to other contexts than manufacturing. The empirical findings suggest that LH implementation needs leaders to demonstrate a set of task-oriented behaviors, especially if short-term results are mandatory. More mature lean leaders should also continue developing their relations-oriented behaviors.Research limitations/implications: While the contingency theory assumes that contexts influence (lean) practices adoption, leadership behaviors may not be bound to the work context. The finding resembles the augmentation effect of leadership whereby more mature lean leaders adopt both task- and relations-oriented behaviors.Originality/value: Longitudinal studies in this field are scarce, regardless of the industrial setting. Many manufacturing and healthcare organizations crave for knowledge about lean leader behaviors throughout the lean implementation journey in order to enhance the effectiveness of their often-struggling lean initiatives. The insights derived from this study could help organizations to adjust their expectations as well as identify behavioral gaps and needs in terms of soft skills development among their leaders.",
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Leadership Behaviors During Lean Healthcare Implementation : A Review and Longitudinal Study. / Tortorella, Guilherme; van Dun, Desirée H.; Gundes de Almeida, Amanda.

In: Journal of manufacturing technology management, 2019.

Research output: Contribution to journalArticleAcademicpeer-review

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