Volume 17, Issue 3 (2025)
Res Med Edu 2025, 17(3): 12-27 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Ansari F, Namvar Y, Rastgoo A, Soleimani T. Designing a Model for Enhancing Appropriate Organizational Culture in Educational and Medical Centers. Res Med Edu 2025; 17 (3) :12-27
URL: http://rme.gums.ac.ir/article-1-1495-en.html
URL: http://rme.gums.ac.ir/article-1-1495-en.html
Department of Educational Sciences, Ardabil Branch, Islamic Azad University, Ardabil, Iran , y.namvar@iau.ac.ir
Abstract: (543 Views)
Introduction: Organizational culture is a key factor in improving service quality, increasing patient satisfaction, and enhancing organizational efficiency in educational and medical centers. The present study aimed to design a comprehensive model for enhancing the organizational culture in such institutions, considering the complexity of these centers and the pivotal role of culture in their performance.
Methods: This qualitative study was conducted based on the grounded theory approach. The statistical population consisted of experts from educational and medical centers in East Azerbaijan Province, Iran. Using snowball sampling, 12 participants were selected until theoretical saturation was achieved. Data were collected through semi-structured interviews and analyzed using MAXQDA (version 2022) software. Coding was performed in three open, axial, and selective stages.
Results: In the open coding phase, 275 initial codes were extracted from the interview transcripts. These codes were collected in the form of 14 axes in the axial coding stage and finally, in the selective coding stage, they were organized into six final categories including causal conditions, central phenomenon, strategies, intervening factors, contextual conditions, and consequences. These 14 axial categories formed the main foundation of the proposed model for promoting organizational culture in educational and therapeutic centers.
Conclusion: The proposed model, considering human, organizational, and environmental dimensions, offers practical solutions for improving and institutionalizing organizational culture in educational and medical centers. The findings emphasize the importance of designing strategic interventions at both individual and organizational levels to strengthen the culture of these institutions.
Methods: This qualitative study was conducted based on the grounded theory approach. The statistical population consisted of experts from educational and medical centers in East Azerbaijan Province, Iran. Using snowball sampling, 12 participants were selected until theoretical saturation was achieved. Data were collected through semi-structured interviews and analyzed using MAXQDA (version 2022) software. Coding was performed in three open, axial, and selective stages.
Results: In the open coding phase, 275 initial codes were extracted from the interview transcripts. These codes were collected in the form of 14 axes in the axial coding stage and finally, in the selective coding stage, they were organized into six final categories including causal conditions, central phenomenon, strategies, intervening factors, contextual conditions, and consequences. These 14 axial categories formed the main foundation of the proposed model for promoting organizational culture in educational and therapeutic centers.
Conclusion: The proposed model, considering human, organizational, and environmental dimensions, offers practical solutions for improving and institutionalizing organizational culture in educational and medical centers. The findings emphasize the importance of designing strategic interventions at both individual and organizational levels to strengthen the culture of these institutions.
Type of Study: Research |
Subject:
Educational Adminstration
References
1. Cancino VEC, Yáñez CSM. Evaluation of the organizational culture in public health centers of different complexity in Chile. Rev de Adm Pública 2024;58(4): e2023-0252. [DOIDOI:10.1590/0034-761220230252x]
2. Elrod JK, Fortenberry Jr JL. Organizational culture in health and medicine. Organizational Behavior and Management in Health and Medicine: Springer; 2024:149-172. [Link]
3. Schein EH. Organizational cultur. Am Psychol Assoc 1990;45(2):109-119. [DOI:10.1037/0003-066X.45.2.109]
4. Morales-Huamán HI, Medina-Valderrama CJ, Valencia-Arias A, Vasquez-Coronado MH, Valencia J, Delgado-Caramutti J. Organizational culture and teamwork: A bibliometric perspective on public and private organizations. Sustainability 2023;15(18):13966. [DOI:10.3390/su151813966]
5. Mannion R, Davies H. Understanding organisational culture for healthcare quality improvement. BMJ 2018;363: k4907. [DOI: 10.1136/bmj.k4907]
6. Curry LA, Brault MA, Linnander EL, McNatt Z, Brewster AL, Cherlin E, et al. Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. BMJ Qual Saf. 2018;27(3):207-217. [DOI: 10.1136/bmjqs-2017-006989]
7. Cicea C, Țurlea C, Marinescu C, Pintilie N. Organizational culture: A concept captive between determinants and its own power of influence. Sustainability 2022;14(4):2021. [DOI:10.3390/su14042021]
8. Szczepańska K, Kosiorek D. Factors influencing organizational culture. Zeszyty Naukowe Organizacja i Zarządzanie/Politechnika Śląska 2017;100:457-468. [DOI:10.29119/1641-3466.2017.100.34]
9. Liou C-L, 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;2020(1):4934983. [DOI: 10.1155/2020/4934983]
10. Kazemi M, Fanudi S. The Study and Analysis of Effective Factors on Patients Satisfaction Due to Hospital Service Quality. Modiriat e-Farda 2009;8(21):66-73. [Link]
11. Szara M, Ksykiewicz-Dorota A, Klukow J, Lamont M. Review of research on organizational culture in health care system. Nursing in the 21st Century 2018;17(2(63)):32-44. [DOI:10.2478/pielxxiw-2018-0013]
12. Abington A. Croydon health services NHS trust creates an internal‐coaching culture: New skills promote organizational change and performance. Human Resource Manag Int Digest 2013;21(4):6-11. [DOI:10.1108/HRMID-04-2013-0013]
13. Johnson A, Nguyen H, Groth M, Wang K, Ng JL. Time to change: A review of organisational culture change in health care organisations. J Organizational Effectiveness: People Performance 2016;3(3):265-288. [DOI:10.1108/JOEPP-06-2016-0040]
14. Parimi PS, Fabres J, Ethawi Y, Alallah J, Fredenburg M, Jain R, et al. Leadership and organizational culture in healthcare. Principles of Neonatology: Elsevier 2024:856-560. [DOI:10.1016/B978-0-323-69415-5.00101-6]
15. Sriyasak A, Sridawruang C, Sriring P, Nitkhamhan B, Chatchumni M, Khaonuan B, et al. Factors affecting hospital provision of health-promoting services transferred to provincial administration in thailand. Int J Environ Res Public Health 2024;21(8):1053. [DOI: 10.3390/ijerph21081053]
16. 16. Lee DW-C, Tan CKN, Tan K, Yee XJ, Jion Y, Roebertsen H, et al. How community and organizational culture interact and affect senior clinical educator identity. Med Teach 2024;46(4):564-572. [DOI: 10.1080/0142159X.2023.2262103]
17. Cohen J, Ezer T. Human rights in patient care: a theoretical and practice framework. Health Hum Rts 2013; 15:7-19. [Link]
18. Mosadeghrad AM. Factors influencing healthcare service quality. Int J Health Policy Manag 2014;3(2):77-89. [DOI: 10.15171/ijhpm.2014.65]
19. Janavi E, Rezaei Z, Poroushasb S. A Study on the relationship between organizational culture and knowledge management in view of the staff of deputy of research and technology Ministry of health and medical education. Sci Techniques Inform Manag 2020;6(1):22-50. [Persian] [DOI: 10.22091/stim.2020.3905.1280]
20. Motevassel Arani M, Parsa M, Sayyedin SH, Isazadeh N, Rostamian A, Parwiz M, et al. Identification of organizational culture components based on Islamic–Iranian values: A field literature review with synthesizing approach. Iranian J Med Ethics History Med 2020;13:343-377. [Persian] [Link]
21. Glaser B, Strauss A. Discovery of grounded theory: Strategies for qualitative research. Routled; 2017. [DOI:10.4324/9780203793206]
22. Strauss A, Corbin J. Basics of qualitative research: grounded theory procedures and techniques. Newbury Park, CA: Sage; 1990. [Link]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
