How and to What Extent Does Organisational Culture Influence Organisational Performance: Case Study of a Healthcare Organisation
Keywords:
Organisational culture and performance in the healthcareAbstract
This article reports the results of the exploratory research into the influence of organisational culture on organisational performance. Much of the interest in the concept of organisational culture and organisational performance in the literature are based on explicit and implicit claims that organisational culture influences organisational performance. Although intuitively reasonable, however, the studies that have examined the relationship, often resulted in inconclusive findings, provided little or no explanations on how organisational culture influences organisational performance, and evidently there has been little attempt to explore the dynamics of these two concepts in the healthcare organisation. The use of a mixed methodology in this study meant that the main objectives of this study are being achieved. The effect of the ‘strength’ and ‘congruence’ of organisational culture and organisational values on organisational performance were recognised in this study. Simple influences such as ‘strong’ and ‘congruence’ culture and values leads to high performance are cautiously supported by this study. Another finding from this study suggests that the ‘primary task’ may provide insight to understanding the influence of organisational culture on organisational performance. This study therefore encourages healthcare leaders to consider the strength and congruence of the organisational culture, the strength and congruence of the organisational values, and the nature of the primary tasks in order to put together the right strategy and effort for performance improvement in their organisation. This present study cautiously concludes and presents supportive evidence which suggests that organisational performance is attributable to organisation culture. Whilst these findings in this present study remain valid, they cannot be used for universal generalisations.
References
• Allard-Poesi, F. (2005). The paradox of sense making in organisational analysis. Organisational Studies 12: 169-96.
• Alvesson, M. (2005). Understanding Organisational Culture, (3rd edition). London: Sage Publication.
• Alvesson, M. and Deetz, S. (2000). Doing Critical Management Research. London: Sage.
• Alvesson, M., Hardy, C. and Harley, B. (2008). Reflecting on reflexivity: reflexive textual practices in organisation and management theory. Journal of Management Studies, 45: 480-501.
• Alvesson, M. and Willmott (2012). Making Sense of Management: A Critical Introduction, 2nd edn. London: Sage.
• Ashkanasy, N. M., Wilder, C. P. M., and Peterson, M. F. (2000). Handbook of Organizational Culture and Climate. Thousand Oaks, CA: Sage.
• Ashhanasy, N.M., Lyndelle E. and Sarah, F. (2000). Questionnaire Measures of Organizational of Organisational Culture. In Handbook of Organisational Culture and Climate, edited by Neal M. Ashanay, Celeste P.M Wilderon, and Mark F. Peterson, 131 – 46. Thousand Oaks, CA: Sage Publications.
• Barley, S. R., Meyer, G. W. and Gash, D. C. (2010). Culture of cultures: Academics, practitioners and pragmatics of normative control. Administrative Science Quarterly 33(1): 24-60.
• Bartunek, J. M and Seo, M. (2002). Qualitative research can add new meanings to quantitative research. Journal of Organisational Behaviour 23(2): 237-242.
• Becker, B.E. and Gerhart, B. (1996). The impact of human resource management on organisational performance: Progress and prospects. Academy of Management Journal, 39 (4): 779-801.
• Bourne, M. (2001). The Handbook of Performance Measurement. London: Gee Publishing.
• Bowen, D.E. and Ostroff, C. (2004). Understanding HRM-firm performance linkages: the role of the “strength†of the HRM system. Academy of management Review, 29: 203-221.
• Bromley, D. B. (1986). The Case Study Method in Psychology and Related Disciplines. Chichester: John Wiley & Sons.
• Browaeys, M. and Walter B. (2003). Cultural Complexity: A New Epistemological Perspective. The Learning Organisation 10(6): 332-39.
• Bryman, A (2004). Social Research Methods (2nd Edition) Oxford: Oxford University Press.
• Bulmer, M. (2001). ‘The Ethics of Social Research’ Chapter 4 in N. Gilbert (Ed) Researching Social Life (2nd Edition), London: Sage Publications.
• Calori, R. and Sarnin, P. (1991). Corporate culture and economic performance: A French study. Organisation Studies, 12 (1): 49-74.
• Cameron, K.S. and Quinn, R.E. (2006). Diagnosing and Changing Organisational Culture: Based on the Competing Values Framework. San Francisco: Jossey-Bass.
• Camps, J. and Luna-Auroras, R. (2012). A matter of learning: How human resources affect organizational performance. British Journal of Management 23: 1-21.
• Cascio, W.F. (2006). Managing Human Resources: Productivity, Quality of Life, Profits. McGraw-Hill Irwin.
• Cassell, C.M. and Symon, G. (2004). Essential Guide to Qualitative Methods in Organisational Research, London: Sage Publications.
• Chau, V.S. (2008). The relationship of strategic performance to team strategy, company performance and organizational effectiveness. Team Performance Management, 14: 113-117.
• Chew, I. And Sharma, B. (2005). The effects of culture and HRM practices on firm performance: Empirical evidence from Singapore. International Journal of Manpower, 26(6): 2292-2310.
• Chhokar, J.S., Brodbeck, F.C. and House, R.J. (2007). Culture and Leadership across the world: The GLOBE book of in-depth studies of 25 societies. Mahwah, NJ: Lawrence Erlbaum.
• Cooke, R.A. and Rousseau, D. (1988). Behavioural Norms and Expectations: A Quantitative Approach to the Assessment of Organisational Culture. Group and Organisational Studies, 13: 245-273.
• Collins, K.S., McKinnies, R., and Jensen, S. (2008). Employee satisfaction and employee retention: Catalysts to patients’ satisfaction. Health Care Management, 27: 245 – 251.
• Collis, J. and Hussey, R. (2003). Business Research (2nd Ed.) New York: Palgrave Macmillan.
• Coolican, H. (2003). Research Methods and Statistic in Psychology, (2nd Ed.). London: Hodder and Stoughton.
• Creswell, J.W. (2009). Research Design: Qualitative, Quantitative and Mixed Methods Approaches. Thousand Oaks, CA: Sage Publications.
• Daft, R. L. (2009). Organisation Theory and Design. (7th Ed.) Thousand Oaks, CA: Sage Publications.
• Darcy, T. and Kleiner, B.H. (1991). Leadership for Change in a Turbulent Environment. Leadership and Organization Development Journal, 12(5): 12–16.
• Dauber, D., Kink, G. and Yolles, M. (2012). A Configuration Model of Organizational Culture. Available at http://sgo.sagepub.com/content/2/1/2158244012441482.
• Deal, T.E. and Kennedy, A.A. (2002). Corporate Cultures. Reading, M A; Addison – Wesley.
• Deal, T. E., and Kennedy, A. A. (1982). Corporate Culture: The Rites and Symbols of Corporate Life. Reading, MA: Addison-Wesley.
• Denison D. R. (1996). What is the difference between organizational culture and organizational climate? A native’s point of view on a decade of paradigm wars. Academy of Management Review 21(3): 619-654.
• Denison, D. R. (1984). Bringing Corporate Culture to the Bottom-line. Organisational Dynamics 13(20): 4-22.
• Deshpande, R., Farley, J.U. and Webster, F.E. (2006). Corporate Culture, Customer Orientation and Innovativeness in Japanese Firms, a quadrad analysis. Journal of Marketing, 57(1): 23–27.
• Dess, G.G. and Robinson, R.B. (2011). Measuring Organizational Performance in the Absence of Objective Measures: The Case of the Privately Held Firm and Conglomerate Business Unit. Strategic Management Journal, 5: 265–273.
• DuBrin, A.J. (2012). Leadership: Research Findings, Practices, and Skills. Belmont, CA: Cengage South-Western.
• Dul, J. and Hak, T. (2008). Case Study Methodology in Business Research. Amsterdam: Butterworrh-Heinemann.
• Easterby-Smith, M., Thorpe, R., and Lowe, A. (2011). Management Research: An Introduction. London: Sage.
• Fey, C. F. and Denison, D. R. (2003). Organisational culture and effectiveness: Can American theory be applied in Russia. Organisation Science 14(6): 686-706.
• Gerowitz M.B., Lemieux-Charles L., Heginbothan C. and Johnson B. (1996). Top management culture and performance in Canadian, UK and US hospitals. Health Services Management Research 9: 69-78.
• Glaser, S.R., Zamanou, S. and Hacker, K. (1987). Measuring and interpreting organisational culture. Management Communication Quarterly, Vol. 1(2): 173-98.
• Guest, D. E. (2001). Human resource management: when research confronts theory. International Journal of Human Resource Management 12(7): 1092-1106.
• Guiso, L., Sapienza, P. and Zingales, L. (2000). Does culture affect economic outcomes? Journal of Economic Perspective, 20: 23-48.
• Gummersson, E. (2011). Qualitative Methods in Management Research. CA: Sage.
• Gummersson, E. (2007). Case study research and network theory: birds of a feather: Qualitative Research in Organisations and Management. An International Journal, Volume 2 (3): 226-248.
• Hamel, J., Dufor, S., and Fortin, D. (1993). Case Study Methods. CA: Sage
• Handy, C.B. (1993). Understanding Organisations. London: Penguin.
• Handy, C.B. (1995). Gods of Management: The Changing Work of Organisations. London: Souvenir Press.
• Handy, C.B. (2002a). The Age of Unreason: New Thinking for a New World. London: Arrow Books.
• Hassard, J. (2012). Organisational time: Modern, symbolic and postmodern reflections. Organisational Studies 23: 885-892.
• Hassard, J. (2009). Temporal metaphors in the study of organizations. Research Workshop on Historical Time Organisational Histories, Queen Mary College, London, 26th January 2005.
• Hatch, M.J. and Cunliffe, A.L. (2006). Organisational Theory. Oxford: University Press Inc.
• Hofstede, G. (2001). Culture’s Consequences: Comparing values, behaviours, institutions and organizations across nations. London, England: Sage.
• Hofstede, G., Neuijen, B., Ohayv, D. D. and Sanders, G. (1990). Measuring organizational cultures: A qualitative and quantitative study across 20 cases. Administrative Science Quarterly 35(2): 286- 316.
• House, R.J., Hanges, P.J., Javidan, M., Dorfman, P.W. and Gupta, V. (2004). Culture, Leadership and Organisations: The GLOBE Study of 62 societies. Thousand Oaks, CA: Sage Publications.
• Howard, L. (1998). Validating the Competing Values Models as a Representation of Organisational Culture. International Journal of Organisational Analysis 6(3): 231-50.
• Huselid, M. A. (1995). The impact of human resource practices on turn over, productivity and corporate financial performance. Academy of Management Journal 38(3): 635-672.
• Jordan A.T. (1994). Organisational Culture: The Anthropological Approach. National Association for the Practice of Anthropology Bulletin 14 (1): 3-16.
• Jung, T., Scott, T., Davies, H.T.O., Bower, P., Whalley, D., McNally, R. and Mannion, R., (2009). Instruments for Exploring Organisational Culture: A Review of the Literature. Public Administration Review, pg. 1087 – 1096.
• Kotter, J. and Heskett, J. (2012). Corporate Culture and Performance. New York: Macmillan.
• Lehtinen, J. and Ahola, T. (2010). Is performance measurement suitable for an extended enterprise? International Journal of Operations and Production Management, 30: 181-204.
• Lim, B. (1995). Examining Organizational Culture and Organizational Performance Link. Leadership and Organizational Development Journal, 16(5): 16–21.
• Lund, D. (2003). Organisational Culture and Job satisfaction. Journal of Business and Industrial Marketing 18 (3): 219-36.
• Mahal, P. (2009). Organisational culture and organisational climate as a determinant of motivation. Journal of Management Research, 8(10): 38-51.
• Maitlis, S. (2005). The social process of organisational sense making. Academy of Management Journal, 48: 21-49.
• Mallack, L.A., David, M., Susan, D. and Frank J. (2003). Diagnosing culture in healthcare organisation using critical incidents. International Journal of Health Care Quality Assurance 16 (4): 180-90.
• Mannion, R., Davies, T.O. and Martin N. M. (2009). Cultures for Performance in Healthcare. Maidenhead, UK: Open University Press.
• Martin, J. (2002). Organisational Culture: Mapping the Terrain. London; Sage.
• Morgan, P. I. And Ogbonna, E. (2008). Subcultural dynamics in transformation: A multiperspective study of healthcare professionals. Human Relations 61(1): 39-65.
• Neely, A. (2005). The performance measurement revolution: why now and what next? International Journal of Operations and Production Management, 25: 1264-1277.
• Ogbonna, E and Harris, L.C. (2008). Leadership style, organizational culture and performance: Empirical evidence from UK Companies. International Journal of Human Resource Management 11: 766-788.
• O’Reilly, C., Chatman, J. and Caldwell, D. (2008). Ambidexterity as a dynamic capability: Resolving the innovator’s dilemma. Research in Organisational Behaviour, 28: 185-206.
• O’Reilly, C., Chatman, J. and Caldwell, D. (1991). People and organizational culture: A profile comparison approach to assessing person-organisation fit. Academy of Management Journal 34(3): 487-516.
• Ouchi, W.G. (1981). Theory Z: How American Business can meet the Japanese Challenge. Reading MA Addison – Wesley.
• Parker, M. (2007). Organisational Culture and Identity: Unity and Divison of Work. London: Sage.
• Patton, M.Q. (2002). Qualitative Research and Evaluation Methods. London: Sage.
• Peters, T.J. and Waterman, R.H. (1982). In Search of Excellence. London: Harper and Row.
• Pettigrew, A.M. (1979). On studying Organisational Culture. Administrative Science Quarterly, Vol. 24: 570-81.
• Ravasi, D. and Schultz, M. (2006). Responding to organizational identity threats: Exploring the role of organizational culture. Academy of Management Journal, 49(3): 433-458.
• Ricardo, R. and Wade, D. (2001). Corporate Performance Management: How to Build a Better Organisation through Measurement Driven Strategies Alignment. Butterworth Heinemann.
• Richard, M. (2009). Measuring Organisational Performance: Towards Methodological Best Practice. Journal of Management Studies 23(7): 76-79.
• Robson, C. (2003). Real World Research. Oxford: Blackwell.
• Rousseau, D.M. (1991). Quantitative Assessment of Organisational Culture. Group and Organisations Studies, 15(4), 448-460.
• Rubin, H. J. and Rubin, I. S. (2005). Qualitative Interviewing: The Art of Hearing Data, 2nd ed. London: Sage.
• Schein, E.H. (2011). Organisational Culture and Leadership (4th Ed.). California Jossey-Bass.
• Scott, J.T., Mannion, R., Davies, H.T.O. and Marshall, M.N. (2006). The quantitative measurement of organisational culture in healthcare: What instruments are available? Health Services Research 9(5): 76-83.
• Scott T., Mannion R., Davies, H. and Marshall, M. (2003). Does organisational culture influence healthcare performance? Journal of Health Services Research Policy, 34(9): 11-13.
• Sims, R.R. (2000). Changing an organization’s culture under new leadership. Journal of Business Ethics, 25(1): 65 – 78.
• Simsek, Z. (2009). Organisational ambidexterity: towards a multilevel understanding. Journal of Management Studies, 46: 579-624.
• Smircich, L. (1995). Writing organizational tales: reflections on three books on organizational culture. Organisation Science 6(2): 232-237.
• Stake, R.E. (2000). Case Study. In N.K. Denzin and Y.S. Lincoln (Editions), Handbook of Qualitative Research. Thousand Oaks, CA: Sage, pg. 236-447.
• Stake, R.E. (1995). The Art of Case Study Research. Thousand Oaks, CA: Sage.
• Stewart Douglas (2010), Growing the Corporate Culture, obtained from https://www.wachovia.com/foundation/v/index.jsp. Accessed 9th of March 2013.
• Weick, K.E. (1997). Sense Making in Organisations. Thousand Oaks, CA: Sage.
• Yauch, C. and Harold, J. (2003). Complimentary Use of Qualitative and Quantitative Cultural Assessment Methods. Organisational Research Methods 6(4): 465-81.
• Yin, R.K. (2009). Case Study Research: Design and Methods. Newbury Park, CA: Sage.
• Zammuto, R.F. and Krakower, J.Y. (1991). Quantitative and Qualitative Studies of Organisational Culture. Research in Organisational Change and Development, 5: 83-114.
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