Purpose – The purpose of this paper is to research the practice of ethics in Swedish health care
organizations using Lean Management.
Design/methodology/approach – A qualitative study was conducted.
Findings – Findings indicate that ethics is not a consideration when hospitals are implementing Lean
Social implications – Organizations generally have diverse value systems when building their
codes of professional ethics for examining ethical principles, whereas Lean Management has
established base principles with different codes of professional ethics differing from the intrinsic values
humans create according to moral philosophy. It could be said that Lean Management relies on
minimalistic ethic. While hospitals implement Lean Management, there are still many barriers to
resolve to achieve useful implementation. Managing change while emphasizing ethical values could be
a success factor for those organizations and their customers.
Originality/value – Studying ethical values in Lean Management implementation.
Keywords Ethics, Quality management, Health care, Lean health care, Lean Management, Nursing
and doctoral codes
Paper type Research paper
2014. Vol. 6, no 2/3, 191-202 p.