New development: 4P recommendations for implementing change, from research in hospitals

Sandra G. Leggat, Pauline Stanton, Greg J. Bamber, Timothy Bartram, Richard Gough, Ruth Ballardie, Kathy GermAnn, Amrik Sohal

Research output: Contribution to journalArticleResearchpeer-review

5 Citations (Scopus)


How are hospital staff involved in process improvement initiatives such as Lean? What can we learn from Lean implementation experiences about the sustainability of such initiatives? The authors considered such questions in a study of workplace change in Australia and Canada. They found that Lean is more likely to be sustained when leaders adopted the 4P recommendations presented in this article.

Original languageEnglish
Pages (from-to)45-50
Number of pages6
JournalPublic Money and Management
Issue number1
Publication statusPublished - 2 Jan 2018


  • Australia
  • Canada
  • Lean
  • Process improvement
  • Public hospitals
  • Workplace change

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