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Table 5 Multivariate Multinomial Model: Adjusted Associations between Cognitive Participation Item and Demographic, Personal and Practice Variables

From: Assessing the implementation processes of a large-scale, multi-year quality improvement initiative: survey of health care providers

 

I support the use of Lean in health care

Neutral

Agree

Odds Ratio

95% CI

P-value

Odds Ratio

95% CI

P-value

Profession

 Nursing

1.0

1.0

 Health Care

2.53

(1.69, 3.98)

0.0001

4.11

(2.70, 7.20)

0.0001

Age group

  ≤ 30 years

1.0

1.0

 31–45 years

1.55

(0.84, 2.99)

0.37

1.82

(0.85, 3.98)

0.37

  > 45 years

1.99

(0.95, 4.49)

0.21

2.15

(0.87, 5.71)

0.32

Employment Status

 Full-Time

1.0

1.0

 Part-Time/Casual

1.07

(0.72, 1.57)

0.84

0.96

(0.59, 1.55)

0.94

Years of experience

 0–5 years

1.0

1.0

 6–10 years

0.71

(0.37, 1.30)

0.58

0.77

(0.35, 1.63)

0.72

 11–15 years

0.73

(0.36, 1.51)

0.21

0.79

(0.33, 1.82)

0.54

 15+ years

0.52

(0.24, 1.04)

0.49

0.66

(0.28, 1.54)

0.69

Primary Role

 Direct Care

1.0

1.0

 Leadership

2.05

(0.90, 4.67)

0.21

10.29

(5.65, 24.7)

0.0001

 Other

1.30

(0.61, 2.66)

0.60

1.46

(0.71, 3.06)

0.53

Practice Setting

 Acute

1.0

1.0

 Long-term Care

1.17

(0.66, 2.03)

0.72

2.44

(1.36, 4.68)

0.02

 Other

1.19

(0.77, 1.82)

0.60

1.09

(0.65, 1.82)

0.84

Location

 Urban

1.0

1.0

 Rural/Remote

1.29

(0.90, 1.88)

0.37

1.89

(1.25, 2.99)

0.02

Familiarity with Lean

 Complete

1.0

1.0

 Somewhat

1.20

(0.80, 1.85)

0.59

0.59

(0.36, 0.93)

0.08

Training

 None

0.92

(0.39, 2.54)

0.96

0.28

(0.09, 0.68)

0.05

 Kaizen Basics

0.73

(0.31, 1.85)

0.60

0.54

(0.22, 1.21)

0.37

 Leadership

0.92

(1.47, 4.15)

0.94

3.45

(1.24, 14.9)

0.08

Participation

 None (vs. any)

1.63

(0.83, 3.46)

0.94

0.72

(0.29, 1.70)

0.49

 Visibility wall

1.55

(0.98, 3.09)

0.96

1.31

(0.75, 2.57)

0.98

 5S

1.05

(0.68, 1.54)

0.21

1.00

(0.61, 1.63)

0.54

 RPIW

1.03

(0.66, 1.65)

0.37

1.33

(0.77, 2.26)

0.60

Impact of Lean on Workload

 No impact/Decreased

1.0

1.0

 Increased somewhat

0.61

(0.39, 0.96)

0.60

0.19

(0.11, 0.29)

0.08

 Increased substantially

0.26

(0.14, 0.41)

0.0001

0.05

(0.02, 0.09)

0.0001

First Exposure to Lean

 About 2 years ago

1.0

  

1.0

  

 3 or more years ago

0.79

(0.53, 1.15)

0.40

0.76

(0.48, 1.17)

0.40