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      Assessing organizational culture in public mental healthcare service organizations

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          Abstract

          Purpose

          The purpose of this paper is to investigate aspects of organizational culture among the nursing staff of public mental health services organizations in Cyprus. Specifically, highlights are provided of possible differences on the attitudes of nurses regarding actual and desired aspects of organizational culture with respect to demographic characteristics such as gender, years of service and experience.

          Design/methodology/approach

          A descriptive explanatory type survey study was conducted in all public mental health services organizations of Cyprus. Specifically, a questionnaire was given to a representative sample of the nursing population, and data were collected and analyzed. The survey questionnaire was based on the organizational culture profile (OCP) methodology. Statistical analysis was carried out using correlational analysis, t-tests and analysis of variance (ANOVA).

          Findings

          Results showed that there are significant discrepancies between the actual organizational culture and what is desired by staff members of public mental health services organizations in Cyprus. Further, significant differences are identified between actual and desired organizational culture moderated by the type of work, which is determined by the workplace.

          Originality/value

          Even though, organizational culture is a major research topic little has been done in the context of public mental healthcare organizations. Further, for the case of Cyprus, it is the first time that such a study is carried out. The results presented in this paper may provide the foundation for measures to be taken for improving the existing operation of public mental healthcare organizations.

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          Most cited references41

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          Corporations, Culture, and Commitment: Motivation and Social Control in Organizations

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            The cross-level effects of culture and climate in human service teams

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              Is Open Access

              Association between organisational and workplace cultures, and patient outcomes: systematic review

              Design and objectives Every organisation has a unique culture. There is a widely held view that a positive organisational culture is related to positive patient outcomes. Following the Preferred Reporting Items for Systematic Review and Meta-Analyses statement, we systematically reviewed and synthesised the evidence on the extent to which organisational and workplace cultures are associated with patient outcomes. Setting A variety of healthcare facilities, including hospitals, general practices, pharmacies, military hospitals, aged care facilities, mental health and other healthcare contexts. Participants The articles included were heterogeneous in terms of participants. This was expected as we allowed scope for wide-ranging health contexts to be included in the review. Primary and secondary outcome measures Patient outcomes, inclusive of specific outcomes such as pain level, as well as broader outcomes such as patient experience. Results The search strategy identified 2049 relevant articles. A review of abstracts using the inclusion criteria yielded 204 articles eligible for full-text review. Sixty-two articles were included in the final analysis. We assessed studies for risk of bias and quality of evidence. The majority of studies (84%) were from North America or Europe, and conducted in hospital settings (89%). They were largely quantitative (94%) and cross-sectional (81%). The review identified four interventional studies, and no randomised controlled trials, but many good quality social science studies. We found that overall, positive organisational and workplace cultures were consistently associated with a wide range of patient outcomes such as reduced mortality rates, falls, hospital acquired infections and increased patient satisfaction. Conclusions Synthesised, although there was no level 1 evidence, our review found a consistently positive association held between culture and outcomes across multiple studies, settings and countries. This supports the argument in favour of activities that promote positive cultures in order to enhance outcomes in healthcare organisations.
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                Author and article information

                Contributors
                Journal
                JHOM
                10.1108/JHOM
                Journal of Health Organization and Management
                JHOM
                Emerald Publishing
                1477-7266
                23 August 2021
                24 February 2022
                : 36
                : 1
                : 24-37
                Affiliations
                [1] European University Cyprus , Nicosia, Cyprus
                [2]Systema Research Centre, European University Cyprus , Nicosia, Cyprus
                Author notes
                George Papageorgiou can be contacted at: g.papageorgiou@euc.ac.cy
                Article
                670956 JHOM-06-2020-0230.pdf JHOM-06-2020-0230
                10.1108/JHOM-06-2020-0230
                9f7402f1-2813-4b8c-85b8-8de504273c77
                © Emerald Publishing Limited
                History
                : 11 June 2020
                : 16 April 2021
                : 16 June 2021
                : 16 July 2021
                Page count
                Figures: 0, Tables: 6, Equations: 0, References: 41, Pages: 14, Words: 7945
                Categories
                research-article, Research paper
                cat-HSC, Health & social care
                , Healthcare management
                Custom metadata
                Yes
                Yes
                Journal
                included

                Health & Social care
                Public sector organizations,Quality healthcare,Public sector management,Organizational culture,Human resource management

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