Determining whether care is improved by
Lean management has been difficult, in part,
because there is no measure of the degree of
Lean management presence in a hospital, on a
nursing unit, or in the actions taken by the individual
nurse. This makes it difficult, if not impossible,
to show a relationship between the
presence of Lean management and health care
outcomes. This study, therefore, developed
and tested such an instrument, the Frontline
Improvement Thinking (FIT) measure, which
is designed to assess nurses’ perception of
the degree of implementation of Lean management
in health care organizations, units,
and their individual practices.