Using kaizen to improve employee well-being: Results from two organizational intervention studies

Ulrica von Thiele Schwarz, Karina M Nielsen, Terese Stenfors-Hayes, Henna Hasson, Ulrica von Thiele Schwarz, Karina M Nielsen, Terese Stenfors-Hayes, Henna Hasson

Abstract

Participatory intervention approaches that are embedded in existing organizational structures may improve the efficiency and effectiveness of organizational interventions, but concrete tools are lacking. In the present article, we use a realist evaluation approach to explore the role of kaizen, a lean tool for participatory continuous improvement, in improving employee well-being in two cluster-randomized, controlled participatory intervention studies. Case 1 is from the Danish Postal Service, where kaizen boards were used to implement action plans. The results of multi-group structural equation modeling showed that kaizen served as a mechanism that increased the level of awareness of and capacity to manage psychosocial issues, which, in turn, predicted increased job satisfaction and mental health. Case 2 is from a regional hospital in Sweden that integrated occupational health processes with a pre-existing kaizen system. Multi-group structural equation modeling revealed that, in the intervention group, kaizen work predicted better integration of organizational and employee objectives after 12 months, which, in turn, predicted increased job satisfaction and decreased discomfort at 24 months. The findings suggest that participatory and structured problem-solving approaches that are familiar and visual to employees can facilitate organizational interventions.

Keywords: distributed cognitions; lean; mental health; participatory interventions; psychosocial risk management; work environment.

Figures

Figure 1.
Figure 1.
Standardized path coefficients for the two intervention groups for the no equality constraint multi-group model (Study 1). T = time; * p < .05; ** p < .01; *** p < .001.
Figure 2a and 2b.
Figure 2a and 2b.
Standardized path coefficients for the significant hypothesized path for intervention (I) and control (C) groups for the no equality constraint multi-group model (Study 2). T = time; * p < .05; ** p < .01; *** p < .001.

References

    1. Abildgaard JS, Nielsen K, Saksvik PO. (2016) How to measure the intervention process? An assessment of qualitative and quantitative approaches to data collection in the process evaluation of organizational interventions. Frontiers in Psychology: Organizational Psychology 22(7): 1380.
    1. Aherne J, Whelton J. (2010) Applying Lean in Healthcare: A Collection of International Case Studies. New York NY: Productivity Press.
    1. Anderson JC, Gerbing DW. (1988) Structural equation modelling in practice: A review and recommended two-step approach. Psychological Bulletin 103: 411–423.
    1. Augustsson H, von Thiele Schwarz U, Stenfors-Hayes T, Hasson H. (2013) Investigating variations in implementation fidelity of an organizational-level occupational health intervention. International Journal of Behavioural Medicine 22(3): 345–355.
    1. Bamber G, Stanton P, Bartram T, Ballardie R. (2014) Human resource management, Lean processes and outcomes for employees: Towards a research agenda. The International Journal of Human Resource Management 25(21): 2881–2891.
    1. Blamey A, Mackenzie M. (2007) Theories of change and realistic evaluation peas in a pod or apples and oranges? Evaluation 13(4): 439–455.
    1. Bond F W, Bunce D. (2001) Job control mediates change in a work reorganization intervention for stress reduction. Journal of Occupational Health Psychology 6(4): 290–302.
    1. Brännmark M, Holden R. (2013) Packages of participation: Swedish employees’ experience of lean depends on how they are involved. IIE Transactions on Occupational Ergonomics and Human Factors 1(2): 93–108.
    1. Chang SJ, Van Witteloostuijn A, Eden L. (2010) From the editors: Common method variance in international business research. Journal of International Business Studies 41(2): 178–184.
    1. Cheser R. (1998) The effect of Japanese Kaizen on employee motivation in US manufacturing. The International Journal of Organizational Analysis 6(3): 197–217.
    1. Cook T, Campbell D. (1979) Quasi-experimentation: Design & Analysis Issues for Field Settings. Boston MA: Houghton Mifflin.
    1. Cullinane S-J, Bosak J, Flood P, Demerouti E. (2014) Job design under lean manufacturing and the quality of working life: A job demands and resources perspective. The International Journal of Human Resource Management 25(21): 2996–3015.
    1. Dahler-Larsen P. (2001) From programme theory to constructivism on tragic, magic and competing programmes. Evaluation 7(3): 331–349.
    1. Danna K, Griffin R. (1999) Health and well-being in the workplace: A review and synthesis of the literature. Journal of Management 25(3): 357–384.
    1. de Jong T, Wiezer N, de Weerd M, et al. (2016) The impact of restructuring on employee well-being: A systematic review of longitudinal studies. Work & Stress 30(1): 91–114.
    1. Dellve L, Williamsson A, Strömgren M, et al. (2015) Lean implementation at different levels in Swedish hospitals: The importance for working conditions and stress. International Journal of Human Factors and Ergonomics 3(3–4): 235–253.
    1. Edwards J. (1996) An examination of competing versions of the person-environment fit approach to stress. Academy of Management Journal 39(2): 292–339.
    1. Framke E, Sørensen OH. (2015) Implementation of a participatory organisational-level occupational health intervention – focusing on the primary task. International Journal of Human Factors and Ergonomics 3: 254–270.
    1. García J, Maldonado A, Alvarado A, Rivera D. (2014) Human critical success factors for kaizen and its impacts in industrial performance. The International Journal of Advanced Manufacturing Technology 70(9–12): 2187–2198.
    1. Goodman JS, Blum TC. (1996) Assessing the non-random sampling effects of subject attrition in longitudinal research. Journal of Management 22: 627–652.
    1. Gustafsson K, Lindfors P, Aronsson G, Lundberg U. (2008) Relationships between self-rating of recovery from work and morning salivary cortisol. Journal of Occupational Health 50(1): 24–30.
    1. Hasle P. (2014) Lean production – an evaluation of the possibilities for an employee supportive lean practice. Human Factors and Ergonomics in Manufacturing & Service Industries 24(1): 40–53.
    1. Hasle P, Bojesen A, Langaa Jensen P, Bramming P. (2012) Lean and the working environment: A review of the literature. International Journal of Operations & Production Management 32(7): 829–849.
    1. Haun J, Mothersell W, Motwani J. (2015) Implementing kaizen in the workplace: A case study. International Journal of Management & Behavioural Sciences (IJMBS) 6: 321–325.
    1. Hellgren J, Sjöberg A, Sverke M. (1997) Intention to quit: Effects of job satisfaction and job perceptions. In: Avallone F, Arnold J, De Witte K. (eds) Feelings Work in Europe. Milano: Guerini, 415–423.
    1. Hobfoll S. (1989) Conservation of resources: A new attempt at conceptualizing stress. American Psychologist 44(3): 513–525.
    1. Holden R. (2011) Lean thinking in emergency departments: A critical review. Annals of Emergency Medicine 57(3): 265–278.
    1. Hollan J, Hutchins E, Kirsh D. (2000) Distributed cognition: Toward a new foundation for human-computer interaction research. ACM Transactions on Computer-Human Interaction (TOCHI) 7(2): 174–196.
    1. Holman D, Axtell C. (2016) Can job redesign interventions influence a broad range of employee outcomes by changing multiple job characteristics? A quasi-experimental study. Journal of Occupational Health Psychology 21(3): 284–295.
    1. Hutchins E. (1995) Cognition in the Wild. Cambridge MA: MIT Press.
    1. Hutchins E. (2000) Distributed cognition. In: Smeltzer NJ, Editor PB. (eds) International Encyclopedia of the Social and Behavioral Sciences. Amsterdam: Elsevier Science, 2068–2072.
    1. Ikuma L, Nahmens I, James J. (2010) Use of safety and lean integrated kaizen to improve performance in modular homebuilding. Journal of Construction Engineering and Management 137(7): 551–160.
    1. Ipsen C, Gish L, Poulsen S. (2015) Organizational-level interventions in small and medium-sized enterprises: Enabling and inhibiting factors in the PoWRS program. Safety Science 71: 264–274.
    1. Jacobson G, McCoin N, Lescallette R, Russ S, Slovis C. (2009) Kaizen: A method of process improvement in the emergency department. Academy Emergency Medicine 16(12): 1341–1349.
    1. Kompier MA, Kristensen TS. (2001) Organizational work stress interventions in a theoretical, methodological and practical context. In: Dunham J. (ed.) Stress in the Workplace: Past, Present and Future. London and Philadelphia: Whurr Publishers.
    1. Kristof-Brown AL, Zimmerman RD, Johnson E. (2005) Consequences of individual’s fit at work: A meta-analysis of person-job, person-organization, person-group, and person-supervisor fit. Personnel Psychology 58: 281–342.
    1. McCann L, Hassard J, Granter E, Hyde P. (2015) Casting the lean spell: The promotion, dilution and erosion of lean management in the NHS. Human Relations 68(10): 1557–1578.
    1. Mikkelsen A. (2005) Methodological Challenges in the Study of Organizational Interventions in Flexible Organizations: Anthology for Kjell Grønhaug in Celebration of his 70th birthday. Bergen: Fagbokforlaget, 152–178.
    1. Nielsen K. (2013) Review article: How can we make organizational interventions work? Employees and line managers as actively crafting interventions. Human Relations 66(8): 1029–1050.
    1. Nielsen K, Abildgaard JS. (2012) The validation of a job crafting measure for blue collar workers. Work & Stress 26: 365–384.
    1. Nielsen K, Abildgaard JS. (2013) Organizational interventions: A research-based framework for the evaluation of both process and effects. Work & Stress 27(3): 278–297.
    1. Nielsen K, Daniels K. (2016) The relationship between transformational leadership and sickness absenteeism: The role of presenteeism. Work & Stress 30: 193–208.
    1. Nielsen K, Miraglia M. (in press) Critical essay: What works for whom in which circumstances? On the need to move beyond the ‘what works?’ question in organizational intervention research. Human Relations.
    1. Nielsen K, Randall (2012) The importance of employee participation and perceptions of changes in procedures in a teamworking intervention. Work & Stress 26(2): 91–111.
    1. Nielsen K, Randall R, Albertsen K. (2007) Participants’ appraisals of process issues and the effects of stress management interventions. Journal of Organizational Behavior 28(6): 793–810.
    1. Nielsen K, Randall R, Holten A-L, Gonzalez E R. (2010. a) Conducting organizational-level occupational health interventions: What works? Work & Stress 24(3): 234–259.
    1. Nielsen K, Taris T, Cox T. (2010. b) The future of organizational interventions: Addressing the challenges of today’s organizations. Work & Stress 24(3): 219–233.
    1. Nielsen K, Abildgaard JS, Daniels K. (2014) Putting context into organizational intervention design: Using tailored questionnaires to measure initiatives for worker well-being. Human Relations 67(2): 1537–1560.
    1. Niepcel W, Molleman E. (1998) Work design issues in lean production from a sociotechnical systems perspective: Neo-Taylorism or the next step in sociotechnical design? Human Relations 51(3): 259–287.
    1. Open Science Collaboration (2015) Estimating the reproducibility of psychological science. Science 349(6251): aac4716.
    1. Parker SK. (2003) Longitudinal effects of lean production on employee outcomes and the mediating role of work characteristics. Journal of Applied Psychology 88(4): 620–634.
    1. Parry GC, Turner CE. (2006) Application of lean visual process management tools. Production Planning & Control 17(1): 77–86.
    1. Pawson R. (2013) The Science of Evaluation: A Realist Manifesto. London: SAGE.
    1. Pawson RD, Manzano-Santaella A. (2012) A realist diagnostic workshop. Evaluation: International Journal of Theory, Research and Practice 18(2): 176–191.
    1. Pawson R, Tilley N. (1997) Realistic Evaluation. London: SAGE.
    1. Pettersen J. (2009) Defining lean production: Some conceptual and practical issues. The TQM Journal 21(2): 127–142.
    1. Radnor Z, Holweg M, Waring J. (2012) Lean in healthcare: The unfilled promise? Social Science & Medicine 74(3): 364–371.
    1. Riley R, Forsyth R, Manias E, Iedema R. (2007) Whiteboards: Mediating professional tensions in clinical practice. Communication & Medicine 4(2): 165–175.
    1. Rosskam E. (2009) Using participatory action research methodology to improve worker health. In: Schnall P, Dobson M, Rosskam E. (eds) Unhealthy Work: Causes, Consequences, Cures. New York, NY: Baywood Publishing Company, 211–229.
    1. Sainfort F, Karsh B-T, Booske B, Smith M. (2001) Applying quality improvement principles to achieve healthy work organizations. Joint Commission Journal on Quality and Patient Safety 27(9): 469–483.
    1. Semmer N. (2006) Job stress interventions and the organization of work. Scandinavian Journal of Work, Environment and Health 32(6): 515–527.
    1. Smith D. (2002) IMS: Implementing and Operating. London: BSI British Standards Institution.
    1. Sørensen OH, Holman D. (2014) A participative intervention to improve employee well-being in knowledge work jobs: A mixed-methods evaluation study. Work & Stress 28(1): 67–86.
    1. Ståhl A-CF, Gustavsson M, Karlsson N, Johansson G, Ekberg K. (2015) Lean production tools and decision latitude enable conditions for innovative learning in organizations: A multilevel analysis. Applied Ergonomics 47: 285–291.
    1. Swedish Work Environment Authority & Statistics Sweden (2013) The work environment 2013. Arbetsmiljöstatistik [Work environment statistics] (2014: 3). Stockholm: Arbetsmiljöverket; Statistiska Centralbyrån [Swedish Work Environment Authority; Statistics Sweden].
    1. Taris T, Schreurs P. (2009) Well-being and organizational performance: An organizational-level test of the happy-productive worker hypothesis. Work & Stress 23(2): 120–136.
    1. Ulhassan W, Von Thiele Schwarz U, Westerlund H, et al. (2015) How visual management for continuous improvement might guide and affect hospital staff: A case study. Quality Management in Healthcare 24(4): 222–228.
    1. von Thiele Schwarz U, Hasson H. (2013) Alignment for achieving a healthy organization. In: Bauer GF, Jenny GJ. (eds) Salutogenic Organizations and Change. The Netherlands: Springer, 107–125.
    1. von Thiele Schwarz U, Stenfors-Hayes T, Augustsson H, Hasson H. (2013) Lean som utgångspunkt för hälsofrämjande arbete [Lean as a starting point for health promotion]. In: Pehr Sederblad (ed.) Lean i Arbetslivet [Lean in the working life]. Solna: Liber Förlag.
    1. von Thiele Schwarz U, Augustsson H, Hasson H, Stenfors-Hayes T. (2015) Promoting employee health by integrating health protection, health promotion, and continuous improvement: A longitudinal quasi-experimental intervention study. Journal of Occupational and Environmental Medicine 57(2): 217–225.
    1. Wanous J, Reichers A, Hudy M. (1997) Overall job satisfaction: How good are single-item measures? Journal of Applied Psychology 82(2): 247–252.
    1. Ware JE, Gandek B. (1998) Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. Journal of Clinical Epidemiology 51: 903–912.
    1. Womack J, Jones D, Roos D. (2007) The Machine that Changed the World: The Story of Lean Production. London: Simon & Schuster.
    1. Zoni S, Lucchini R G. (2012) European approaches to work-related stress: A critical review on risk evaluation. Safety and Health at Work 3(1): 43–49.

Source: PubMed

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