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Lean Readiness Index for Malaysian Hospitals: An Exploratory Study
Mazlan Awang, Mohd Razif Idris, Zuriyati Zakaria,
Volume 33, Issue 3 (IJIEPR 2022)
Abstract
This paper presents an exploratory study on the development of lean readiness index for Malaysian hospitals. A questionnaire survey were obtained from 118 public hospitals and lean readiness model was developed using structural equation modeling (SEM) and the relevant constructs were identified using confirmatory factor analysis. The Lean Readiness Index (LRI) is formulated and a ruler in associate with the LRI were proposed as to meet the objective of the study. The finding to emerge from this study is that only 10.1% of Malaysian public hospitals have ‘good’ readiness status. The study also revealed the overall LRI’s value is 0.617 and, the majority of the hospitals were categorize as having ‘fair’ and ‘weak’ readiness status. The result indicated that training had the strongest association towards lean readiness while communication is the least. This study had revealed the readiness level for lean implementation in Malaysian public hospitals and proposed the required foundation that need to be enhanced before implementing lean.
 
Prevalence and Ergonomic Awareness of Musculoskeletal Disorders among Malaysian Dental Students
Nurul Ain Sofia Che Awang, Nurul Ainun Hamzah, Nurul Izzah Abdul Samad,
Volume 36, Issue 4 (IJIEPR- Special Issue 2025)
Abstract
Musculoskeletal disorders (MSDs) pose a significant occupational health challenge in dentistry, potentially affecting the health of future dental professionals. This study aimed to assess the prevalence of MSDs among dental students of Universiti Sains Malaysia (USM) and to explore the relationships between MSD occurrence, demographic factors (academic year, gender, and physical activity levels), and ergonomic awareness. Fifty-five dental students participated in the study, responding to validated electronic questionnaires. The results showed a high prevalence of MSDs, especially over 12 months (41.8%) vs. 7 days (14.5%). Most affected areas were the lower back (74.5%), neck (70.9%), shoulders (60.0%), and upper back (54.5%). Female students showed higher prevalence in some regions (p = 0.032), with Year 5 students reporting the highest prevalence (p = 0.046). Ergonomic awareness was high, with 52.7% rating it as good and 47.3% as excellent. These findings highlight the need to integrate thorough ergonomic education and preventive measures into dental curricula, aiming to promote musculoskeletal health and reduce occupational risks for dental students, thereby supporting long-term occupational well-being in their future careers. 

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