Perceptions of organizational culture among non-patient-facing health system employees.

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES Journal of Health Organization and Management Pub Date : 2025-01-31 DOI:10.1108/JHOM-05-2024-0197
Teray Johnson, Mark Newman, Sameh Shamroukh
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Abstract

Purpose: The significance of organizational culture (OC) pervades all workplaces, extending even to health systems. While numerous studies have examined the perceptions of OC among nurses and physicians, there is a notable gap in understanding the perspectives of non-patient-facing health system employees. This study aims to fill this void by investigating the perceptions and drivers of OC among non-patient-facing personnel within health systems.

Design/methodology/approach: This study employed a mixed-methods approach, starting with a 31-question survey disseminated to health system employees through trade organizations to capture diverse perspectives on OC. Subsequently, employees were invited to participate in semi-structured interviews. A total of 23 interviews were conducted to explore the underlying factors shaping employees' perceptions of OC.

Findings: A total of 67 surveys were completed, with 61 used in the analysis. The results revealed a predominantly positive outlook, highlighting the significance of supportive leadership and involvement in decision-making processes. The qualitative analysis identified four key themes: effective communication and transparency, coordinated teamwork, supportive leadership and the impact of external factors like the coronavirus disease 2019 (COVID-19) pandemic.

Practical implications: Effective leadership should prioritize open communication, employee autonomy and involvement in decision-making. These strategies foster a culture of trust, accountability and engagement, enhancing employee morale and job satisfaction while promoting a collaborative and innovative work environment conducive to long-term success and growth.

Originality/value: This research examines the often-overlooked perspectives of non-patient-facing health system staff, providing valuable insights and strategies for leaders to improve OC and create a more positive, inclusive and supportive work environment.

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非面向患者的医疗系统员工对组织文化的看法。
目的:组织文化(OC)的重要性遍及所有工作场所,甚至包括医疗系统。虽然已有许多研究考察了护士和医生对组织文化的看法,但在了解卫生系统中不面向患者的员工的观点方面还存在明显的差距。本研究旨在通过调查医疗系统中不面向患者的员工对 OC 的看法和驱动因素来填补这一空白:本研究采用了混合方法,首先通过行业组织向医疗系统员工发放了一份包含 31 个问题的调查问卷,以了解员工对 OC 的不同看法。随后,邀请员工参加半结构化访谈。共进行了 23 次访谈,以探讨影响员工对 OC 看法的潜在因素:共完成了 67 份调查问卷,其中 61 份用于分析。调查结果显示,员工的看法主要是积极的,强调了支持性领导和参与决策过程的重要性。定性分析确定了四个关键主题:有效沟通和透明度、协调的团队合作、支持性领导以及冠状病毒病 2019(COVID-19)大流行等外部因素的影响:有效的领导层应优先考虑公开沟通、员工自主和参与决策。这些策略可以培养信任、问责和参与的文化,提高员工士气和工作满意度,同时促进有利于长期成功和发展的协作和创新的工作环境:这项研究探讨了医疗系统中不面向患者的员工经常被忽视的观点,为领导者提供了宝贵的见解和策略,以改善运营中心,创造一个更加积极、包容和支持性的工作环境。
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来源期刊
CiteScore
3.20
自引率
7.10%
发文量
72
期刊介绍: ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.
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