Effect of Digitalization on Nursing Practices using the Lean Approach

Objective: This study aimed to examine the effect of digitalization on nursing practices using lean approach. 
 Method: is a descriptive observational study. The data were collected an activity chart record nurses’ direct and indirect care personal work Value Stream Map compare analyze processes determine both waste value areas in clinics. included total 15 nurses from two different internal medicine units hospital, including one digital clinic that uses applications for nurse processes, partial has limited applications. analyzed current state stream mapping, seven areas, future mapping. Results: In clinic, 748.5 minutes allocated care, 129.1 562.1 work. Total value-added time non-value-added was calculated as 1137.1 302.9 minutes, respectively. 623.9 404.4 411.1 1006 433.4 According map prepared line with improvement suggestions eliminate unnecessary production, process, movement, transportation, waiting, error clinics, it predicted 1354.3 will be obtained decrease 85.7 by spending 910.9 less 190.2 259.2 work.
 Conclusion: approach creates repeated opportunity review improve processes. Analyzing before after reviewing sources contribute implementing higher quality more effectively safely staff efficiently.