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Organizational culture and barriers to change in University of Gondar Comprehensive Specialized Hospital Cardiac Unit

Missaye M Mengstie1, Gashaw A Biks2, Emily J Cherlin3

  • 1Department of Psychology, College of Social Sciences and the Humanities, University of Gondar, P.O. Box 196, Gondar, Ethiopia. mulate2002@yahoo.com.

BMC Health Services Research
|March 28, 2023
PubMed

Insights

Hospital organizational culture in Ethiopia

Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Public Health

Background:

  • Cardiovascular disease (CVD) significantly contributes to mortality in Ethiopia.
  • Hospital organizational culture impacts patient outcomes, including CVD mortality rates.
  • Assessing organizational culture is crucial for improving cardiac care.

Purpose of the Study:

  • To evaluate the organizational culture within the Cardiac Unit at the University of Gondar Comprehensive Specialized Hospital.
  • To identify specific barriers hindering positive cultural change in the Cardiac Unit.

Main Methods:

  • A mixed-methods approach using a sequential explanatory design.
  • Quantitative data collected via a validated organizational culture survey (n=78).
  • Qualitative data gathered through in-depth interviews with key informants (n=10).

Main Results:

  • Quantitative findings revealed deficiencies in psychological safety, learning, and problem-solving aspects of the culture.
  • High organizational commitment and adequate time for improvement were noted.
  • Qualitative data highlighted employee resistance to change and other cultural barriers.

Conclusions:

  • The Cardiac Unit's culture exhibits significant weaknesses, indicating a need for targeted improvement strategies.
  • Recognizing and addressing subcultures is essential for enhancing hospital performance.
  • Hospital culture must be integrated into health policy, strategy, and guideline development.
Abstract

Keywords:
Organizational culture, Cardiac care, Culture change, Barriers, Hospital

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