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Health workers' perceptions of private-not-for-profit health facilities' organizational culture and its influence on retention in Uganda.
Shumba, Constance Sibongile; Kielmann, Karina; Witter, Sophie.
Afiliación
  • Shumba CS; Queen Margaret University, Queen Margaret University Drive, Musselburgh, East Lothian, EH21 6UU, UK. konstansezw@gmail.com.
  • Kielmann K; Queen Margaret University, Queen Margaret University Drive, Musselburgh, East Lothian, EH21 6UU, UK.
  • Witter S; Queen Margaret University, Queen Margaret University Drive, Musselburgh, East Lothian, EH21 6UU, UK.
BMC Health Serv Res ; 17(1): 809, 2017 Dec 06.
Article en En | MEDLINE | ID: mdl-29207998
BACKGROUND: An in-depth understanding of how organizational culture is experienced by health workers (HWs), and influences their decisions to leave their jobs is a fundamental, yet under-examined, basis for forming effective retention strategies. This research examined HWs' working experiences and perceptions of organisational culture within private-not-for-profit, largely mission-based hospitals, and how this influenced retention. METHODS: Thirty-two HWs, including managers, in 19 health facilities in Uganda were interviewed using a semi-structured topic guide. Interview transcripts were analysed using thematic content analysis. RESULTS: Interviews showed that the organizational culture was predominantly hierarchical, with non-participative management styles which emphasized control and efficiency. HWs and managers held different perceptions of the organizational culture. While the managers valued results and performance, HWs valued team work, recognition and participative management. CONCLUSIONS: The findings of this study indicate that organizational culture influences retention of HWs in health facilities and provide a useful context to inform health care managers in the PNFP sub-sector in Uganda and similar contexts. To improve retention of HWs, a gradual shift in organizational culture will be necessary, focussing on the values, beliefs and perceptions which have the greatest influence on observable behaviour.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cultura Organizacional / Actitud del Personal de Salud / Hospitales Filantrópicos / Personal de Salud / Administración de Instituciones de Salud Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Humans País/Región como asunto: Africa Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2017 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cultura Organizacional / Actitud del Personal de Salud / Hospitales Filantrópicos / Personal de Salud / Administración de Instituciones de Salud Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Humans País/Región como asunto: Africa Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2017 Tipo del documento: Article Pais de publicación: Reino Unido