Table 1

Overview of different opinions about change and employees' background

Lean-unrelatedLean-related
Dismissive (n = 89)Dismissive (n = 46)Supporting (n = 16)
ResponsesOpinion appears related to simultaneously implemented other innovations, more general contextual developments, and nostalgic feelings about the old situationOpinion appears related to the concept itself (used as a label), the way it is implemented, or insufficient involvement of employees during implementationOpinion appears related to the believe in the concepts potential benefits, but they also stress out implementation must be better supported
Employee background
Tenure at the hospitalLong tenure (majority >15 years)Rather long tenure (60% > 15 years)Rather long tenure (50% > 15 years)
Trained in the concept63% of these respondentsA small majority (58%)A large majority (81%)
Informed about the concept67% say to be informed67% say to be informed94% say to be informed
Involvement in the design processLess actively involved (21%)Least involved and thus least co-created the innovation (9% was actively involved)Most actively involved (38%)
Perceived formal support for the conceptExperience strong formal support from board and management; only 9% sees this support as (very) weakExperience rather strong support by the board and management; 13% see this support as (very) weakExperience the least support from board and management; 25% sees their support as (very) weak
Response to the closed question about opinion towards leanTheir response is evenly divided between positive, negative, and neutral46% express a negative attitude; 24% a positive oneA majority (63%) of these respondents expressed a positive attitude; 13% of them a negative one

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