Literature DB >> 12822919

The quantitative measurement of organizational culture in health care: a review of the available instruments.

Tim Scott1, Russell Mannion, Huw Davies, Martin Marshall.   

Abstract

OBJECTIVE: To review the quantitative instruments available to health service researchers who want to measure culture and cultural change. DATA SOURCES: A literature search was conducted using Medline, Cinahl, Helmis, Psychlit, Dhdata, and the database of the King's Fund in London for articles published up to June 2001, using the phrase "organizational culture." In addition, all citations and the gray literature were reviewed and advice was sought from experts in the field to identify instruments not found on the electronic databases. The search focused on instruments used to quantify culture with a track record, or potential for use, in health care settings. DATA EXTRACTION: For each instrument we examined the cultural dimensions addressed, the number of items for each questionnaire, the measurement scale adopted, examples of studies that had used the tool, the scientific properties of the instrument, and its strengths and limitations. PRINCIPAL
FINDINGS: Thirteen instruments were found that satisfied our inclusion criteria, of which nine have a track record in studies involving health care organizations. The instruments varied considerably in terms of their grounding in theory, format, length, scope, and scientific properties.
CONCLUSIONS: A range of instruments with differing characteristics are available to researchers interested in organizational culture, all of which have limitations in terms of their scope, ease of use, or scientific properties. The choice of instrument should be determined by how organizational culture is conceptualized by the research team, the purpose of the investigation, intended use of the results, and availability of resources.

Mesh:

Year:  2003        PMID: 12822919      PMCID: PMC1360923          DOI: 10.1111/1475-6773.00154

Source DB:  PubMed          Journal:  Health Serv Res        ISSN: 0017-9124            Impact factor:   3.402


  18 in total

1.  Relationship of organizational culture and readiness for change to employee commitment to the organization.

Authors:  G L Ingersoll; J C Kirsch; S E Merk; J Lightfoot
Journal:  J Nurs Adm       Date:  2000-01       Impact factor: 1.737

Review 2.  Organisational culture and quality of health care.

Authors:  H T Davies; S M Nutley; R Mannion
Journal:  Qual Health Care       Date:  2000-06

3.  Primary care in Canada: so much innovation, so little change.

Authors:  B Hutchison; J Abelson; J Lavis
Journal:  Health Aff (Millwood)       Date:  2001 May-Jun       Impact factor: 6.301

4.  Do TQM interventions change management culture? Findings and implications.

Authors:  M B Gerowitz
Journal:  Qual Manag Health Care       Date:  1998       Impact factor: 0.926

5.  Assessing the impact of total quality management and organizational culture on multiple outcomes of care for coronary artery bypass graft surgery patients.

Authors:  S M Shortell; R H Jones; A W Rademaker; R R Gillies; D S Dranove; E F Hughes; P P Budetti; K S Reynolds; C F Huang
Journal:  Med Care       Date:  2000-02       Impact factor: 2.983

Review 6.  Assessing the impact of continuous quality improvement on clinical practice: what it will take to accelerate progress.

Authors:  S M Shortell; C L Bennett; G R Byck
Journal:  Milbank Q       Date:  1998       Impact factor: 4.911

7.  Measuring and interpreting organizational culture.

Authors:  C Thomas; M Ward; C Chorba; A Kumiega
Journal:  J Nurs Adm       Date:  1990-06       Impact factor: 1.737

Review 8.  Organizational culture in hospitals: issues in measurement.

Authors:  J A Seago
Journal:  J Nurs Meas       Date:  1997

9.  Does managed care lead to better or worse quality of care?

Authors:  R H Miller; H S Luft
Journal:  Health Aff (Millwood)       Date:  1997 Sep-Oct       Impact factor: 6.301

10.  Implementing evidence-based medicine: the role of market pressures, compensation incentives, and culture in physician organizations.

Authors:  S M Shortell; J L Zazzali; L R Burns; J A Alexander; R R Gillies; P P Budetti; T M Waters; H S Zuckerman
Journal:  Med Care       Date:  2001-07       Impact factor: 2.983

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  87 in total

1.  Safety culture assessment: a tool for improving patient safety in healthcare organizations.

Authors:  V F Nieva; J Sorra
Journal:  Qual Saf Health Care       Date:  2003-12

2.  Managing change in the culture of general practice: qualitative case studies in primary care trusts.

Authors:  Martin N Marshall; Russell Mannion; Elizabeth Nelson; Huw T O Davies
Journal:  BMJ       Date:  2003-09-13

Review 3.  Multilevel interventions and racial/ethnic health disparities.

Authors:  Sherri Sheinfeld Gorin; Hoda Badr; Paul Krebs; Irene Prabhu Das
Journal:  J Natl Cancer Inst Monogr       Date:  2012-05

4.  Integrating Health Care for the Most Vulnerable: Bridging the Differences in Organizational Cultures Between US Hospitals and Community Health Centers.

Authors:  Michelle Ko; Julia Murphy; Andrew B Bindman
Journal:  Am J Public Health       Date:  2015-11       Impact factor: 9.308

5.  Does a host country capture knowledge of migrant doctors and how might it? A study of UK doctors in New Zealand.

Authors:  Robin Gauld; Simon Horsburgh
Journal:  Int J Public Health       Date:  2015-11-23       Impact factor: 3.380

6.  Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework.

Authors:  D M Ashcroft; C Morecroft; D Parker; P R Noyce
Journal:  Qual Saf Health Care       Date:  2005-12

7.  Interventions in organizational and community context: a framework for building evidence on dissemination and implementation in health services research.

Authors:  Peter Mendel; Lisa S Meredith; Michael Schoenbaum; Cathy D Sherbourne; Kenneth B Wells
Journal:  Adm Policy Ment Health       Date:  2007-11-08

8.  Different paths to high-quality care: three archetypes of top-performing practice sites.

Authors:  Chris Feifer; Lynne Nemeth; Paul J Nietert; Andrea M Wessell; Ruth G Jenkins; Loraine Roylance; Steven M Ornstein
Journal:  Ann Fam Med       Date:  2007 May-Jun       Impact factor: 5.166

9.  Implementing Effective Policy in a National Mental Health Reengagement Program for Veterans.

Authors:  Shawna N Smith; Zongshan Lai; Daniel Almirall; David E Goodrich; Kristen M Abraham; Kristina M Nord; Amy M Kilbourne
Journal:  J Nerv Ment Dis       Date:  2017-02       Impact factor: 2.254

10.  Does the culture of a medical practice affect the clinical management of diabetes by primary care providers?

Authors:  Rebecca Shackelton; Carol Link; Lisa Marceau; John McKinlay
Journal:  J Health Serv Res Policy       Date:  2009-04
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