The Gap Between Expected and Perceived Organizational Culture in an Iranian University of Medical Sciences from the Perspective of Different Stakeholder Groups

The Gap in Organizational Culture at the University

Authors

  • Mina Riahi Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
  • Seyed Ahmad Ahmadi Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
  • Aidin Aryankhesal Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran / Health Management and Economics Research Centre, Iran University of Medical Sciences, Tehran, Iran

DOI:

https://doi.org/10.31661/gmj.v13i.2507

Keywords:

Organizational Cultureerception, University of Medical Sciences, Stakeholder, Perception, Gap, Expectations

Abstract

Background: Organizational culture plays a key role in the success of organizations. Therefore, it is important to measure the gap between stakeholders’ perceptions and expectations of the dominant culture in that organization. This study investigates the gap between the perceptions and expectations of the academic community at the Iran University of Medical Sciences.
Materials and Methods: This descriptive cross-sectional study was conducted from April to the end of October 2021. 960 students, faculty members, staff, and administrators were selected using simple random sampling. The data was collected through Robbin’s organizational culture questionnaire including ten components to assess the gap between the existing (perceived) and desired (expected) organizational status.
Results: The highest and lowest gap between expectations and perceptions out of five possible scores were observed in the reward system (1.74±1.16) and communication patterns (1.01±1.16) components, respectively. The gap between participants’ perceptions and expectations is associated with individuals’ demographic characteristics in most organizational culture components (P<0.05).
Conclusion: Increasing productivity in the university depends on strengthening and promoting its organizational culture. The organizational culture can be improved by meeting the academic community’s expectations by paying attention to the demographic characteristics of staff and taking the necessary actions. Therefore, it should be a strategic priority for managers.

References

Davies HTO. Understanding organizational culture in reforming the National Health Service. J R Soc Med. 2002;95(3):140-2.

https://doi.org/10.1177/014107680209500312

PMid:11872769 PMCid:PMC1279486

Atkinson S, Medeiros RLR, Oliveira PHL, de Almeida RD. Going down to the local: incorporating social organisation and political culture into assessments of decentralised health care. Soc Sci Med. 2000;51(4):619-36.

https://doi.org/10.1016/S0277-9536(00)00005-8

PMid:10868675

Liou CL, Dellmann-Jenkins M. Exploring the organizational culture in Adult Day Services (ADS) and its effect on healthcare delivery in Taiwan. Curr Gerontol Geriatr Res. 2020;20(13):493-8.

https://doi.org/10.1155/2020/4934983

PMid:32099544 PMCid:PMC7040394

Atkinson S, Haran D. Back to basics: does decentralization improve health system performance Evidence from Ceara in north-east Brazil. Bull World Health Organ. 2004;82(11):822-7.

Sakyi EK, Awoonor-Williams JK, Adzei FA. Barriers to implementing health sector administrative decentralisation in Ghana: a study of the Nkwanta district health management team. J Health Econ Manag. 2011;25(4):400-19.

https://doi.org/10.1108/14777261111155038

PMid:22039660

Rovithis M, Linardakis M, Merkouris A, Patiraki E, Vassilaki M, Philalithis A. Organizational culture among levels of health care services in Crete (Greece). Appl Nurs Res. 2017;3(6):9-18.

https://doi.org/10.1016/j.apnr.2017.05.003

PMid:28720247

Riahi M, Taleghani YM, Vejdani M, Salehiniya H, Fadae A. Health Sector Evolution Plan and propagating natural childbirth in Iran. Res J Pharm Biol Chem Sci. 2017;8(1):58-63.

Kabir MJ, Ashrafian Amiri H, Rabiee SM, Farzin K, Hassanzadeh-Rostami Z, Nasrollahpour Shirvani SD, et al. Effective factors on the utilization of health population covered by the urban family physician program in Iran. koomesh. 2020;22(1):130-7.

https://doi.org/10.29252/koomesh.22.1.130

Derakhshani N, Doshmangir L, Ahmadi A, Fakhri A, Sadeghi-Bazargani H, Gordeev VS. Monitoring process barriers and enablers towards universal health coverage within the sustainable development goals: a systematic review and content analysis. Clinicoecon Outcomes Res. 2020;12(3):459-72.

https://doi.org/10.2147/CEOR.S254946

PMid:32922051 PMCid:PMC7457838

Koohpayezadeh J, Azami-Aghdash S, Derakhshani N, Rezapour A, Alaei Kalajahi R, Sajjadi Khasraghi J, et al. Best practices in achieving universal health coverage: A scoping review. Med J Islam Repub of Iran. 2021;35(1):1320-54.

https://doi.org/10.47176/mjiri.35.191

PMid:36042832 PMCid:PMC9391760

Esfandiari A, Nekoueimoghadam M, Mohammadi Z, Norouzi S, Amiresmaili M. Pathology of human resources by applying three dimensional model; case study. Tolooe behdasht. 2012;10(3):1-12.

Mosadeghrad AM, Isfahani P. Strategic planning challenges in the hospital: A qualitative study. Health Monitor Journal of the Iranian Institute for Health Sciences Research. 2020;19(1):19-39.

https://doi.org/10.29252/payesh.19.1.19

Nafar H, Aghdam ET, Derakhshani N, Sani'ee N, Sharifian S, Goharinezhad S. A systematic mapping review of factors associated with willingness to work under emergency condition. Human resources for health. 2021;19(1):1-10.

https://doi.org/10.1186/s12960-021-00622-y

PMid:34167560 PMCid:PMC8222953

Robbins S. Essentials of Organizational Behavior. Prentice Hall: Upper Saddle River; 2005.

Rasteh Moghaddam A, Abbaspor A, Rahimian H. Identifying the challenges of organizational culture and practical solutions to change case: govermental organizations of Tehran. Organizational Culture Management. 2014;11(4):111-35.

Dargahi H, Eskandari M, Shaham M. The comparison between present with desired organizational culture in Tehran university of medical science's hospitals. payavard salamat. 2010;4(1):10-9.

Sayed Aliakbar Ahmadi, Alavi A. Comparison of the existing status of organizational culture in Isfahan University of Medical Sciences with desired conditions. Health Information Management. 2009;7(3 ):370-79.

Hedayati S, Nasiripur A, Mohabati F, Maher A, Mahmudi M, Hatam N. The relationship between organizational culture, ethics, productivity, health workers: case study of public hospitals of Iran University of Medical Sciences. J Med Ethics Med Hist. 2009;2(3):51-60.

Blouin D, Tekian A, Harris IB. Do organizational cultures of Canadian medical schools promote a quality culture? Med teach. 2019;41(6):662-7.

https://doi.org/10.1080/0142159X.2018.1540774

PMid:30731047

Kerfoot KM. Leadership: social identity and guiding from within. Nurs Econ. 2007;25(5):296-8.

Zazzali JL, Alexander JA, Shortell SM, Burns LR. Organizational culture and physician satisfaction with dimensions of group practice. Health Serv Res. 2007;42(3 I):1150-76.

https://doi.org/10.1111/j.1475-6773.2006.00648.x

PMid:17489908 PMCid:PMC1955261

Acar A, Acar P. Organizational culture types and their effects on organizational performance in turkish hospitals. Emerg Mark J. 2014;3(3):18-31.

https://doi.org/10.5195/emaj.2014.47

Beatrice H. The impact of organizational culture. on organizations' performance in the public health sector he case of ocean road ancer institute.Tanzania: Mzumbe University; 2014.

Beytekin OF, Yalcinkaya M, Dogan M, Karakoc N. The organizational culture at the university. Educational Research Association. 2010;2(1):1-13.

Mosadeghrad A. The impact of organizational culture on the successful implementation of total quality management. The TQM Magazine. 2006;18(6):606-25.

https://doi.org/10.1108/09544780610707101

Zachariadou T, Zannetos S, Pavlakis A. Organizational culture in the primary healthcare setting of Cyprus. BMC Health Services Research. 2013;13(3):112-19.

https://doi.org/10.1186/1472-6963-13-112

PMid:23522058 PMCid:PMC3637359

Vazife z, Tavakoli f. Assessing the association of organizational cultures ' dimensions and knowledge management in health care educational organizations. Hospital. 2015;14(2):139-46.

Yaman E. Perception of faculty members exposed to mobbing about the organizational culture and climate. Educational Sciences. 2010;10(1):567-78.

Rider EA, Gilligan MC, Osterberg LG, Litzelman DK, Plews-Ogan M, Weil AB, et al. Healthcare at the crossroads: the need to shape an organizational culture of humanistic teaching and practice. J Gen Intern med. 2018;33(7):1092-9.

https://doi.org/10.1007/s11606-018-4470-2

PMid:29740787 PMCid:PMC6025655

Abass G, Asery A, Al-Tannir M, Heena H, AlFayyad I, Al-Badr A. Organizational culture at a tertiary tare center in Saudi Arabia: A mixed approach study. Cureus. 2018;10(12):501-9.

https://doi.org/10.7759/cureus.3736

PMid:30800546 PMCid:PMC6384045

Cotocel CC, Iovan RE, Goganau AM, Nechita F, Decaa SS, Cotoi BV, et al. Career management and personal integration in organizational culture in medical education - case study University of Medicine and Pharmacy of Craiova, Romania. Rom J Morphol Embryol. 2019;60(3):1053-8.

DeJong DJ. Quality improvement using the baldrige criteria for organizational performance excellence. Am J Health Syst Pharm. 2009;66(11):1031-4.

https://doi.org/10.2146/ajhp080450

PMid:19451614

Cups L. An Investigation of the relationship between transformational leadership and constructive organizational culture. Pennsylvania: Merry Wood University; 2001.

Christine KU. Management's role in shaping organizational culture. Journal of nursing management. 2006;14(3):188-94.

https://doi.org/10.1111/j.1365-2934.2006.00590.x

PMid:16600006

Mash R, De Sa A, Christodoulou M. How to change organisational culture: action research in a South African public sector primary care facility. Afr J Prim Health Care Fam Med. 2016;8(1):1-9.

https://doi.org/10.4102/phcfm.v8i1.1184

PMid:27608671 PMCid:PMC5016718

Ashena M, Asgari N, Moradi Saleh A, Ghafouri D. The role of organizational culture in facilitating knowledge management practices. Journal of information technology management. 2013;5(4):1-22.

Armstrong B, Maxwell J, Ferrie E, Greenwood E, Sheerin L. Diagnosis of organisational culture within an NHS Emergency Department. BMJ Leader. 2019;3(1):19-23.

https://doi.org/10.1136/leader-2018-000127

Williams M, Hevelone N, Alban RF, Hardy JP, Oxman DA, Garcia E, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22.

https://doi.org/10.1016/j.jamcollsurg.2009.09.025

PMid:20123326

Mehdizadeh M, Hasanzadeh M. The study of dominant organizational culture of libraries of universities of Tabriz city based on Quinn and Cameron's model. Journal of Knowledge Studies. 2013;6(22):85-96.

Ebraze A, Rabbanikhah F, Kazemi-Bolboloy A, Moradi R, Aghili A. Assessing organizational culture of headquarters in ministry of health and medical education. Hospital. 2019;18(1):79-88.

Rashedi V, Foroughan M. Correlation between organizational culture and burnout in the staff of Tehran province welfare organization. health promotion management. 2012;1(2):261-69.

Downloads

Published

2024-02-08

Issue

Section

Original Article