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- QUESTION
Organizational Culture and Climate Assessment
A thorough, evidence-based analysis of organization culture and climate begins with a thorough, evidence-based assessment. You will use this tool to assess the culture and climate of your institution. Take a tour of your organization. Complete each item with the seven categories of the assessment tool for the organization, not just your unit. There are no right or wrong answers and some will be as varied as the types and numbers of organizations represented by the class. Your answers should reflect the data you collect, not just what you think is the case. Therefore, if there are areas you are unsure about, make contact with the best resource you have at the organization to obtain the best evidence. Using this assessment tool assumes observations are being completed on “normal” days, not one consisting of extreme circumstances or situations. In other words, don’t choose a day to observe when a crisis is occurring. Upon completion of the tool, you will have the information needed to analyze the culture from various evidence points and to reflect on congruence between the climate and culture of your organization.
Remember to include the completed tool with your analysis paper.
Please remember this is an individual assignment. While you might happen to be taking this course at the same time as someone else that works with you at the same or nearby organization, this is not a group assignment. If you have any questions about completing the assignment, reach out to your instructor or course leader.
Organizational Culture and Climate Assessment Tool
(Adapted from Marquis, B., & Huston, C.J. (2017). Assessing the organizational culture, in Leadership Roles and Management Functions in Nursing: Theory and Application, 9th ed. Philadelphia, PA: Wolter-Kluwer, p. 307).
- Physical Environment
- What is the visual appeal of the environment: Physical building is older (built in 1950’s). Interior finishes have been updated however outside still looks like an old building. Roof lines are flat and low. Doesn’t present a good imagine from the road.
- Is the environment guest friendly? Waiting rooms are well furnished. Private family areas are small and do not provided the space needed for larger families. Signage is desperately needed throughout the facility. Large dining area for staff and visitors however it has very limited hours of operation- only open to public Mon- Friday at lunch time.
- Sufficient space for colleagues, team, interdepartmental meetings? Meeting rooms are limited to two main meeting rooms: administrative board room and a classroom. Many smaller departments share a common break room.
- Designated chapel or worship space? Yes, there is a small chapel on the main floor.
- Other observations of physical environment?
- Environmental Safety
- Hallways, passageways, elevators, stairwells clean, free from clutter, and well illuminated. Environment is very clean. Floors are finished and shiney. Elevators and stairwells are clean. Hallways are free of clutter. Enviromental team members are seen in hallways cleaning most all of the time.
- A safety committee exists and is actively engaged. Interior is very well illuminated.
- Security services needed and provided? Two security team members are responsible for the facility. One tries to maintain a presence on the first floor and the other stays on the ground floor. This becomes difficult if we have a court ordered patient or some situation that detains either of both security team members.
- Equipment maintained in good working order? Equipment is in good working order. If equipment fails, we have a defined process in place to pull out of service and notify our on campus biomed team member.
- Social Environment
- Organization-wide social events held periodically, especially around holidays or professional days? We love to celebrate! We have a committee that is chaired by the CNO and HR Director to plan and organize team member celebrations. We also do monthly treat and trains; we deliver treats to all staff members and at the same time provide them with some education tid bit—the team members really like the monthly treat and train events
- Organization events well attended? Yes
- Interdepartmental socialization is positive? Yes, we have a relationship based care culture (based on Creative Healthcare’s concept). Relationship with your self 2. Relationship with your team member and 3. Relationship with patient/ family are essential.
- Any departments preferred or disliked? No, prior to our transformation to a Relationship Based Culture we had a great deal of animosity between day shift and night shift
- Evidence of colleague or employee socialization outside of work? The shared leadership councils in each department organize social nights for their department. They go out to eat, bowling, to movies, paint parties, etc.
- Staff and colleagues appear to like each other. Yes
- How are interactions between staff and visitors? Every team member appears to be friendly and welcoming to visitors
- Organizational power structure
- Where is the seat of power within the organization? We have a clearly defined organizational chart with the CEO being the lead.
- What is the balance of power seen between departments? Overall departments work very well together
- Is special treatment/perks given to some, i.e., parking preferences, dining perks, Physicians have designated parking that is close to the building, other than that no special perks
- What symbols of importance or power are visible/obvious? Clearly designated Admin Signs as well as individual office signs
- Respect of staff for those in position of authority
- Example of Respect shown by those in the position of authority
- Are some referred to or addressed always by their surname or title: The CEO and CNO are addressed using first name only. This tone carries throughout the leadership team.
- Are lines of authority clear and followed? Not always as when an employee may feel their direct Supervisor and/or Manager is not helping their situation and may go above for help
For Nursing it is usually followed but for other services such as House Keeping, Cafeteria, or Maintenance, we nurses have a habit of thinking they are less important and don’t respect or consider their input.
How is informal power managed? . I believe some have no idea of the informal power they possess, therefore we should address and coach them on to a leadership role or get of them if they are causing bad attitudes or problems for the department
- Professional and personal support
- Provisions for professional development of staff available and supported? We are supported by a system team member development (education) department. Every day have at least one person in our building to help promote and support team member development
- Educational reimbursement for degree work? Partner with Auburn University of Montgomery and pay for RN’s to obtain BSN degree. We also offer tuition reimbursement for any healthcare related courses.
- Recognition awards and perks? DAISY award, BEE award- this is for all support staff- because we could not have DAISY’s without Bee’s. PHIL award for Respiratory Therapy. Several departments have employee of the month. We send out a weekly praise report which list all team members praised by patients, families, or team members
- Adequate staff lounge or gathering areas? Very limited space
- Organization supports social functions/holiday parties financially: Organization provides a meal on holidays to team members. CNO host a Christmas party at her home for all nursing leaders
- Organizational communication
- How does communication most frequently occur?
- Eg, email, unit-wide postings, verbally, snail-mail, etc: Daily Huddle at 9, Email, leadership meetings, daily text motivational and inspirational messages
- Does informal communication exist?
- e.g. grapevines, water-cooler discussions, texting, absolutely all of the above
- How reliable is informal communication? Some of it is very reliable
- Where does important information get communicated?
- Staff lounge, physician’s ready rooms, parking lots, during procedures? Department daily huddles, department meetings, staff breakrooms, emails
- Organizational taboos
- Are there any topics off limits for discussion? We are a transparent organization so no
- Do “unofficial rules and policies” that can never be broken exist? Not now since we have transformed into a relationship based care culture
- Do cliques exist that can never be questioned or disrupted? Not now since we have transformed into a relationship based care culture
- How does communication most frequently occur?
Notes:
Organization Mission Statement: As a witness to the love of God through Jesus Christ, Baptist Health exists as a voluntary, not-for-profit organization to promote and improve the physical, emotional, and spiritual well-being of the people and communities it serves through the delivery of quality health care services provided within a framework of fiscal responsibility.
Nursing Vision: Nursing provides loving care within a sacred environment for the mind, body, and spirit for every person in all of our relationships, every time.
Organizational AIM: Patients first. Compassionate care. Pursuing perfection
- Organizational Statement of Values: Stewardship - We are responsible stewards of the time, talents, and resources entrusted to us to care for people we serve.
- Honesty - We conduct our relationship with the people we serve, physicians, healthcare providers, and ourselves honestly, fairly, and consistently.
- Attitude - We believe attitude is a choice and choosing a positive attitude is essential to achieve our mission.
- Respect - We treat those we serve and those with whom we work with respect, compassion, and courtesy.
- Excellence - We are committed to excellence and quality in caring for those we serve.
Subject | Nursing | Pages | 8 | Style | APA |
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Answer
Assessment and Analysis of Baptist Health’s Organizational Culture and Climate
The culture and climate of a healthcare organization significantly impact the nature of the care quality provided. An organization whose culture is aligned with its mission, vision, and goals is likely to provide high quality, safe, and person-centered care. Notably, according to Körner et al. (2015), organizational culture refers to the underlying values, customs, beliefs, assumptions and unique work environment of a healthcare organization. However, organizational climate entails the recurring behavioral patterns as well as attitudes and feelings which define the life of employees in an organization (Roch, Dubois, & Clarke, 2014). The culture of a healthcare facility creates an organizational climate and subsequently how the members of the organization will experience its culture (Yom, Noh, & Kim, 2014). This paper provides an analysis of organizational culture and climate in Baptist Health, a healthcare network based in Jacksonville, Florida. The organization’s culture and climate will be described as well as its alignment to the mission, vision, and goals. From the assessment, the strengths of the culture of the facility will be established and opportunities for improvement identified. Afterward, the capacity of the healthcare organization to support a healthy, safe, and person-centered healthcare will then be assessed. Finally, strategies to address the opportunities for improvement will be presented.
Organizational Culture and Climate Description
One of the vital instruments which can be deployed in the assessment of the culture of an institution is the Organizational Culture and Climate Assessment Tool (Körner et al., 2015). The deployment of the tool in Baptist Health resulted in the assessment of the organization’s physical and social environment as well as its professional and personal support. Although the physical environment of the facility is guest-friendly because of the well-furnished waiting rooms, the physical buildings are not appealing because the exterior outlook does not present a good image. However, the social environment of the facility is conducive considering that Baptist Health organizes occasional celebrations to appreciate and recognize its staff members. Additionally, the relationship-based culture of the facility ensures better teamwork and the provision of effective patient care.
Baptist Health has made available professional development and support system by making sure that; every day, at least one individual help promote team member development. The institution has a clear power structure with the CEO being the leader and designated signs for offices and other major facilities. The hospital is safe based on its clean and shiny floors whereas the elevators and stairwells are devoid of clutter. The presence of two security persons, one at the ground floor and the other at first floor, ensure the security of the organization. The wide variety of communication channels, both formal and informal, implies the presence of freedom in communication (Roch, Dubois, & Clarke, 2014). Since Baptist Health has transformed into a relationship-based culture, it does not have any taboos which enable the freedom of expression of the members.
Mission, Vision, And Goals
The purpose and vision as well as the goals of a healthcare organization should be reflected in its culture. In the case of Baptist Health, the organization’s mission is to ensure the improvement of the wellbeing of its people and communities via the delivery of quality care services (Baptist Health, 2019). Additionally, its vision is to provide nursing care within a holistic environment for not only the body and mind but also for the spirit of every person. Baptist health endeavors to ensure that its patients come first and to offer compassionate care with the goals of pursuing perfection. The mission, vision, and objectives of the organization are aligned with various categories of its culture.
A relationship-based social environment ensures that the staff can work towards the improvement of patients’ wellbeing and the attainment of perfection. Additionally, the environmental safety of the facility makes sure that the physical welfare of the patients is maintained. Moreover, the professional and personal support offered to the workers to work as a team aligns to pursue perfection by providing an enabling environment for the staff members. Allowing the staff to communicate formally and informally aligns with the vision of delivering a sacred environment for the mind and body of the workers. Also, the organizational power structure which sees the CEO take the leadership position ensures that the vision and mission, as well as stated goals, are attained. However, the physical environment is not aligned to pursue perfection as it is nowhere close to being perfect.
Strengths and Opportunities for Improvement
Based on the assessment of Baptist Health, various advantages of its organizational culture have been established. One of those is that the facility has a conducive and appealing social environment for its employees to function well considering its initiatives towards professional development and support. Additionally, the institution has a safe environment which guarantees the safety of members of staff as well as the patients. Moreover, Baptist Health has the strength of a relationship-based culture which ensures that its staff members work as a team and thus provide quality care which translates to better patient outcomes. Its excellent power structure makes sure that the CEO can set the tone for the organization and; therefore, ensure accountability.
Despite the strengths, various opportunities for improving Baptist Health’s culture exist. One of those is that the facility can improve on its physical environment by renovating its buildings which appear to be old and dilapidated from outside. Notably, the visual appeal of a facility tells more about its service quality as the physical environment can be a marketing and customer attracting factor. Additionally, the facility should improve on the ways that it ensures the professional development of staff. In specific, as opposed to using one of the persons in the organization to ensure team member development, it should hire professionals to provide training to its staff members (Körner et al., 2015). Moreover, sporting activities should be to set up to increase staff interaction programs to boost interdepartmental socialization.
Climate Reflective of Culture
An organizational climate refers to the manifestation of the attitudes of the members of staff towards an organization (Roch, Dubois, & Clarke, 2014). As such, the measurement of organizational climate is based on the individual perception of corporate properties. The dimensions of organizational climate include the management support, structure, concern for new members of staff, and the general satisfaction of the workers (Yom, Noh, & Kim, 2014). Additionally, the climate is affected by the mission, goals, and objectives as well as the structure of the facility, the leadership process, physical environment, and the organizational values and norms.
In Baptist Health, the organizational climate is conducive for the members of staff as they seem happy and content about how the organization is run. Notably, each of the members of team appear to be both friendly and welcoming of the visitors. The organizational climate of a friendly environment is reflective of the organizational culture of celebrating and appreciating its members of staff. Also, the general satisfaction of the employees aligns with the culture of not having any taboos which have given the staff members’ freedom.
Healthy, Safe, Person-Centered Care Capacity
The nature of the climate and culture of an organization determines whether it can support the aspects of the person-centered healthcare work environment (Roch, Dubois, & Clarke, 2014). Notably, the culture of Baptist Health of appreciating its employees through celebrations and training ensures that it can highly attract staff members. Notably, attracting new members of staff requires a culture that caters for their interests and provides a good working environment (Yom, Noh, & Kim, 2014). Additionally, the recruitment process of the nurses will be competitive considering that there will be a high number of those seeking to work in the organization especially because Baptist Health has adopted a relationship-based care culture.
The climate of Baptist health which has seen a general satisfaction of the members of staff because they feel valued and appreciated will result in the provision of quality and person-centered care. Notably, when the members of staff have positive attitudes towards an organization, they are likely to work towards the attainment of the organizational goals and objectives. The nurse leader has the role of setting the tone on how the employees should perceive their work experience. Warrick (2017) adds that the nurse leaders not only shape but upholds organizational culture and creates a conducive climate for the members of staff to work to the best of their efforts in the provision of quality care.
Implications
Based on the identified opportunities that Baptist Health can explore to improve its organizational culture, it should renovate the exterior of its buildings so that they can have a visual appeal to attract new members of staff as well as new customers. Notably, the existing buildings look dilapidated and old from outside. The next strategy that Baptist health can use to explore the improvement of the opportunity of professional development and support is contacting professionals who are experienced in different fields to provide continuous training to its workers. Notably, according to Yom, Noh, and Kim (2014), the members of staff will need professional training based on the changing healthcare environment. Contracting the services of professionals from outside the organization will ensure that the staff members gain a wide variety of skills and competencies and thus be well equipped to provide person-centered care.
In conclusion, organizational culture and climate are critical determinants of the quality of healthcare provided by organizations. Whereas organizational culture refers to the underlying values, customs, beliefs, and assumptions of a facility, organizational climate is reflected by the attitudes of the staff members towards an institution. The corporate culture and climate assessment was done on Baptist Health has revealed that the organization has a conducive social environment, environmentally safe, and a structured organizational power whereas the organizational climate is encouraging considering the positive attitudes of the employers towards the facility. However, Baptist Health needs to improve on the physical environment as its exterior parts of the building look old and dilapidated. Additionally, new programs for professional development and support should be introduced to ensure that the staff members are equipped with skills to provide person-centered care.
References
Baptist Health. (2019). About Us. Retrieved from https://www.baptistfirst.org/patients-and-visitors/about-us/mission Körner, M., Wirtz, M. A., Bengel, J., & Göritz, A. S. (2015). Relationship of organizational culture, teamwork and job satisfaction in interprofessional teams. BMC health services research, 15(1), 243. Manojlovich, M., & Ketefian, S. (2016). The effects of organizational culture on nursing professionalism: Implications for health resource planning. Canadian Journal of Nursing Research Archive, 33(4). Roch, G., Dubois, C. A., & Clarke, S. P. (2014). Organizational climate and hospital nurses' caring practices: A mixed‐methods study. Research in Nursing & Health, 37(3), 229-240. Warrick, D. D. (2017). What leaders need to know about organizational culture. Business Horizons, 60(3), 395-404. Yom, Y. H., Noh, S. M., & Kim, K. H. (2014). Clinical nurses' experience of positive organizational culture. Journal of Korean Academy of Nursing Administration, 20(5), 469-480.
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