Relationship between organizational culture and commitment of employees in health care centers in west of Iran

Authors

  • Roghayeh Mohammadibakhsh Ph.D. Student of Health Policy, Deputy of Health, Hamadan University of Medical Sciences, Hamadan, Iran, Ph.D. Student of Health Policy, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran

Keywords:

Organizational culture, Organizational commitment, Denison model, Healthcare, Hamedan

Abstract

Introduction: Presence of committed personnel in each organization not only reduces their absenteeism, delays, and displacements but also leads to a dramatic increase in performance and efficiency of an organization, mental freshness of employees, better manifestation of noble objectives, and organizational mission as well as fulfillment of personal goals. Therefore, the purpose of this study was to determine the relationship between organizational culture and organizational commitment of employees in administrative units of health care centers in the cities of Hamedan Province based on the Denison model in 2015. 

Methods: In this cross-sectional study, 177 employees in administrative units of health care centers in the cities of Hamedan Province were selected by a multistage stratified sampling method. The data collection instruments included the standardized Denison organizational culture survey and organizational commitment questionnaire by Meyer and Allen. Data were analyzed by IBM-SPSS version 21 using descriptive statistics and Pearson product-moment coefficient.

Results: Among the 12 indicators of organizational culture, the highest mean scores were assigned to empowerment (16.74), organizational learning (16.41), vision (16.4), and strategic direction (16.35); respectively. Furthermore, the indicators of capability development (14.2), core values (15.31), team orientation (15.45), and goals (15.46) received the lowest mean scores in this respect. Among the four dimensions of organizational culture, the highest mean score was related to “mission” in organizational culture and the lowest score was associated with “involvement.” Meyer and Allen’s organizational commitment model also had three components in which affective commitment in this study obtained the highest score (26.63) and continuance commitment received the lowest score (24.73). In this study, there was a significant correlation between all the components of organizational culture and organizational commitment of employees in administrative units of health care centers (p < 0.05).

Conclusion: Reflecting on all the dimensions and indicators of organizational culture can lead to an escalation of organizational commitment among employees. Furthermore, focus on factors affecting the improvement of continuance commitment can promote organizational commitment of employees in administrative units of health care centers.

 

References

Kabene SM, Orchard C, Howard JM, Soriano MA, Leduc R. The importance of human resources

management in health care: a global context. Hum Resour Health. 2006;4:20. doi: 10.1186/1478-4491-4- 20, PMid: 16872531, PMCid: PMC1552082

Cometto G, Campbell J. Investing in human resources for health: beyond health outcomes. Hum Resour

Health. 2016;14:51. doi: 10.1186/s12960-016-0147-2, PMid: 2752694, PMCid: PMC4986336

Ren Z, Song P, Theodoratou E, Guo S, An L. China’s human resources for maternal and child health: a

national sampling survey. BMC Health Serv Res. 2015;15:561. doi: 10.1186/s12913-015-1238-9, PMid:

, PMCid: PMC4682222

Okechukwu Agwu M. Organizational Culture and Employees Commitment in Bayelsa State Civil Service.

J Manag Policies and Practices. 2013;1(1):35-45.

Vermeeren B, Steijn B, Tummers L, Lankhaar M, Poerstamper R-J, Van Beek S. HRM and its effect on

employee, organizational and financial outcomes in health care organizations. Hum Resour Health.

;12:35. doi: 10.1186/1478-4491-12-35, PMid: 24938460, PMCid: PMC4075604

Daneshkohan A, Zarei E, Mansouri T, Maajani K, Ghasemi MS, Rezaeian M. Factors Affecting Job

Motivation among Health Workers: A Study From Iran. Glob J Health Sci. 2015;7(3):153-60.

Najafi L, Hamidi Y, Ghiasi M, Emami H. Performance evaluation and its effects on employees' job

motivation in Hamedan City health centers. Aust J Basic & Appl Sci. 2011;5(12):1761-5.

Dwivedi S, Kaushik S, Luxmi. Impact of Organizational Culture on Commitment of Employees: An

Empirical Study of BPO Sector in India. Vikalpa. 2014;39(3):77-92. doi: 10.1177/0256090920140306

Amponsah-Tawiah K, Mensah J. Occupational Health and Safety and Organizational Commitment:

Evidence from the Ghanaian Mining Industry. Saf Health Work. 2016;7(3):225-30. doi:

1016/j.shaw.2016.01.002, PMid: 27630792, PMCid: PMC5011093

Barbazza E, Langins M, Kluge H, Tello JE. Health workforce governance: processes, tools and actors

towards a competent health workforce for integrated health services delivery. Health Policy.

;119(2):1645–53. doi: 10.1016/j.healthpol.2015.09.009, PMid: 26489924

Dieleman M, Shaw DMP, Zwanikken P. Improving the implementation of health workforce policies

through governance: a review of case studies. Hum Resour Health. 2011;9:10. doi: 10.1186/1478-4491-9- 10, PMid: 21486438, PMCid: PMC3094272

Buchan J, Duffield C, Jordan A. ‘Solving’ nursing shortages: do we need a new agenda? . J Nurs Manag.

;23(5):543–5. doi: 10.1111/jonm.12315, PMid: 26138078

Dussault G, Badr E, Haroen H, Mapunda M, Soebagja A, Mars AST, et al. Follow-up on commitments at

the Third Global Forum on Human Resources for Health: Indonesia, Sudan, Tanzania. Hum Resour Health.

;14:16. doi: 10.1186/s12960-016-0112-0, PMid: 27117822, PMCid: PMC4847370

Zurn P, Dal Poz MR, Stilwell B, Adams O. Imbalance in the health workforce. . Human Resources for

Health. 2004;2:13-0. doi: 10.1186/1478-4491-2-13, PMid: 15377382, PMCid: PMC526216

Reich MR. The politics of health sector reform in developing countries: three cases of pharmaceutical

policy. Health Policy. 1995;32(1-3):47–77. doi: 10.1016/0168-8510(95)00728-B

Zinnen V, Paul E, Mwisongo A, Nyato D, Robert A. Motivation of human resources for health: a case

study at rural district level in Tanzania. Int J Health Plann Manage. 2012;27:327–47. doi:

1002/hpm.2117, PMid: 22714251

Walt G, Gilson L. Reforming the health sector in developing countries: the central role of policy analysis.

Health Policy Plan. 1994;9:353–70. doi: 10.1093/heapol/9.4.353, PMid: 10139469

Vujicic M, Zurn P, Diallo K, Adams O, Dal Poz MR. The role of wages in the migration of health care

professionals from developing countries. Hum Resour Health. 2004;2(1):3. doi: 10.1186/1478-4491-2-3,

PMid: 15115549, PMCid: PMC419378

Malat J. Social distance and patient's ratings of health care providers. J Health Soc Behav. 2001;42:360-72.

doi: 10.2307/3090184, PMid: 11831137

Denison DR. Corporate Culture and Organizational Effectiveness. New York: John Wiley & Sons; 1990.

Meyer JP, Stanley DJ, Herscovitch L, Topolnytsky L. Affective, Continuance, and Normative Commitment

to the Organization: A Meta-analysis of Antecedents, Correlates, and Consequences. J Vocational

Behavior. 2002;61(1):20-52. doi: 10.1006/jvbe.2001.1842

Rahimnia F, Alizadeh M. Aspects of organizational culture From the perspective of Faculty of the Ferdosi

University in Mashhad based on Denison Model. J Educational Studies and Psychology of the Ferdowsi

Uni. 2008;10(1):147-70.

Delgoshaei B, Tofighi S, Kermani B. The relationship between organizational climate and organizational

commitment in teaching hospitals of Hamedan University of medical sciences. Horizon Med Sci.

;14(4):60-8.

Gillespie AM, Denison D, Haaland S, Smerek R, Neale W. Linking organizational culture and customer

satisfaction: Result from two companies in different industries. European Journal of work and

organizational psychology. 2008;3(1):13-24. doi: 10.1080/13594320701560820

Efendi F. Health worker recruitment and deployment in remote areas of Indonesia. Rural Remote Health.

;12:1–6.

Kuhlmann E, Batenburg R, Dussault G. Health workforce governance in Europe: where are we going? .

Health Policy. 2015;119(12):1515–6. doi: 10.1016/j.healthpol.2015.10.008, PMid: 26563633

Hastings SE, Armitage GD, Mallinson S, Jackson K, Suter E. Exploring the relationship between

governance mechanisms in healthcare and health workforce outcomes: a systematic review. BMC Health

Serv Res. 2014;14:479. doi: 10.1186/1472-6963-14-479, PMid: 25280467, PMCid: PMC4282499

Ziaei MS, Roshandel T, Nargesian A. Investigation of Relation between Organizational Culture and

Organizational Commitment in Libraries Personnel of University of Tehran: Based on Dennison’s

Organizational Culture Model. J Academic Librarianship and Information Research. 2011;45(55):49-77.

Hamidi Y, Barati M. Communication skills of heads of departments: Verbal, listening, and feedback skills.

J Research in Health Sciences. 2011;11(2):91-6. PMid: 22911958

Published

2022-01-18