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. 2019 Sep 9;19:652. doi: 10.1186/s12913-019-4502-6

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© The Author(s). 2019

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — Model of the hypothesized pathways between Lean maturity, working conditions as moderating mediators, and the three outcomes, which in H1 were staff satisfaction with care, in H2, thriving and in H3, exhaustion