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Table 8 Multivariate Multinomial Model: Adjusted Associations between Reflexive Monitoring 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

 

The people I work with believe that Lean is worthwhile

Neutral

Agree

Odds Ratio

95% CI

P-value

Odds Ratio

95% CI

P-value

Profession

 Nursing

1.0

1.0

 Health Care

2.60

()1.74, 4.19

0.0002

2.06

(1.21, 3.96)

0.04

Age group

  ≤ 30 years

1.0

1.0

 31–45 years

0.96

(0.46, 1.97)

0.95

2.33

(0.71, 13.2)

0.43

  > 45 years

1.06

(0.42, 2.62)

0.95

2.62

(0.69, 17.6)

0.42

Employment Status

 Full-Time

1.0

1.0

 Part-Time/Casual

0.85

(0.54, 1.30)

0.70

0.81

(0.36, 1.59)

0.80

Years of experience

 0–5 years

1.0

1.0

 6–10 years

1.12

(0.51, 2.37)

0.87

0.92

(0.31, 3.20)

0.87

 11–15 years

0.82

(0.33, 1.91)

0.34

0.72

(0.21, 2.77)

0.95

 15+ years

1.84

(0.81, 4.55)

0.95

0.95

(0.32, 3.50)

0.95

Primary Role

 Direct Care

1.0

1.0

 Leadership

1.70

(0.86, 3.44)

0.31

4.33

(2.24, 9.74)

0.001

 Other

0.92

(0.36, 2.05)

0.95

3.74

(1.64, 9.13)

0.01

Practice Setting

 Acute

1.0

1.0

 Long-term Care

1.51

(0.88, 2.60)

0.34

1.48

(0.57, 3.50)

0.61

 Other

1.01

(0.62, 1.62)

0.96

1.04

(0.52, 2.04)

0.95

Location

 Urban

1.0

1.0

 Rural/Remote

1.81

(1.24, 2.82)

0.01

1.33

(0.75, 2.45)

0.57

Familiarity with Lean

 Complete

1.0

1.0

 Somewhat

1.20

(0.77, 1.92)

0.70

0.84

(0.45, 1.52)

0.80

Training

 None (vs. any)

2.25

(0.97, 6.63)

0.31

0.29

(0.05, 1.63)

0.31

 Kaizen Basics

1.33

(0.62, 4.02)

0.80

0.54

(0.18, 1.81)

0.40

 Leadership

3.80

(1.32, 11.6)

0.04

5.21

(2.32, 18.8)

0.004

Participation

 None (vs. any)

1.20

(0.56, 2.41)

0.95

0.75

(0.12, 2.89)

0.44

 Visibility wall

0.79

(0.46, 1.40)

0.31

1.07

(0.56, 3.82)

0.95

 5S

1.53

(0.93, 2.28)

0.69

1.16

(0.54, 2.17)

0.87

 RPIW

0.93

(0.63 1.71)

0.90

1.50

(0.82, 2.84)

0.87

Impact of Lean on Workload

 No impact/Decreased

1.0

1.0

 ncreased somewhat

0.50

(0.32, 0.75)

0.01

0.47

(0.23, 0.83)

0.04

 Increased substantially

0.14

(0.06, 0.24)

0.0001

0.21

(0.08, 0.42)

0.001

First Exposure to Lean

 About 2 years ago

1.0

  

1.0

  

 3 or more years ago

0.73

(0.48, 1.09)

0.32

1.06

(0.59, 2.05)

0.95