Assessing Organizational Culture in Nursing
Assessing Organizational Culture in Nursing
2-10-2011
Recommended Citation
Bellot PhD, RN, MHSA, Jennifer, "Defining and Assessing Organizational Culture" (2011). College of
Nursing Faculty Papers & Presentations. Paper 34.
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Organizational Culture 1
As submitted to:
Nursing Forum
DOI: 10.1111/j.1744-6198.2010.00207.x
inconsistencies, the early research and literature addressing organizational culture was
often conflicting and recursive. As one researcher stated, culture is “one of the two or
three most complicated words in the English language” (Williams, 1983). Years of
appropriate definition and role for organizational culture. This manuscript documents the
Development
Organizational Culture 2
Most researchers agree that the notion of studying work environments first
emerged with the work of a social psychologist, Kurt Lewin. Lewin, Lippitt and White
(1939) first coined the term organizational climate in the study “Patterns of Aggressive
inconsistently for the next two decades until the 1960s. By this point, research on
epistemologies. During the 1960s and 1970s, climate research generally addressed
professional socialization and the orientation or integration of the new employee. The
terms climate and culture were often used interchangeably or within quotation marks, and
were not well defined conceptually (Reichers & Schneider, 1990). In the mid-1970s the
organizational climate. Among climate researchers, the sense that the climate construct
was not capturing the holism of the work environment led to the development of
Pettigrew (1979) was the first to introduce formally the term organizational
literature was produced regarding organizational culture and its ideal management. Texts
by Deal and Kennedy (1988), Ouchi (1981) and Peters and Waterman (1982), in
particular, were responsible for the widespread popularity of this concept. These works,
early writing was marketed to managers within a typical corporate structure and was
central issue behind an academic rise of interest in organizational culture was that “a hard
displaced by, an approach that stressed a softer, more humane understanding of human
values and culture” (Parker, 2000, p. 1). The organizational culture perspective was the
organizational behavior theory (Shafritz & Ott, 1987). Until this point, organization
During the 1980s, the conceptual base for organizational culture was developed
further. As previously mentioned, there was much disagreement among scholars and
disciplines regarding appropriate definition and assessment. The next sections provide a
organizational culture.
Prevailing Themes
should not include and the best to assessment method. Although many theorists in the
has dominated the majority of culture research (Table 1). Further, it is widely accepted
Organizational Culture 4
that there is no singular, correct definition of culture. Van Maanen (1985) states, “The
term ‘culture’ is powerfully evocative, but it does not come from anthropology as an
Through the continued work and conceptual development from such scholars as
Edgar Schein, Mats Alvesson and Benjamin Schneider, some consistency of thought has
arisen. This loose consensus of principles has guided much inquiry about organizational
culture (Siehl & Martin, 1983; Druckman, Singer, & Van Cott, 1997).
Although it may seem simplistic, it took years of inquiry and theory to conclude that
organizational culture exists. This debate is intimately related to the next tenet of culture.
symbolism” (Druckman, Singer, & Van Cott, 1997, p. 69) and is “undetectable most of
the time” (Cameron & Quinn, 1999). The lack of tangibility and potential for confusion
and inconsistency lend to complex assessment of the concept. This thought paradigm is
more involved than the positivist tradition of business research, thus necessitating greater
conceptual development.
A core tenet regarding organizational culture is the group nature of the concept.
Theorists have used this property to distinguish organizational culture from other, similar
change.
Central to this tenet was the debate over whether culture is something an organization
consensus that culture is a property that the organization possesses. Further, since
culture is a possession, there is the sense that it can be controlled, or at the very least
influenced and changed, by its members. Culture, therefore, is developed over time
and is not a static property. The assertion that culture is unique has led to some debate
ability to group separate cultures into broad categories. The notion that culture was
to this theory believed that molding organizational culture to an ideal form would thereby
research on culture either cites Schein’s (1987) definition or uses a derivation of his
work. Schein’s roots as a sociologist and his interests in the integration of new
Organizational culture is the pattern of basic assumptions which a given group has
adaptation and internal integration, which have worked well enough to be considered
valid, and therefore to be taught to new members as the correct way to perceive, think
and feel in relation to those problems…it is the assumptions which lie behind values
and which determine the behavior patterns and the visible artifacts such as
Controversies
culture, there is also considerable disagreement. This does not necessarily mean that
of organizational culture. Therefore, this paper will limit discussion to the three most
frequently cited.
Is there one, single culture per organization or are there several different cultures
those from the anthropologic perspective, posited that in order to be defined as a unique
culture, each organization possessed a singular, universal culture. More recent research,
however, has revealed the presence of subcultures, also known as “nested” cultures
management or change. Additionally, recent cultural research has addressed the duality
the framing of culture within three paradigms: Integration, ambiguity and fragmentation.
culture, to classify it within the bounds of its actual implementation. Based on her
qualitative study of hospital social workers, she states that an integrated culture is one
that “shares common and clear understandings and identities” (p. 131). Fragmentation
and ambiguity, in turn, account for differences in perceptions and experiences among
Schein states:
definition, that group does not have a culture in regard to those things. It may have
something, but the concept of sharing or consensus is core to the definition (1991, p.
248).
Meyerson (1991) later argues that ambiguities may be viewed as normal or abnormal
within an organization’s culture and that most cultural assessments consciously exclude
phenomena.
Much research has been devoted to the differentiation of culture from climate. As
culture was being developed into a separate field of inquiry in the early 1980s, a common
justification for its study was its unique qualities, separate from organizational climate.
Many articles, books and chapters have been written on this subject. Rather than present
this debate in its entirety, this paper will attempt to highlight the major elements of this
controversy.
In an early, simplistic attempt to delineate the two concepts, Schwartz & Davis
(1981) stated, “Whatever culture is, it is not climate” (p. 32). This distinction, although
not terribly sophisticated, formed the basis of much conceptual development in the 1980s.
The disciplinary origins of climate and culture overlap, with both sharing common
climate has been measured with quantitative measurements and is often compared across
Organizational Culture 9
settings. Generally, climate is classified by its purpose (e.g., climate for service, climate
for productivity).
the environment” (Tagiuri & Litwin, 1968, p. 25). This definition is quite similar to that
of organizational culture. In fact, several researchers have propagated the idea that
climate is a manifestation of culture (e.g., Schein, 1984; Reichers & Schneider, 1990;
Hatch, 1993) and that the “inadequacies of one approach become the justification for the
issue was differentiating it from organizational climate. As the culture construct was
further developed, and methods for assessment were determined, these two areas
Recent research indicates that, while not exactly the same, culture and climate are
Although it is clear that culture and climate are, in fact, very different perspectives on
organizational environments, it is far less clear that they actually examine distinct
In fact, it is clear that both culture and climate attempt to address the interplay between
individuals and their surroundings, but it becomes a circular debate to determine which
Denison (1996) noted that the development of culture wreaked havoc with climate
is less clear if this overlap is indicative of different concepts or simply two aspects of the
same construct. With the introduction of quantitative and mixed methods for study of
organizational culture in the 1990s, this distinction became even more blurred. As the
many organizational researchers that the two concepts differ more in interpretation rather
Assessment Methods
Qualitative Approach
conceptualizations are of deep, intangible phenomena not easily objectified. For these
reasons, and because culture was initially differentiated from climate by its
observation to describe cultures, one institution at a time (Druckman, Singer, & Van Cott,
1997). The development of cultural study, as distinct from climate study, used the
cultural assessment because they would be unable to capture the subjective and unique
Quantitative Tools
methods led to the development of quantitative tools to assess culture. Rousseau (1990)
advocates for quantitative instruments, stating that cultural assessment would benefit in
strength and validity from the testing of psychometric properties in these instruments. In
Cameron & Quinn (1999) argue that it is crucial, if using quantitative instruments,
that these be validated to ensure the reporting of underlying values and assumptions,
rather than climate. Further, many theorists argue that questionnaires or survey
instruments are inappropriate for measuring culture in that they “measure the dimensions
the actual dimensions of cultures existing a priori in the organization itself” (Druckman,
Singer, & Van Cott, 1997, p. 72). Taken together, the weaknesses of using qualitative or
quantitative methods alone leave potential for omission of crucial elements of culture.
Mixed Methods
In 1983, Siehl and Martin attempted to bridge this gap by using mixed methods.
Since then, mixed methods have emerged as the preferred method for assessing
Organizational Culture 12
mixed methods allow the most explanation of error variance, greater depth in elaboration
of culture as a construct (Alvesson & Berg, 1992) and more opportunity for data analysis
(Fleeger, 1993). A great deal of writing has been devoted to promoting and employing
mixed methods (Siehl & Martin, 1990; Rousseau, 1990; Ashkanasy, Wilderom, &
Peterson, 2000; Alvesson & Berg, 1992; Smith, Francovich, & Gieselman, 2000;
Hofstede, Neuijen, Ohayv, & Sanders, 1990; Fleeger, 1993; Goodridge & Hack, 1996;
Assessment Tools
gained popularity and acceptance, various questionnaires and surveys were developed. It
is important to note that some of these tools were developed in order to be marketed to
researchers. Discussion in this paper will be limited to those tools developed by trained
researchers.
has limitations for use or scope (Scott, Mannion, Davies, & Marshall, 2003). That being
said, the two most cited and scientifically rigorous instruments are the Organizational
Culture Assessment Instrument (OCAI; Cameron & Quinn, 1999) and the Organizational
ipsative scoring, respondents assign points to their answers and all answers must sum to a
predetermined total. The OCAI is based upon the Competing Values Framework,
originally conceptualized by Campbell in 1974. Derived from this framework, the OCAI
has undergone several revisions and, through factor analysis, has a well developed
organizational “types”: Clan, Adhocracy, Hierarchy and Market. Ultimately, these types
became the basis for the OCAI. Cameron and Quinn (1999) emphasize that there is no
one “correct” typology for an organization. The OCAI assesses the degree of each type
versions of it also based on the Competing Values Framework, have been used in several
studies of organizational culture (e. g., Denison, 1990; Cameron & Freeman, 1991; Jones,
DeBaca, & Yarbrough, 1997). Its reliability and validity were established in a series of
studies (Quinn & Spreitzer 1991; Yeung, Brockbank, & Ulrich, 1991; Zammuto &
Krakower, 1991).
Critics of the OCAI maintain that it does not precisely measure culture, instead
(Druckman, Singer, & Van Cott, 1997). Strict qualitative methodologists object on the
grounds that this does not reveal the unique aspects of an organization’s culture, instead
Organizational Culture 14
lumping results into generic categories. Cameron and Quinn, however, readily admit that
the OCAI is intended to be both diagnostic and prescriptive in function. Further, ipsative
scoring inherently creates a situation where respondents’ answers are dependent upon
each other, since they must sum to a pre-determined total. This can obscure the
interpretation and clarity of results. Proponents of the OCAI point to its ease in
Similarly, the Organizational Culture Inventory (OCI; Cooke & Lafferty, 1986)
behavioral norms within an organization. The OCI has been used for many purposes and
is the most widely used industry tool for assessing organizational culture, completed by
over 2 million respondents worldwide as of the year 2000 (Cooke & Szumal, 2000).
Since this tool has been used so widely, a large information base exists on the behavior of
cultures.
The conceptual framework for the OCI was developed by Cooke and colleagues
and is based upon distinguishing between an organization’s concern for people versus its
concern for task. The OCI tool is built upon the Human Synergistics circumplex
conceptual framework, derived via factor analysis from many cultural studies. Sub-
constructs of the OCI have been empirically supported and validated by numerous
sources (Cooke & Rousseau, 1988; Cooke & Szumal, 1993; Xenikou & Furnham, 1996).
Similar to the OCAI, organizations are typed and classified into three predetermined
categories based on the degree of strength to which they represent each category. In
Organizational Culture 15
addition to assessing the current culture of an organization, the OCI has the capacity to
determine the ideal culture for an organization, allowing for comparison between actual
and ideal cultures. This feature has led to the use of the OCI as the basis for planning
culture change.
the same criticisms as the OCAI. Additionally, it is not as user-friendly and simple as the
OCAI. The OCI is a lengthier survey and is subject to proprietary analysis, eliminating
the possibility of internal organizational evaluation. Its widespread use and extensive
psychometric testing make it an attractive option for researchers. Cooke and Szumal
(2000) list more international testing (Asia, Africa, Latin America) as a next step in the
Therefore, some adaptation to the central goals and focus of a human services
organization are necessary before application to a health care setting. Although not
always explicit, it appears that Schein’s conceptual work and theory have most
influenced the study of organizational culture in health care. Schein is frequently cited as
the conceptual reference for this inquiry. Sovie (1993) emphasizes that health care
shared beliefs, values, and feelings that exist within an institution direct the perception of
Two teams of researchers (Gershon, Stone, Bakken, & Larson, 2004; Scott,
Mannion, Davies & Marshall, 2003) have completed in-depth searches and evaluated
Organizational Culture 16
tools used to measure organizational culture in the health care setting. Both teams
reviewed biomedical literature via online databases and consulted with experts in the
behavioral research field. Although most instruments were developed and published in
the mid-1980s, Gershon and colleagues (2004) found that their application to health care
was largely limited to the previous five years. Additionally, most studies were completed
in hospitals and targeted nurses in their evaluations. They surmise that this could be in
Health Care System, which advocated culture change in order to decrease medical error
rates.
Gershon and colleagues also found, predictably, that terminology differed across
organizational culture. Reflecting frustration with the inconsistency of terms, the team
stated:
employees’ collective perceptions and their behaviors (i.e., delivery of care, safe work
Gershon and team conclude, on the basis of reliability and validity, that the
Organizational Culture Inventory (Cooke & Lafferty, 1986) is most appropriate for use in
thirteen tools designed specifically to measure culture only (without reference to climate).
Organizational Culture 17
Nine of these thirteen were used in studies of health care environments. Schein’s
conceptualization of organizational culture was used when analyzing each tool, only
Rather than choosing one “best” instrument for cultural assessment, the team
culture is conceptualized by the research team, the purpose of the investigation, intended
use of the results and availability of resources” (Scott, Mannion, Davies, & Marshall,
2003, p. 923). In this way, the team’s recommendations are appropriate to a wider set of
applications for cultural assessment. Overall, however, Scott and colleagues devote a
large portion of their concluding thoughts to advocating mixed methods. Citing their
assumptions with qualitative techniques. The team then provides examples of studies
using mixed methods in different order (e.g., Qual-quant, Quant-qual). They determined
that either order could be appropriate, depending on the goals of the study.
Conclusion
reached some consensus. Although research does not universally subscribe to one
group interactions.
Organizational Culture 18
As the construct has developed, so have methods for assessing it. Beginning with
the assertion that organizational culture can be evaluated using qualitative techniques,
have been developed and psychometrically tested, and, most recently, mixed methods
most of the conceptual and measurement work regarding organizational culture has been
based upon the traditional corporate structure, research has shown that it is adaptable to
the health care sector. The recognition and assessment of organizational culture is
creating the potential to maximize service, quality and outcomes for both health care
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