Universität zu Köln

Dittmer, Kerstin ORCID: 0000-0003-3390-1377, Hower, Kira Isabel, Beckmann, Marina ORCID: 0000-0002-9826-3575, Karbach, Ute ORCID: 0000-0003-3479-9474 and Pfaff, Holger ORCID: 0000-0001-9154-6575 (2021). A qualitative study of the adoption of Value Stream Mapping in breast cancer centers. Eur. J. Oncol. Nurs., 54. OXFORD: ELSEVIER SCI LTD. ISSN 1532-2122

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Abstract

Purpose: In order to design a patient-centered discharge process, the entire process is visualized in Value Stream Mapping. The duration of the process steps and waiting times are measured and presented. As a team, health professionals discuss problems and agree on suitable solutions. Methods: After applying Value Stream Mapping, we conducted eight interviews in 2018, four with physicians and four with breast care nurses. We used the Consolidated Framework for Implementation Research to develop the interview guide and to identify categories for content analysis. To identify the differences in attitude and experience between the occupational groups, we conducted a framework analysis. Results: Each team of health professionals developed action steps to optimize the discharge process. Obstacles became apparent in the implementation of these action steps. The lack of adequate staff and complex structures were identified as the main factors. These hierarchical structures also prevented a patient-centered discharge process independent of patient-centered care by health professionals. Self-efficacy varied more among breast care nurses than physicians. The group of physicians perceives standardization in the discharge process critically and therefore assumes limitations in transferring Value Stream Mapping to hospitals. The breast care nurses were open in their attitude. Financial incentives contribute to the acceptance of the method. Conclusion: Value Stream Mapping is a simple way to uncover waste and develop applicable action steps. Since the implementation of the action steps was hindered by hierarchical problems and a lack of resources, management involvement and a hospital-wide approach could be beneficial.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Dittmer, Kerstin UNSPECIFIED orcid.org/0000-0003-3390-1377 UNSPECIFIED Hower, Kira Isabel UNSPECIFIED UNSPECIFIED UNSPECIFIED Beckmann, Marina UNSPECIFIED orcid.org/0000-0002-9826-3575 UNSPECIFIED Karbach, Ute UNSPECIFIED orcid.org/0000-0003-3479-9474 UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-572548
DOI:	10.1016/j.ejon.2021.102037
Journal or Publication Title:	Eur. J. Oncol. Nurs.
Volume:	54
Date:	2021
Publisher:	ELSEVIER SCI LTD
Place of Publication:	OXFORD
ISSN:	1532-2122
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language 6 SIGMA; PERFORMANCE Multiple languages Oncology; Nursing Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57254