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Volume 18, Issue 2 (March-April 2019)                   Payesh 2019, 18(2): 113-126 | Back to browse issues page

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Mosadeghrad A M, Sokhanvar M. Organizational culture in nursing wards of hospitals in Tehran, Iran. Payesh. 2019; 18 (2) :113-126
1- School of public health, Health information management research centre, Tehran University of Medical Sciences, Tehran, Iran
2- School of Management & Medical Informatics, Iranian Center of Excellence in Health Management (IceHM), Tabriz University of Medical Sciences, Tabriz, Iran
Abstract:   (431 Views)
Objective (s): Nursing wards’ organizational culture is related to nurses’ performance, quality of nursing care and patients’ satisfaction. This study aimed to examine the organizational culture of nursing wards.
Methods: This descriptive and cross sectional study was conducted in 18 hospitals in Tehran, Iran. The organizational culture questionnaire with 32 questions covering 8 dimensions (i.e., attention to details, customer-oriented, team working, creativity, risk taking, coherence, power distance and short/long- oriented) was completed by 244 nurses. Data was analyzed using SPSS-V20 software and by applying descriptive statistics, Pearson test, one-way ANOVA and multivariate regression.
Results: The mean score of nursing wards’ culture was 3.60 out of 6 (Moderate). The highest and lowest scores in organizational culture were observed in social security hospitals (3.75) and public hospitals (3.53), respectively. The highest and lowest scores were related to attention to details (4.24) and risk taking (3.07) dimensions of organizational culture, respectively. Seeking nurses’ new ideas, doing tasks in teams, a spirit of creativity among nurses and considering change as an opportunity for improvement had the most effect on nursing wards’ culture.  The hospital ownership type was associated with team working, creativity and short/long- oriented dimensions of organizational culture (p<0.05). Nurses’ attention to details was increased by increasing the hospital beds (p<0.05). Senior nurses paid more attention to details and married nurses were more team oriented (p<0.05).
Conclusion: A moderate organizational culture was reported in nursing wards of Tehran hospitals. Nurse administrators should strengthen nursing wards’ organizational culture, especially the risk-taking, creativity, coherence and team working dimensions.
Full-Text [PDF 945 kb]   (316 Downloads)    
Type of Study: Research | Subject: Medical
Accepted: 2019/05/13 | ePublished ahead of print: 2019/05/14 | Published: 2019/06/9

1. Mosadeghrad AM. . Handbook of hospital professional organisation and management (1). 1st Editon, Tehran: Dibagran Tehran: Tehran; 2004 [in Persian]
2. Mosadeghrad AM, Akbarisari A, Esmaeili M. A survey of organizational health in University hospitals of Isfahan. Health-Based Research 2017; 2: 329-344 [in Persian]
3. Mosadeghrad A.M. Essentials of healthcare organization and management, Tehran: Dibagran Tehran, Iran; 2015 [in Persian]
4. 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]
5. Lewin K, Lippitt R, White RK. Patterns of aggressive behavior in experimentally created "social climates". The Journal of Social Psychology 1939; 10: 269-299 [DOI:10.1080/00224545.1939.9713366]
6. Pettigrew A. M. On studying organizational cultures. Administrative Science Quarterly 1979; 24: 570-581 [DOI:10.2307/2392363]
7. Schein EH. Organizational culture and leadership. 1 st Edition, John Wiley & Sons; 2010
8. O'Reilly CA, Chatman J, Caldwell DF. People and Organizational Culture: A Profile Comparison Approach to Assessing Person-Organization FIT. Academy of Management Journal 1991; 34: 487-516. [DOI:10.2307/256404]
9. Davies H, Mannion R, Jacobs R, Powell A, Marshall M. Exploring the relationship between senior management team culture and hospital performance. Medical Care Research and Review 2007; 64: 46-65 [DOI:10.1177/1077558706296240]
10. 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]
11. 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]
12. Mosadeghrad AM. Strategic collaborative quality management and employee job satisfaction. International journal of health policy and management 2014; 2: 167 [DOI:10.15171/ijhpm.2014.38]
13. Tsai Y. Relationship between organizational culture, leadership behavior and job satisfaction. BMC health services research 2011; 11: 98 [DOI:10.1186/1472-6963-11-98]
14. 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
15. Vahey DC, Aiken LH, Sloane DM, Clarke SP, Vargas D. Nurse Burnout and Patient Satisfaction. Medical Care 2004; 42: 1157-1166 [DOI:10.1097/01.mlr.0000109126.50398.5a]
16. Mosadeghrad AM. Occupational stress and turnover intention: implications for nursing management. International journal of health policy and management 2013; 1: 169-179 [DOI:10.15171/ijhpm.2013.30]
17. AbuAlRub RF, Nasrallah MA. Leadership behaviours, organizational culture and intention to stay amongst Jordanian nurses. International Nursing Review 2017; 1: 1-8
18. Mosadeghrad A.M. Factors Affecting Medical Service Quality. Iranian Journal of Public Health 2014; 43: 210-220
19. 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]
20. Stock GN, McFadden KL, Gowen III CR. Organizational culture, critical success factors, and the reduction of hospital errors. International Journal of Production Economics 2007; 106: 368-392 [DOI:10.1016/j.ijpe.2006.07.005]
21. Mosadeghrad AM, Ashrafi E. The impact of quality management on patient satisfaction in a hospital: brief report. Tehran University Medical Journal TUMS Publications 2017; 75: 228-234 [In Persian]
22. Meterko M, Mohr DC, Young GJ. Teamwork culture and patient satisfaction in hospitals. Med Care 2004; 42: 492-498 [DOI:10.1097/01.mlr.0000124389.58422.b2]
23. Nembhard IM, Tucker AL. Deliberate learning to Improve Performance in Dynamic Service Settings: Evidence from Hospital Intensive Care Units. Organization Science 2011; 22: 907-922 [DOI:10.1287/orsc.1100.0570]
24. 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]
25. 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]
26. Zhou P, Bundorf K, Chang JL, Huang JX, & Xue D. Organizational Culture and Its Relationship with Hospital Performance in Public Hospitals in China. Health Servic Research 2011; 46: 2139-2160 [DOI:10.1111/j.1475-6773.2011.01336.x]
27. 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]
28. Fuller C.W, Vassie LH. Assessing the maturity and alignment of organisational cultures in partnership arrangements. Employee Relations 2002; 24: 540-555. [DOI:10.1108/01425450210443302]
29. Kleinman CS. Leadership roles, competencies, and education: How prepared are our nurse managers? The Journal of Nursing Adsministration (JONA) 2003; 33: 451-455 [DOI:10.1097/00005110-200309000-00005]
30. Tzeng HM, Ketefian S, Redman RW. Relationship of nurses' assessment of organizational culture, job satisfaction, and patient satisfaction with nursing care Huey-Ming .International Journal of Nursing Studies, 2002; 39: 79-84 [DOI:10.1016/S0020-7489(00)00121-8]
31. Ahmadian Z, Ashghali Farahani M, Bastani F, Haghani H. Perspectives of nurses on organizational culture. Journal of Hayat 2012; 18: 76-89 [in Persian].
32. Jaskyte K, Dressler WW. Organizational culture and innovation in nonprofit human service organizations. Administration in social work 2005; 29: 23-41 [DOI:10.1300/J147v29n02_03]
33. Robbins S, Judge TA, Millett B, Boyle M. Organizational behavior. 1st Edition, Pearson Higher Education: AU, 2013
34. Hofstede G.H. Culture's consequences: Comparing values, behaviors, institutions, and organizations across nations. 1 st Edition, Sage Publications: UK, 2001
35. Mosadeghrad AM, Sokhanvar M. Organizational culture of selected hospitals of Tehran city. Journal of Hospital 2017; 16: 46-57 [in Persian]
36. 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]
37. Mosadeghrad AM & Sokhanvar M. Organizational culture of selected teaching hospitals of Tehran. Journal of Health in the Field 2018; 5: 26-38 [in Persian]
38. Mobasher M, Nakhei N, Garoosi S. An assessment of organizational culture in Kerman hospitals. Iran Journal of Medical Ethics and History of Medicine 2005; 1: 45-52 [in Persian]
39. 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 [in Persian]
40. 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]
41. Dargahi H, Eskandari M, Shaham G. A comparison of existing and desirable organizational culture of Tehran University hospitals from hospital managers perspective. Payvard Salamat 2010; 4: 72-87 [in Persian]
42. 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 hayat 2013; 19: 5-16 [in Persian]
43. Mosadeghrad A, Saadati M. Organizational culture in Qazvin hospitals. Journal of Qazvin University of Medical Sciences 2017; 21:83-78 [in Persian]
44. 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]
45. Mosadeghrad A.M. Ferlie E. Total Quality Management in Healthcare in Ortenblad, A. Abrahamson Lofstrom, C. & Sheaff, R., Management innovations for healthcare organizations: adopt, abandon or adapt?. Routledge; 2016.
46. 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]
47. 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]
48. Fekete H, Bocskei E. Cultural waves in company performance. Research Journal of Economics, Business and ICT, 2011; 3: 38-42

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