Influence of organizational culture in the quality management of a teaching hospital

Authors

DOI:

https://doi.org/10.15253/2175-6783.20202143996

Keywords:

Organizational Culture; Quality Management; Hospitals, University.

Abstract

Objective: to analyze the influence of symbolic elements of organizational culture in quality management and patient safety. Methods: qualitative research, using the case study strategy. A total of 18 intentionally chosen managers participated. Data collection took place through observation, document analysis and interviews and, subsequently, it was subjected to thematic content analysis. Results: the following symbolic elements were identified: the strength of the university’s culture, the power of the doctor, the power of the teacher, the steadiness and professional autonomy and collegiate decisions. Such elements influence the management of patient quality and safety, as there is low adherence to change proposals. Conclusion: the symbolic elements maintain the traditional work practices, shared by the group, which make it difficult to adhere to the proposals for quality management and patient safety.

References

Santos L. The first 30 years of the SUS: an uncomfortable balance? Ciênc Saúde Coletiva. 2018; 23(6):2043-50. doi: https://doi.org/10.1590/1413-81232018236.06082018

Stopa SR, Malta DC, Monteiro CN, Szwarcwald CL, Cesar CLG. Use of and access to health services in Brazil, 2013 National Health Survey. Rev Saúde Pública. 2017; 51(Suppl 1):1-10. doi: https://doi.org/10.1590/s1518-8787.2017051000074

Leite ML, Souza AO. Hospitais universitários fe- derais e a fase de reformas administrativas/ge- renciais iniciadas na década de 2010. Geofronter [Internet]. 2019 [cited Feb 3, 2020];3(5):8-33. Available from: https://periodicosonline.uems.br/index.php/GEOF/article/view/3608

Oliveira JLC, Matsuda LM. Benefits and difficulties in the implementation of hospital accreditation: the voice of quality managers. Esc Anna Nery. 2016; 20(1):63-9. doi: http://dx.doi.org/10.5935/1414-8145.20160009

Schein E. Organizational culture and leadership. New Jersey: Wiley; 2017.

Fleury MTL, Fischer RM. Cultura e poder nas organizações. São Paulo: Atlas; 2013.

Aristova N. Rethinking cultural identities in the context of globalization: linguistic landscape of Kazan, Russia, as an emerging global city. Procedia Soc Behav Sci. 2016; 236(1):153-60. doi: http://dx.doi.org/10.1016/j.sbspro.2016.12.056

Lourenço PJF, Cardoso IMMM, Matos FRN, Nodari CH. Cultura organizacional e qualidade em serviços em instituição de saúde pública portuguesa. RPCA. 2017; 11(4):120-35. doi: https://doi.org/10.12712/rpca.v11i4.1001

Oliveira JLC, Hayakawa LY, Versa GLGS, Padilha EF, Marcon SS, Matsuda LM. The nurses role in the accreditation process: perceptions of the hospital multiprofessional team. Rev Baiana Enferm. 2017; 31(2):1-10. doi: http://dx.doi.org/10.18471/rbe.v31i2.17394

Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.

Yin RK. Pesquisa qualitativa do início ao fim. Porto Alegre: Penso; 2016.

Minayo MCS. Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias. Rev Pesqui Qual [Internet]. 2017 [cited Jun 26, 2020];5(7):1-12. Available from: https://edisciplinas.usp.br/pluginfile.php/4111455/mod_resource/content/1/Minayosaturacao

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32 – item checklist for interviews and focus group. Cuid Saúde Int J Qual. 2007; 19(6):349-57. doi: https://doi.org/10.1093/intqhc/mzm042

Motta RPS. Universities and culture under the Brazilian military dictatorship. Estud ISHiR [Internet]. 2018 [cited Feb 05, 2020];8(20):92-106. Available from: https://ojs.rosario-conicet.gov.ar/index.php/revistaISHIR/article/view/825

Araujo MT, Velloso ISC, Alves M. Everyday practices of professional in the mobile emergency service. Rev Min Enferm. 2017; 21:e-1042. doi: http://dx.doi.org/10.5935/1415-2762.20170052

Hernández NC. Bases para construir una cultura eficaz em la organización. ReIbCi [Internet]. 2018 [cited Mar 6, 2020];5(6):26-38. Available from: http://www.reibci.org/publicados/2018/dic/3100102.pdf

Cho E, Lee N, Kim E, Kim S, Lee K, Park K, et al. Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: a cross-sectional study. Int J Nurs Stud. 2016; 60(1):263-71. doi: http://dx.doi.org/10.1016/j.ijnurstu.2016.05.009

Published

2020-09-14

How to Cite

Ventura, P. F. E. V., Velloso, I. S. C., & Alves, M. (2020). Influence of organizational culture in the quality management of a teaching hospital. Rev Rene, 21, e43996. https://doi.org/10.15253/2175-6783.20202143996

Issue

Section

Research Article

Most read articles by the same author(s)