To find out ultimately whether Lean management
is related to enhanced care, a measure
is needed to capture the variation that
may be responsible for better or worse outcomes.
Consequently, the FIT measure attempts
to identify the variation in nurses’ Lean
knowledge and to quantify Lean quality improvement
(QI) efforts. The 75-item FIT instrument
includes items in 3 dimensions: the
organization, patient care unit, and individual
nurse thinking. The FIT instrument includes
12 factors: Learning Organization, Frontline
Involvement, Manager Support, Mentoring,
Patient-Centered Focus, Visual Management,
and an individual nurse who Takes
Action, Solves Problems, Reduces Variation,
Uses Tools, Finds Opportunity, and has a
Mind-set for Change.