Document Type : Original Article
Authors
1 Department of Operating Room Technology, School of Paramedical Sciences, AJA University of Medical Sciences, Tehran, Iran
2 2Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
3 Medical Journalism Department, School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
4 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
5 Department of Operating Room Technology, School of Paramedical Sciences, Iran University of Medical Sciences, Tehran, Iran
Abstract
Introduction: The present study aimed to determine the correlation between organizational culture and the organizational commitment of surgical team members.
Methods: This cross-sectional study was performed on 200 surgical team members at hospitals affiliated with Iran Univesity of Medical Sciences in 2019. Cluster sampling and then classification with proportional allocation was performed to select samples. Three questionnaires of demographic information, Robbin's organizational culture, and Allen and Meyer's organizational commitment were used to collect data. Independent t-test, Pearson correlation coefficient, and analysis of variance were used to analyze the data.
Results: The participants’ mean age in the study was 34.37±8.21 years, and they were mostly women (62.5%). The present study showed a significant and direct correlation between the operating room's organizational culture and the surgical team's organizational commitment (P<0.001, r=0.483). A significant relationship was found between organizational culture and gender (P=0.033), and the organizational culture mean score was higher in men than women. Also, there was a significant correlation between organizational commitment and work experience (P=0.048), as people with less work experience had higher organizational commitment.
Conclusion: Considering the positive correlation between operating room organizational culture and surgical commitment of the surgical team, researchers believe creating an appropriate organizational culture in the operating room can help create organizational commitment in surgical team members.
Keywords
- Mahdi F, Mojtaba Zadeh M, Kamali N. Designing and validating a scale for measuring the organizational culture of the country’s universities. Bimonthly of Education Strategies in Medical Sciences. 2022;15(1):1-9.
- Jahangiri R, Derakhshani N, Raeissi P, Alipour S, Ghasemyani S. Evaluation of the status of organizational culture among hospital staff in Iran: a systematic review and meta-analysis. Hospital Topics. 2021;99(3):107-18.
- Teymoori E, Rahmani V, Fereidouni A, Khachian A, Hannani S. Ethical climate of the operating room from the perspective of the surgical team and its relationship with organizational culture and organizational commitment. Perioperative Care and Operating Room Management. 2022;26:100238.
- Omidi N. The study of organizational learning level of nurses in hospitals affiliated to Tehran University of medical sciences and the impact of organizational culture component on that. J Nurs Educ. 2017;6(5):32-9.
- Lee E, Jang I. Nurses’ fatigue, job stress, organizational culture, and turnover intention: A culture–work–health model. Western journal of nursing research. 2020;42(2):108-16.
- Mosadeghrad AM, Sokhanvar M. Organizational culture in nursing wards of hospitals in Tehran, Iran. Payesh (Health Monitor). 2019;18(2):113-26.
- Purwanto E, Nursalam N, Sukartini T. A Motivation Theory to Explain the Organizational Culture among Nurses in the Operating Room. International Journal of Nursing and Health Services (IJNHS). 2020;3(1):67-71.
- AEl-Sayed WM, MEldeeb IEM, Khater MKA, Morsy TA. Operating Room and Patient Safety: An Overview. Journal of the Egyptian Society of Parasitology. 2021;51(2):391-404.
- Kim YI, Geun HG, Choi S, Lee YS. The Impact of Organizational Commitment and Nursing Organizational Culture on Job Satisfaction in Korean American Registered Nurses. Journal of Transcultural Nursing. 2017;28(6):590-7.
- Sheykhbardsiri H. The relationship between the quality of worklife and organizational commitment among personnel of emergency medical services. Journal of Management and Medical Informatics School. 2013;1(1):38-46.
- Boyokzadeh F, Vanaki Z, Asareh M. Reflection of emotional intelligence’s nurse managers on nurses’ organizational commitment. Quarterly Journal of Nursing Management. 2017;6(1):42-52.
- Engin E, Akgöz BE. The effect of communication satisfaction on organizational commitment. British Journal of Arts and Social Sciences. 2013;14(2):109-24.
- Meyer JP, Allen NJ. A three-component conceptualization of organizational commitment. Human resource management review. 1991;1(1):61-89.
- Loan L. The influence of organizational commitment on employees’ job performance: The mediating role of job satisfaction. Management Science Letters. 2020;10(14):3307-12.
- Donglong Z, Taejun C, Julie A, Sanghun L. The structural relationship between organizational justice and organizational citizenship behavior in university faculty in China: The mediating effect of organizational commitment. Asia Pacific Education Review. 2020;21(1):167-79.
- Christy MYP, Priartini PS. Role of work stress and organizational commitments in educating workload effect on intention to quit. International research journal of management, IT and social sciences. 2019;6(4):8-16.
- Lambert EG, Griffin ML, Hogan NL, Kelley T. The ties that bind: Organizational commitment and its effect on correctional orientation, absenteeism, and turnover intent. The Prison Journal. 2015;95(1):135-56.
- Noordin F, Omar S, Sehan S, Idrus S. Organizational climate and its influence on organizational commitment. International Business & Economics Research Journal (IBER). 2010;9(2).
- Zhou H, Gong YH. Relationship between occupational stress and coping strategy among operating theatre nurses in C hina: a questionnaire survey. Journal of nursing Management. 2015;23(1):96-106.
- Li N, Zhang L, Li X, Lu Q. The influence of operating room nurses’ job stress on burnout and organizational commitment: The moderating effect of over-commitment. Journal of Advanced Nursing. 2021;77(4):1772-82.
- Kasatpibal N, Whitney JD, Katechanok S, Ngamsakulrat S, Malairungsakul B, Sirikulsathean P, et al. Practices and impacts post-exposure to blood and body fluid in operating room nurses: A cross-sectional study. International journal of nursing studies. 2016;57:39-47.
- Khachian A, Ahmadi T M. Relationship between nurse’s professional behavior and organizational culture and commitment in hospital affiliated to Iran University of Medical Sciences: Iran University of Medical Sciences; 2016.
- Hedayati SP, Nasiripour A, Mohabati F, Maher A, Mahmoodi M, Hatem N. The relationship between cultural dimension of organizational ethics and employees’ productivity in health system: a case study. Iranian Journal of Medical Ethics and History of Medicine. 2009;2(3):51-60.
- Montazeralfaraj R, Shafii M, Manzouri Z. The Study of Situation of Organizational Culture and Its Relationship With Organizational Commitment and Entrepreneurial Potential in Selected Hospitals in Shiraz University of Medical Science in 2015-2016. Management Strategies in Health System. 2017;1(2):128-.
- Sheikhalizadeh H. The effect of organizational culture on the level of organizational commitment of sports managers. Journal of Sport Management and Motor Behavior. 2015;11(22):191-200.
- Basirat M, Akbari M, Imani S, Abadi ADN. Impact of Organizational Culture on Organizational Commitment: Role of Mediating Entrepreneurial Orientation in National Iranian South Oil Company. Organizational Culture Management. 2017;14(41):625-47.
- Khoshkab Sh, rastegar A. Investigating the relationship between organizational culture and organizational commitment and service quality in the central campus of Semnan University. Educational Leadership & administration. 2015;9(3):59-81.
- The relationship between organizational culture and work ethic and organizational commitment Islamic Azad University of Babol. Educational Administration Research Quarterly. 2016;7(2):95-116.
- Salehi MH, Mohammadian M. The Impact of Culture Organizational on Organizational commitment (Case Study: Staff Working in Islamic Azad University of Ilam). Ilam Culture. 2016;17(50):161-77.
- Ahmadian Z, Ashghali Farahani M, Bastani F, Haghani H. Perspectives of nurses on organizational culture. Hayat. 2010;30(1):78-84.
- Sokhanvar M, Mosadeghrad A. Organizational culture of selected hospitals of Tehran city. Journal of Hospital. 2017;16(2):46-57.
- Mosadeghrad AM, Saadati M. Relationship between managers’ leadership style and organisational structure and culture of Qazvin hospitals. Journal of Health in the Field. 2018;6(1):36-45.
- Liou SR, Cheng CY. Organisational climate, organisational commitment and intention to leave amongst hospital nurses in Taiwan. Journal of clinical nursing. 2010;19(11‐12):1635-44.
- Foley BJ, Kee CC, Minick P, Harvey SS, Jennings BM. Characteristics of nurses and hospital work environments that foster satisfaction and clinical expertise. JONA: The Journal of Nursing Administration. 2002;32(5):273-82.
- Passauer-Baierl S, Hull L, Miskovic D, Russ S, Sevdalis N, Weigl M. Re-validating the observational teamwork assessment for surgery tool (OTAS-D): cultural adaptation, refinement, and psychometric evaluation. World journal of surgery. 2014;38(2):305-13.
- Sacks GD, Shannon EM, Dawes AJ, Rollo JC, Nguyen DK, Russell MM, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Quality & Safety. 2015;24(7):458-67.
- Kalantari R, Zakerian S, Mahmodi Majdabadi M, Zanjirani Farahani A, Meshkati M, Garosi E. Assessing the teamwork among surgical teams of hospitals affiliated to social security organizations in Tehran City. J Hospital. 2016;15(3):21-9.
- Khachian A, Farahani MA, Haghani H, Tameh MA. Evaluation nurses’ professional behavior and its relationship with organizational culture and commitment in 2015. International Journal of Medical Research & Health Sciences. 2016;5(12):247-52.
- Ghiyasvandian S, Sedighiyani A, Kazemnejad A, Iranshahi I. Relationship between organizational communication satisfaction and organizational commitment in nurses. Iranian Journal of Medical Ethics and History of Medicine. 2017;9(6):20-33.
- Dargahi H, Shaham G. The relationship between organizational commitments and non-ethical behavior tendency among the employees of Tehran University of Medical Science: an overview. Iranian Journal of Medical Ethics and History of Medicine. 2015;8(4):46-57.
- Ahmad N, Oranye NO. Empowerment, job satisfaction and organizational commitment: a comparative analysis of nurses working in Malaysia and England. Journal of nursing management. 2010;18(5):582-91.
- Borhani F, Jalali T, Abbaszadeh A, Haghdoost A. Nurses’ perception of ethical climate and organizational commitment. Nursing ethics. 2014;21(3):278-88.
- Jalali T, Borhani F, Esmailpur H, Aliesmaeli M, Aminizade M. Relationship between ethical climate and organizational commitment of medical emergency technicians in Kerman University of Medical Sciences. Iranian Journal of Medical Ethics and History of Medicine. 2017;10(1):91-102.
- Vacharakiat M. The relationships of empowerment, job satisfaction, and organizational commitment among Filipino and American registered nurses working in the USA: George Mason University; 2008.
- Yazdkhasti B, Azarbakhsh SAM, Mortazavi Ab Alvan R. The Relationship between Gender and Organizational Culture (Case Study: National Library of the Islamic Republic). Women in Development & Politics. 2014;12(2):305-23.
- Sadeghi A, Samsami T, Moghimbeigi A, Bikmoradi A. Demographic Analysis on Nurses’ Organizational Commitment at Hamadan University of Medical Sciences’ Educational and Therapeutic Centers. Avicenna Journal of Nursing and Midwifery Care. 2014;22(4):61-71.
- Hojjati H, Taheri N, Kamangar S, Hekmatipour N, MirzaAli J. Relationship between Empowerment and Organizational Commitment of Nurses. Journal of Health and Care. 2015;17(1):82-90.