The validation of organisational culture assessment instrument in healthcare setting: results from a cross-sectional study in Vietnam
Abstract Background Organisational 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 developi...
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doaj-347cb8dd26d74f19b27805a79a8ea9842020-11-25T03:03:35ZengBMCBMC Public Health1471-24582020-03-012011810.1186/s12889-020-8372-yThe validation of organisational culture assessment instrument in healthcare setting: results from a cross-sectional study in VietnamNguyen Van Huy0Nguyen Thi Hoai Thu1Nguyen Le Tuan Anh2Nguyen Thanh Hai Au3Nguyen The Phuong4Nguyen Thi Cham5Pham Duc Minh6Graduate School of Public Health, St. Luke’s International UniversityDepartment of Health Management and Organization, Institute for Preventive Medicine and Public Health, Hanoi Medical UniversityInstitute for Preventive Medicine and Public Health, Hanoi Medical UniversityQuang Nam General Central HospitalPreventive Medicine, Public Health Student at Graduate School of Public HealthTraining Center and Scientific Management, National Institute of Occupational Health and EnvironmentBurnet InstituteAbstract Background Organisational 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). Methods This 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. Results The 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. Conclusions The 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.http://link.springer.com/article/10.1186/s12889-020-8372-yOrganisational culture (OC)Organisational culture assessment instrument (OCAI)Healthcare settingDeveloping countriesVietnam |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nguyen Van Huy Nguyen Thi Hoai Thu Nguyen Le Tuan Anh Nguyen Thanh Hai Au Nguyen The Phuong Nguyen Thi Cham Pham Duc Minh |
spellingShingle |
Nguyen Van Huy Nguyen Thi Hoai Thu Nguyen Le Tuan Anh Nguyen Thanh Hai Au Nguyen The Phuong Nguyen Thi Cham Pham Duc Minh The validation of organisational culture assessment instrument in healthcare setting: results from a cross-sectional study in Vietnam BMC Public Health Organisational culture (OC) Organisational culture assessment instrument (OCAI) Healthcare setting Developing countries Vietnam |
author_facet |
Nguyen Van Huy Nguyen Thi Hoai Thu Nguyen Le Tuan Anh Nguyen Thanh Hai Au Nguyen The Phuong Nguyen Thi Cham Pham Duc Minh |
author_sort |
Nguyen Van Huy |
title |
The validation of organisational culture assessment instrument in healthcare setting: results from a cross-sectional study in Vietnam |
title_short |
The validation of organisational culture assessment instrument in healthcare setting: results from a cross-sectional study in Vietnam |
title_full |
The validation of organisational culture assessment instrument in healthcare setting: results from a cross-sectional study in Vietnam |
title_fullStr |
The validation of organisational culture assessment instrument in healthcare setting: results from a cross-sectional study in Vietnam |
title_full_unstemmed |
The validation of organisational culture assessment instrument in healthcare setting: results from a cross-sectional study in Vietnam |
title_sort |
validation of organisational culture assessment instrument in healthcare setting: results from a cross-sectional study in vietnam |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2020-03-01 |
description |
Abstract Background Organisational 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). Methods This 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. Results The 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. Conclusions The 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. |
topic |
Organisational culture (OC) Organisational culture assessment instrument (OCAI) Healthcare setting Developing countries Vietnam |
url |
http://link.springer.com/article/10.1186/s12889-020-8372-y |
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