Assessing Readiness Factors for Lean Six Sigma Adoption in West Bank Hospitals: A Cross-Sectional Study رسالة ماجستير

Abstract

Lean Six Sigma (LSS) is increasingly applied in hospitals to enhance efficiency, reduce waste, and improve patient satisfaction. However, its adoption requires organizational readiness, and there is limited evidence regarding readiness factors in the West Bank healthcare context. This study examines factors influencing hospital readiness for the implementation of LSS in the West Bank across governmental and private hospitals, while assessing staff perceptions and awareness of LSS. Using a cross-sectional design and convenience sampling, data were collected from 94 hospital employees in diverse roles through a structured questionnaire and analyzed using Partial Least Structural Equation Modeling (PLS-SEM). Key organizational factors evaluated included management commitment and leadership, organizational culture, training and education, communication and collaboration, resources and infrastructure, and current process evaluation. The results revealed that management commitment and leadership, organizational culture, and resources and infrastructure significantly affect hospital readiness for LSS implementation, whereas training and education, communication and collaboration, and current process evaluation did not exhibit a significant direct impact on readiness. Although training and education significantly enhanced awareness of LSS, the mediating role of awareness in the relationship between training and education and readiness was not supported. Similarity, while JCI accreditation did not moderate the path between organizational culture and readiness, results showed that JCI-accredited hospitals demonstrated significantly higher readiness levels overall, suggesting a potential enabling effect of accreditation. Despite a limited prior knowledge and training in LSS among participants, the perceptions of its benefits were generally positive. These findings highlight critical organizational and contextual enablers necessary for successful LSS adoption and offer practical guidance for healthcare leaders aiming to improve hospital processes and patient care quality through LSS in resource-constrained settings.