Abstract
BackgroundOrganisational culture (OC) has increasingly become a crucial factor in defining healthcare practice and management. However, there has been little research validating and adapting OCAI (organisational culture assessment instrument) to assess OC in healthcare settings in developing countries, including Vietnam. The purpose of this study is to validate the OCAI in a hospital setting using key psychometric tests and confirmatory factor analysis (CFA).MethodsThis is a cross-sectional study. Self-administered structured questionnaire was completed by 566 health professionals from a Vietnamese national general hospital, the General Hospital of Quang Nam province. The psychometric tests and CFA were utilized to detect internal reliability and construct validity of the instrument.ResultsThe Cronbach’s alpha coefficients (α-reliability statistic) ranged from 0.6 to 0.8. In current culture, the coefficient was 0.80 for clan and 0.60 for adhocracy, hierarchy and market dimension, while in expected culture, the coefficient for clan, adhocracy, hierarchy, and market dimension was 0.70, 0.70, 0.70 and 0.60, respectively. The CFA indicated that most factor loading coefficients were of moderate values ranging from 0.30 to 0.60 in both current and expected culture model. These models are of marginal good fit.ConclusionsThe study findings suggest that the OCAI be of fairly good reliability and construct validity in measuring four types of organisational culture in healthcare setting in resource-constrained countries such as Vietnam. This result is a first step towards developing a valid Vietnamese version of the OCAI which can also provide a strong case for future research in the field of measuring and managing organisational culture.
Highlights
Organisational culture (OC) has increasingly become a crucial factor in defining healthcare practice and management
But not the least, as OC tends to develop over time with the adaption and responses of members to the environment, the Competing Values Framework (CVF) is a conceptual foundation that can fit a variable context and as a result be applied for research and facilitation of OC change and Organisational culture assessment instrument (OCAI) being discussed below is among the tools developed from such a framework [19]
The confirmatory factor analysis (CFA) results of this study suggest that Clan culture has the highest correlation with the remaining culture, especially with the Market culture even though they lead in two opposite theoretical dimensions
Summary
Organisational culture (OC) has increasingly become a crucial factor in defining healthcare practice and management. The CVF can fit diverse types of organisational settings and is utilised to measure types, congruence, and strengths of OC using commonly associated terms: the core cultural values, interpretations and assumptions that characterise organisations [3]. It provides a framework for studying and understanding OC that can reflect a mixture of multiple cultural types as well as diverse characteristics of a particular cultural type [6, 8, 13]. But not the least, as OC tends to develop over time with the adaption and responses of members to the environment, the CVF is a conceptual foundation that can fit a variable context and as a result be applied for research and facilitation of OC change and OCAI being discussed below is among the tools developed from such a framework [19]
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