Janina Ribelienė, Aurelija Blaževičienė, Rūta Jolanta Nadišauskienė, Rasa Tamelienė, Aušrelė Kudrevičienė, Irena Nedzelskienė, Jūratė Macijauskienė
Abstract
Background. Institutions that provide services in the fields of obstetrics-gynecology and neonatology treat highly vulnerable patient groups, and thus assurance of the quality of healthcare and the safety of the patients is of utmost importance. The type of the organizational culture at a healthcare institution determines the organization’s abilities to develop, achieve better results, initiate changes, and implement new methods. The evaluation of organizational culture in such institutions would help to understand and improve patient safety and satisfaction with the healthcare services as well as the effectiveness of the activity of healthcare institutions. The aim of the study was to identify the type of the organizational culture at a healthcare institution that provides services in the fields of obstetrics-gynecology and neonatology based on the evaluation of nurses’ and midwives’ opinions. Summary of the work. The evaluation of the nurses’ and midwives’ opinions about the organizational culture was performed by using the Organizational Culture Assessment Instrument (OCAI). The overall response rate to the survey was 100% (n=233). Summary of the results. The results of the study showed that during the studied period, the Hierarchy culture predominated. The analysis of the components
Dominant Characteristics, Organizational Leadership, Organization Glue, and Strategic Emphases revealed the presence of various types of organizational culture, with the Hierarchy culture (D) being dominant. The analysis of the components Management of Employees and Criteria of Success showed that during the studied period, various culture types existed in the studied institution, with the Clan culture (A) being dominant. In the Hierarchy culture, the analysis of the components Dominant Characteristics, Organizational Leadership, Strategic Emphases, and Criteria of Success revealed that significantly greater differences between the Preferred and Now mean evaluations were in the neonatal departments. Conclusion. According to the nursing staff, the Hierarchy culture type was predominant in the studied healthcare institution that provides services in the fields of obstetrics-gynecology and neonatology. However, the respondents also would prefer a trend towards a friendlier (the Clan culture) and more creative (the Adhocracy culture) work environment.
Keyword(s): organizational culture, obstetrics-gynecology, neonatology, healthcare institution.
DOI: 10.35988/sm-hs.2019.071
Full Text: PDF