Volume 22, Issue 4 (July-August 2023)
Payesh 2023, 22(4): 375-385 |
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Ethics code: IR.TUMS.SPH.REC.1395.1059
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Mosadeghrad A M, Parsaeian M, Hedayati P. Organizational culture of hospitals affiliated to Tehran University of Medical Sciences. Payesh 2023; 22 (4) :375-385
URL: http://payeshjournal.ir/article-1-2066-en.html
URL: http://payeshjournal.ir/article-1-2066-en.html
1- School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2- School of public health, Zabol University of Medical Sciences, Zabol, Iran
2- School of public health, Zabol University of Medical Sciences, Zabol, Iran
Abstract: (1547 Views)
Objective (s): Organizational culture is the shared beliefs and values of the employees, which determine their attitudes, norms, feelings, habits and behaviors. Organizational culture has a great influence on hospital performance. This study aimed to measure the organizational culture of hospitals affiliated to Tehran University of Medical Sciences.
Methods: This descriptive and cross-sectional questionnaire survey was conducted in 14 hospitals of Tehran University of Medical Sciences in 2020. A researcher-made questionnaire including 48 items in two dimensions of internal coherence and external adaptation and 4 components of teamwork, accountability, risk-taking and responsiveness was used to measure the organizational culture of hospitals. The questionnaire was designed specifically for healthcare organizations. The questionnaire determines four types of organizational culture of indifference, conservative, market and excellence for hospitals. The questionnaire was completed by 600 managers and employees. SPSS statistical software version 22 was used for data analysis.
Results: The average score of organizational culture of hospitals affiliated to Tehran University of Medical Sciences was 2.76 out of 5 points. The average score of internal coherence and external adaptation dimensions of organizational culture were 2.69 and 2.82; The average score of the components of teamwork, accountability, risk-taking and responsiveness were 2.52, 2.87, 2.46, and 3.18; and the average scores of the levels of beliefs, values, behaviors and symbols of organizational culture were 2.81, 2.86, 2.56 and 2.79 out of 5 points, respectively. Thirteen hospitals had an excellent culture and one hospital had a market culture. The average score of organizational culture in specialty hospitals was higher than in general hospitals (p<0.05).
Conclusion: Hospital managers should promote the organizational culture by strengthening the internal coherence dimension of the organizational culture and the components of teamwork and accountability. Also, measures should be taken to strengthen the levels of values and beliefs of the organizational culture.
Methods: This descriptive and cross-sectional questionnaire survey was conducted in 14 hospitals of Tehran University of Medical Sciences in 2020. A researcher-made questionnaire including 48 items in two dimensions of internal coherence and external adaptation and 4 components of teamwork, accountability, risk-taking and responsiveness was used to measure the organizational culture of hospitals. The questionnaire was designed specifically for healthcare organizations. The questionnaire determines four types of organizational culture of indifference, conservative, market and excellence for hospitals. The questionnaire was completed by 600 managers and employees. SPSS statistical software version 22 was used for data analysis.
Results: The average score of organizational culture of hospitals affiliated to Tehran University of Medical Sciences was 2.76 out of 5 points. The average score of internal coherence and external adaptation dimensions of organizational culture were 2.69 and 2.82; The average score of the components of teamwork, accountability, risk-taking and responsiveness were 2.52, 2.87, 2.46, and 3.18; and the average scores of the levels of beliefs, values, behaviors and symbols of organizational culture were 2.81, 2.86, 2.56 and 2.79 out of 5 points, respectively. Thirteen hospitals had an excellent culture and one hospital had a market culture. The average score of organizational culture in specialty hospitals was higher than in general hospitals (p<0.05).
Conclusion: Hospital managers should promote the organizational culture by strengthening the internal coherence dimension of the organizational culture and the components of teamwork and accountability. Also, measures should be taken to strengthen the levels of values and beliefs of the organizational culture.
type of study: Descriptive |
Subject:
Helath Services Management
Received: 2023/01/30 | Accepted: 2023/06/21 | ePublished ahead of print: 2023/06/17 | Published: 2023/07/10
Received: 2023/01/30 | Accepted: 2023/06/21 | ePublished ahead of print: 2023/06/17 | Published: 2023/07/10
References
1. Mosadeghrad AM. Handbook of hospital professional organization and management, 1st Edition, Dibagran: Tehran, 2004 [in Persian]
2. Mosadeghrad AM. Essentials of healthcare organization and management, 1st Edition, Dibagran: Tehran, 2015 [in Persian]
3. Burns T, Stalker GM. The management of innovation. 1st Edition, Tavistock: London, 1961
4. Pettigrew A. M. On studying organizational cultures. Administrative Science Quarterly 1979; 24: 570-581 [DOI:10.2307/2392363]
5. Mannion R, Davies H. Understanding organizational culture for healthcare quality improvement. British Medical Journal 2018; 28:363 [DOI:10.1136/bmj.k4907]
6. Mosadeghrad A.M. The impact of organizational culture on the successful implementation of total quality management. The TQM Journal 2006; 18: 606 -625 [DOI:10.1108/09544780610707101]
7. Davies HT, Nutley SM, Mannion R. Organizational culture and quality of health care. Quality in Health Care 2000; 9: 111-119 [DOI:10.1136/qhc.9.2.111]
8. Mosadeghrad AM. Quality of working life: Antecedents to employee's turnover intentions. International Journal of Health Policy and Management 2013; 1: 49-58 [DOI:10.15171/ijhpm.2013.07]
9. Mosadeghrad AM. Strategic collaborative quality management and employee job satisfaction. International Journal of Health Policy and Mmanagement 2014; 2: 167-174 [DOI:10.15171/ijhpm.2014.38]
10. Hakim A. Effect of organizational culture, organizational commitment to performance: Study in hospital of district south Konawe of southeast Sulawesi. The International Journal of Engineering and Science 2015; 4: 33-41
11. Mosadeghrad AM. Factors Affecting Medical Service Quality. Iranian Journal of Public Health 2014; 43: 210-220
12. Brown DS, Wolosin R. Safety culture relationships with hospital nursing sensitive metrics. Journal for Healthcare Quality 2013; 35: 61-74 [DOI:10.1111/jhq.12016]
13. Mosadeghrad AM, Ashrafi E. The impact of quality management on patient satisfaction in a hospital: brief report. Tehran University Medical Journal 2017; 75: 228-234 [In Persian]
14. Meterko M, Mohr DC, Young GJ. Teamwork culture and patient satisfaction in hospitals. Medicine Care 2004; 42: 492-498 [DOI:10.1097/01.mlr.0000124389.58422.b2]
15. Jacobs R, Mannion R, Davies HT, Harrison S, Konteh F, Walshe K. The relationship between organizational culture and performance in acute hospitals. Social Science & Medicine 2013; 76: 115-125 [DOI:10.1016/j.socscimed.2012.10.014]
16. Mosadeghrad AM. Implementing strategic collaborative quality management in healthcare sector. International Journal of Strategic Change Management 2012; 4: 203-228 [DOI:10.1504/IJSCM.2012.051846]
17. Zhou P, Bundorf K, Chang JL, Huang JX, & Xue D. Organizational Culture and Its Relationship with Hospital Performance in Public Hospitals in China. Health Services Research 2011; 46: 2139-2160 [DOI:10.1111/j.1475-6773.2011.01336.x]
18. Kim JH, Kim CS, Kim JM. Analysis of the effect of leadership and organizational culture on the organizational effectiveness of radiological technologist's working environments. Radiography 2011; 17: 201-206 [DOI:10.1016/j.radi.2011.02.002]
19. Tehran University of Medical Sciences Available at https://tums.ac.ir/ [Access date: 03/06/2023]
20. Mosadeghrad AM, Sadoughi F, Moloud Ghorbani M. A survey of clinical governance success in Khozestan province. Journal of Health in the Field 2019; 7:49-63. [in Persian]
21. Schein EH. Organizational culture and leadership. 1st Edition, San Francisco: Jossey-Bass 1992
22. Quinn RE. Beyond rational management. 1st Edition, San Francisco: Jossey-Bass 1988
23. Hofstede G, Hofstede GJ, Minkov M. Cultures and organizations: Software of the mind. 1st Edition, Mcgraw-hill: New York, 2005
24. Denison DR, Hooijberg R, Lane N, Lief C. Culture in the multinational corporations. 1st Edition, John Wiley & Sons: San Francisco, 2012
25. Robbins SP. Organization Theory: Structure, Designs, and Applications, 3th Edition, Pearson Education: San Francisco, 1983
26. Daft RL. Organization theory and design. 12th Edition, Cengage learning: Uk, 2015
27. Thokozani SB, Maseko B. Strong vs. weak organizational culture: Assessing the impact on employee motivation. Arabian Journal of Business and Management Review 2017;7:2-5
28. Mosadeghrad AM, Yarmohammadian MH. A study of relationship between managers' leadership style and employees' job satisfaction. Leadership in Health Services 2006; 19:11-28 [DOI:10.1108/13660750610665008]
29. Mosadeghrad AM & Ferdosi M. Leadership, job satisfaction and organizational commitment in healthcare sector: Proposing and testing a model. Materia Socio-Medica 2013; 25: 121-126 [DOI:10.5455/msm.2013.25.121-126]
30. Mosadeghrad AM, & Ferlie E. Total quality management in healthcare in. In: Örtenblad A, Löfström CA, Sheaff R, eds. Management innovations for healthcare organizations: adopt, abandon or adapt? 1st Edition, Routledge: New York, 2016
31. Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of hospital errors. International Journal of Production Economics 2007; 106:368-92 [DOI:10.1016/j.ijpe.2006.07.005]
32. Gregory BT, Harris SG, Armenakis AA, Shook CL. Organizational culture and effectiveness: A study of values, attitudes, and organizational outcomes. Journal of Business Research 2009; 62: 673-679 [DOI:10.1016/j.jbusres.2008.05.021]
33. Mosadeghrad A.M. Patient choice of a hospital: Implications for health policy and management. International Journal of Health Care Quality Assurance 2014; 27: 152-164 [DOI:10.1108/IJHCQA-11-2012-0119]
34. Tabibi SJ, Nasiripour AA, Valimoghaddam Zanjani S. Relationship between organizational culture and knowledge management in Zanjan Teaching Hospitals. Journal of Zanjan University of Medical Sciences & Health Services 2010;17:84-91 [Persian]
35. Mosadeghrad AM, Sokhanvar M. Organizational culture of selected hospitals of Tehran city. Hospital 2018; 16:45-56 [in Persian]
36. Jafarjalal E, Jafarpour H, Dehghan Nayeri N, Haghani H. Relationship between perceptions of organizational culture with patients' safety behavior among nurses in Babol. Journal of School of Nursing and Midwifery (Hayat), Tehran University of Medical Sciences 2013;19:5-16 [in Persian]
37. Nasiripour A.A, Raeisi P, Hedayati P. The relationship between organizational cultures and employees productivity. Journal of Health Administration 2009; 12:17-24 [in Persian]
38. Mirfakhrodini H, Farid D, Sayadi-Tooranlo H. Use of EFQM in analysis of organizational culture dimensions. Journal of Shaheed Sadoughi University of Medical Sciences 2009; 17: 163-75 [in Persian]
39. Mosadeghrad AM, Saadati M. The relationship between organizational culture and employees' creativity in Qazvin city hospitals. Management Strategies in Health System 2018; 3: 56-68 [in Persian]
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