Organizational Climate According to Occupational Groups in a Public Sector Health Institution

 Katherine Lecaros Márquez

Universidad Ricardo Palma


Abstract:
 This research has as its objective to compare the actual organizational climate with the ideal organizational climate as perceived by occupational groups in a public sector health institution. Results show that there are significant statistical differences between both climates and that the actual organizational climate shows a negative trend whereas the ideal organizational climate shows a trend that goes from positive to quite positive. This difference is also evident in each of the variable's dimensions. Since no change in institutional policies is foreseen in the near future, the ideal climate seems bound to remain as a hopeful expectation, unless some intervention to modify the actual organizational environment takes place.
Key Words: Actual organizational climate, Ideal organizational climate.


The importance of maintaining an adequate work environment in organizations for their survival, given its direct impact on the productivity of human resources, prompted the present study on the organizational climate in a health institution, which needs to develop policies aimed at incentivizing its internal public in order to provide a quality service to its users.

For years, human resource development policies in the public sector have been based on collective bargaining achievements and the generation of pecuniary benefits. Unfortunately, little was done in many organizations to integrate all of this into impact measurement policies that would allow determining if these actions achieved the desired effect on personnel.

In this way, and with the purpose of evaluating the different dimensions of the Organizational Climate, it was decided to select a bureaucratic-type organization, which has a variety of occupational groups, who have different and, in some cases, antagonistic expectations.

As a data collection instrument, the Organizational Climate Questionnaire by Litwin and Stringer (1968) was used, an instrument that was easy to understand for all occupational groups and that provided valuable information to issue conclusions on the matter.

The theory of Litwin and Stringer constitutes a structural and subjective approach to the concept of organizational climate, which comprises the subjective effects perceived by the formal system, as well as the informal style of administrators and other important environmental factors on the attitudes, beliefs, values and motivation of the people who work in a given organization.

The theory arises from a group of researchers from the Harvard Business School led by George Litwin and Robert Stringer, who observed people's participation in terms of how it related to the environment in which they worked. Instead of examining the structure in which people fit, the researchers asked how people can become energized and committed and motivated by the environment created by their managers, that is, the organizational climate.

Litwin and Stringer validated their questionnaire in 1968 and found that the strength of basic motives such as needs for achievement, power and affiliation was definitely influenced by the organizational climate. In a sample of 460 administrators, they found a strong relationship between highly structured organizations and the emergence of the need for power and a negative relationship regarding the needs for achievement and affiliation. Also, in a climate with high responsibility and clear standards, these scholars observed a strong positive relationship between this climate and achievement motivation, a moderate correlation regarding power motivation and between no relationship to a negative relationship concerning affiliation motivation (Koontz, 2000).

The Litwin and Stringer questionnaire measures organizational climate based on seven dimensions, each of which relates to certain properties of the organization, such as:

  • Conformity: The feeling that there are many restrictions imposed from outside on the organization; the degree to which members feel that there are many norms, procedures, and practices they must abide by instead of being able to do the work as they see fit.
  • Responsibility: The degree to which members feel they can take decisions and solve problems without consulting with their superiors at every step.
  • Norms: The emphasis the organization puts on good performance and outstanding production, including the degree to which members feel the organization sets challenging goals for them and communicates commitment to them to the members.
  • Rewards: The degree to which members feel they are recognized for a job well done and are rewarded for it instead of being ignored, criticized, or punished when something goes wrong.
  • Organizational Clarity: The feeling among members that things are well-organized and goals are clearly defined enough instead of being messy, confusing, or chaotic.

·        Warmth and Support: The feeling that amiability is a valued norm in the organization; that members trust each other and offer support. The feeling that good relationships prevail in the work environment.

·        Leadership: The willingness on the part of organization members to accept the leadership and direction of those most qualified. Members feel free to assume leadership roles, and are rewarded for their effectiveness.

Objectives

1.     To know the current organizational climate versus the ideal organizational climate in the occupational groups of a public sector institution.

2.     To identify and describe the dimensions of the current organizational climate that differ from the ideal organizational climate in the occupational groups of a public health institution.

Method

Level and type of research

The present research is of applied type using the descriptive comparative method to contrast the current organizational climate versus the ideal organizational climate according to occupational groups in a public sector health institution.

Participants

The total population of the institution consisted of 292 people, of which 175 constituted the sample of the present investigation. The people were male and female, aged between 18 and 65 years, with more than 6 months of service time, their employment condition being both indefinite-term contract and appointed, corresponding to the occupational groups of care and administrative personnel.

Instrument

The present study used the Organizational Climate Questionnaire based on the theory of Litwin and Stringer (Kolb, 1977) which consists of seven dimensions: Conformity, Responsibility, Standards, Rewards, Organizational Clarity, Cordiality and Support, and Leadership. The dimensions were measured using a 10-point Likert-type ordinal scale. The consistency and measurement precision index was carried out for both the current organizational climate scale and the ideal organizational climate scale. The interpretation of the questionnaire was carried out by converting the direct scores to scalar scores and diagnostic categories for both climates and their dimensions.

Procedure

The questionnaire data were collected individually, with specific dates designated for testing each occupational group. The approximate application time of the instrument was 30 minutes.

Results

The research results show that, in physicians, the ideal organizational climate yields a mean of 60, which corresponds to the very positive category, while the current organizational climate yields a mean of 30.05, whose difference of 29.95 yields a t score of 13.54, which is very significant even for the 0.01 margin of error. In the nurse group, the ideal organizational climate has a mean of 62.56, which corresponds to the very positive category, while the mean of the current organizational climate is 33.97; the difference


of 28.60 yields a t value of 15.14, also very significant even for the 0.01. In the care technicians, the arithmetic mean of the ideal organizational climate is 60.69 (very positive), while the current organizational climate reaches a mean of 36.19. The difference of 24.50 yields a t value of 9.82, also very significant even for the 0.01. In the administrative group, the ideal climate is 56.03, which corresponds to the positive category, while the mean of the current organizational climate is 23.52, which corresponds to the negative tendency category. The difference of 32.52 also yields a t value of 11.57, significant even for the 0.01. Furthermore, the current organizational climate is mostly in a negative tendency, while the ideal organizational climate is in the positive to very positive category, which is why the contrasts were made based on occupational groups, as shown in Table 1.

 

Table 1. Difference of Means of the actual and ideal Organizational Climate within each occupational group in a public sector health institution.


 

Physician

Nurse

Asst. Tech.

Administ.

 

Actual

Ideal

Actual

Ideal

Actual

Ideal

Actual

Ideal

Mean

30.05

60.00

33.97

62.56

36.19

60.69

23.52

56.03

Median

30

62

34

64.5

35

64

23

61

S.D. (Standard Deviation)

10.71

9.01

12.96

7.30

13.21

9.31

8.24

13.31

Variance

114.61

81.18

167.84

53.33

174.60

88.76

67.86

177.03

N (Sample Size)

40

40

62

62

42

42

31

31

Diff (Difference)

29.95

28.60

24.50

32.52

S.E. (Standard Error)

2.21

1.89

2.49

2.81

T (T-score)

13.54

15.14

9.82

11.57.

*(..)*P<0.01

 

In terms of the Conformity dimension, an average of 5 was found in physicians in the current climate compared to an average of 8 in the ideal climate. The difference of 2.98 yields a t value of 6.18 which is very significant at the 0.01 margin of error, that is, for physicians the current climate is in the negative tendency category, but they consider that in the future it will be positive. In nurses, the average of the current organizational climate is 6.52 indicating a positive tendency, compared to the ideal climate of 8.18 indicating a positive climate, the difference of 1.66 with a t value of 4.35 being significant. In the group of care technicians, the current mean is 6.45 indicating a positive tendency and the ideal is 7.86 indicating a positive climate, the difference of 1.40 which yields a t value of 2.66 being significant. In the administrative group, the current organizational climate is 5.26 as a negative tendency and the ideal climate is 7.32 as a positive tendency, the difference of 2.06 with a t value of 3.57 being also significant. It can be observed that in this dimension, the two occupational groups that are with a negative tendency are the physicians and the administrative staff; those who present a positive tendency are the nurses and the care technicians, but all of them have a significantly greater ideal organizational climate, paying special attention to the administrative staff, who only reach a positive tendency in their ideal perception, which suggests that this is a group that should be given special attention. These results are shown in Table 2.

 

Table 2. Difference of means of the actual and ideal Organizational Climate by occupational group in the dimension Conformity

 

Statistic

Actual Physician

Ideal Physician

Actual Nurse

Ideal Nurse

Actual Asst. Tech.

Ideal Asst. Tech.

Actual Administrat.

Ideal Administrat.

Mean

5.03

8.00

6.52

8.18

6.45

7.86

5.26

7.32

Median

5.00

8.00

7.00

9.00

7.00

8.00

5.00

7.00

S.D.

2.43

1.83

2.37

1.85

2.65

2.16

2.50

2.02

Variance

5.92

3.33

5.63

3.43

7.03

4.66

6.26

4.09

N

40.00

40.00

62.00

62.00

42.00

42.00

31.00

31.00

Diff

-2.98

-1.66

-1.40

-2.06

S.E.

0.48

0.38

0.53

0.58

T

6.18

4.35

2.66

3.57

*p<0.01

 Regarding the Responsibility dimension, we found an average of 5 in physicians in the current climate compared to an average of 8 in the ideal climate. The difference of 3.325 yields a t value of 7.44 which is very significant at the 0.01 margin of error. In nurses, the average of the current organizational climate is 5.58 as a negative tendency, compared to the ideal climate of 8.85 as positive, the difference of 3.27 with a t value of 8.41 being significant. In the group of care technicians, the current mean is 6 as a positive tendency and the ideal is 8.36 as positive, the difference of 2.36 which yields a t value of 5.03 being significant. In the administrative group, the current organizational climate is 3.77 as a negative tendency and the ideal climate is 7.84 as a positive tendency, the difference of 4.06 which yields a t value of 7.94 being significant, as can be seen in Table 3.


Table 3. Difference of means of the actual and ideal Organizational Climate by occupational group in the dimension Responsibility

Physician

Nurse

Asst. Tech.

Administ.

Actual

Ideal

Actual

Ideal

Actual

Ideal

Actual

Ideal

Mean

5.25

8.58

5.58

8.85

6.00

8.36

3.77

7.84

Median

5.00

9.00

6.00

9.00

6.00

9.00

3.00

8.00

S.D. (Standard Deviation)

2.53

1.26

2.64

2.45

1.79

2.11

1.92

Variance

6.40

1.58

6.97

2.42

6.00

3.21

4.45

3.67

N (Sample Size)

40.00

40.00

62.00

62.00

42.00

31.00

31.00

Diff (Difference)

-3.33

-3.27

-2.36

-4.06

S.E. (Standard Error)

0.45

0.39

0.47

0.51

T (T-score)

7.44

8.41

5.03

7.94

*p<0.01

 

With reference to the Standards dimension, we found an average of 5.6 in physicians in the current climate compared to an average of 8.38 in the ideal climate. The difference of 2.78 yields a t value of 5.88 which is very significant at the 0.01 margin of error, that is, for physicians the current climate is in the negative tendency category, but they consider that in the future it will be positive. In nurses, the average of the current organizational climate is 5.02 as a medium tendency compared to the ideal climate of 8.98 which is positive, the difference of 3.97 with a t value of 11.4 being significant. In the group of organizational technicians, the current mean is 5.38 as a medium tendency and the ideal is 8.43 as positive, the difference of 3.05 with a t value of 6.70 being significant. In the administrative group, the current organizational climate is 3.58 as a negative tendency and the ideal climate is 8.03 as a positive tendency, the difference of 4.45 with a t value of 9.49 being significant. These results can be observed in Table 4.

Table 4. Difference of means of the actual and ideal Organizational Climate by occupational group in the dimension Standards

Physician

Nurse

Asst. Tech.

Administ.

Actual

Ideal

Actual

Ideal

Actual

Ideal

Actual

Ideal

Mean

5.60

8.38

5.02

8.98

5.38

8.43

3.58

8.03

Median

5.00

9.00

5.00

9.00

5.00

9.00

3.00

8.00

S.D.

2.31

1.89

2.43

1.26

2.37

1.76

1.82

1.87

Variance

5.32

3.57

5.92

1.59

5.61

3.08

3.32

3.50

N

40.00

40.00

62.00

62.00

42.00

42.00

31.00

31.00

Diff

-2.78

-3.97

-3.05

-4.45

S.E.

0.47

0.35

0.45

0.47

T

5.88

11.40

6.70

9.49

*p<0.01

With reference to the Rewards dimension, one finds in physicians an average of 3.38 in the actual Organizational climate compared to an average of 8.63 in the ideal climate. The difference of 5.25 yields a t value of 14.02 which is very significant at the 0.01 margin of error, that is, for physicians the actual climate is in the negative tendency category, but they indicate that in the future it will be positive. In nurses, the average of the actual organizational climate is 3.76 which is located in the negative category compared to the average of the ideal organizational climate of 9.13 which is located in the positive category, the difference of 5.37 with a t value of 15.53 being significant. In the group of organizational technicians, the current mean is 4.29 as a negative tendency and the ideal is 9.02 as positive, the difference of 4.74 which yields a t value of 10.58 being significant. In the administrative group, the actual organizational climate is 2.68 which is located as a negative tendency and the ideal climate is 8.45 which is located as a positive tendency, the difference of 5.77 which yields a t value of 12.38 being significant, as can be seen in Table 5.

 

Table 5. Difference of Means of the Actual and Ideal Organizational Climate by Occupational Group in the Rewards Dimension

Physician

Nurse

Asst. Tech.

Administ.

Actual

Ideal

Actual

Ideal

Actual

Ideal

Actual

Ideal

Mean

3.38

8.63

3.76

9.13

4.29

9.02

2.68

8.45

Median

3.00

9.00

3.00

10.00

4.00

10.00

3.00

9.00

S.D.  (Standard Deviation)

1.64

1.71

2.30

1.47

2.46

1.54

1.38

2.20

Variance

2.70

2.91

5.27

2.15

6.06

2.37

1.89

4.86

N (Sample Size)

40.00

40.00

62.00

62.00

42.00

42.00

31.00

31.00

Diff (Difference)

-5.25

-5.37

-4.74

-5.77

S.E. (Standard Error)

0.37

0.35

0.45

0.47

T (T-score)

14.02

15.53

10.58

12.38

*P<0.01

With reference to the Clarity dimension, we find that doctors have an average of 3.33 in the actual climate compared to an average of 8.98 in the ideal climate. The difference of 5.65 yields a t-value of 13.79, which is very significant at a 0.01 margin of error; this is, that for doctors the actual climate is located in the medium category, but indicating that in the future it will be positive. In nurses, the average of the actual organizational climate is 4.40, which appears as a negative trend, versus the ideal organizational climate, which amounts to 9.24 and is located in the very positive category, the difference of 4.84 being significant with a t-value of 15.10. In the group of organizational technicians, the actual mean is 4.52, which is located as a negative trend, and the ideal is 8.93, which is located as positive, the difference of 4.40 being significant with a t-value of 9.62. In the group of administrative staff, the actual organizational climate reaches 2.48 in the negative category and the ideal organizational climate reaches 8.23 in the positive category, the difference of 5.74 being significant with a t-value of 11.05, as can be seen in Table 6.

Table 6. Difference of Means of the Actual and Ideal Organizational Climate by Occupational Group in the Organizational Clarity Dimension

Physician

Nurse

Asst. Tech.

Administ.

Actual

Ideal

Actual

Ideal

Actual

Ideal

Actual

Ideal

Mean

3.33

8.98

4.40

9.24

4.52

8.93

2.48

8.23

Median

3.00

10.00

4.00

10.00

4.00

10.00

2.00

9.00

S.D. (Standard Deviation)

2.18

1.40

2.24

1.15

2.36

1.80

1.55

2.45

Variance

4.74

1.97

5.03

1.33

5.57

3.24

2.39

5.98

N (Sample Size)

40.00

40.00

62.00

62.00

42.00

42.00

31.00

31.00

Diff (Difference)

-5.65

-4.84

-4.40

-5.74

S.E. (Standard Error)

0.41

0.32

0.46

0.52

T (T-score)

13.79

15.10

9.62

11.05

*p<0.01

With reference to the Cordiality and Support dimension, we find that doctors have an average of 3.93 in the actual climate compared to an average of 9.03 in the ideal climate. The difference of 5.10 yields a t-value of 11.48, which is very significant at a 0.01 margin of error; that is, that for doctors the actual climate is located in the negative trend category, but they perceive that in the future it will be positive. In nurses, the average of the actual organizational climate is 4.39, which is located in a negative trend, versus the ideal climate of 9.21, which is located as positive, the difference of 4.82 being significant with a t-value of 14.96. In the group of organizational technicians, the actual mean is 5 as a negative trend and the ideal is 9.26 as positive, the difference of 4.26 being significant with a t-value of 9.85. Finally, in the group of administrative staff, the actual organizational climate reaches 2.94 in the negative category, while the ideal climate is 8.13 in the positive category; the difference of 5.19 yields a t-value of 9.95, which is significant, as can be seen in Table 7.

Table 7. Difference of Means of the Actual and Ideal Organizational Climate by Occupational Group in the Cordiality and Support Dimension

 

Physician

Nurse

Asst. Tech.

Administ.

Actual

Ideal

Actual

Ideal

Actual

Ideal

Actual

Ideal

Mean

3.93

9.03

4.39

9.21

5.00

9.26

2.94

8.13

Median

4.00

10.00

4.00

10.00

5.00

10.00

2.00

9.00

S.D. (Standard Deviation)

2.06

1.91

2.26

1.15

2.53

1.21

1.73

2.33

Variance

4.23

3.67

5.13

1.32

6.39

1.47

3.00

5.45

N (Sample Size)

40.00

40.00

62.00

62.00

42.00

42.00

31.00

31.00

Diff (Difference)

-5.10

-4.82

-4.26

-5.19

S.E. (Standard Error)

0.44

0.32

0.43

0.52

T (T-score)

11.48

14.96

9.85

9.95

*p < 0.01


In terms of the Leadership dimension, doctors are found to have an average of 3.55 in the actual climate compared to an average of 8.43 in the ideal climate. The difference of 4.88 yields a t-value of 11.39, which is very significant at a 0.01 margin of error; that is, that for doctors the actual climate is located in the negative trend category, but they indicate that in the future it will be positive. In nurses, the average of the actual organizational climate is 4.31, which is also located as a negative trend, versus the ideal climate, which is 8.97 and located as positive, the difference of 4.66 being significant with a t-value of 13.29. In the group of organizational technicians, the actual mean is 4.55 as a negative trend and the ideal is 8.83 as positive, the difference of 4.29 being significant with a t-value of 9.94. In the group of administrative staff, the actual organizational climate reaches 2.81 in the negative category and the ideal organizational climate reaches 8.03 in the positive trend category, the difference of 5.23 being significant with a t-value of 10.95, as can be seen in Table 8.

Table 8. Difference of Means of the Actual and Ideal Organizational Climate by Occupational Group in the Leadership Dimension

Physician

Nurse

Asst. Tech.

Administ.

Actual

Ideal

Actual

Ideal

Actual

Ideal

Actual

Ideal

Mean

3.55

8.43

4.31

8.97

4.55

8.83

2.81

8.03

Median

3.00

9.00

5.00

9.00

4.00

9.00

2.00

9.00

S.D.

1.85

1.97

2.42

1.33

2.47

1.31

1.58

2.14

Variance

3.43

3.89

5.86

1.77

6.11

1.70

2.49

4.57

N

40.00

40.00

62.00

62.00

42.00

42.00

31.00

31.00

Diff

-4.88

-4.66

-4.29

-5.23

S.E.

0.43

0.35

0.43

0.48

T

11.39

13.29

9.94

10.95

*p < 0.01

 

Conclusions

  • 1.  There are differences between the actual and ideal organizational climate according to occupational groups in a public sector health institution.
  • 2.     The actual organizational climate, at the level of occupational groups, is in a range that oscillates between a positive trend and a negative trend.
  • 3.     With respect to the ideal organizational climate, the occupational groups present scores located in the ranges of very positive to positive.
  • 4.   The Conformity dimension of the organizational climate, based on the theory of Litwin and Stringer, shows differences according to occupational groups.
  • 5.     The Responsibility dimension of the organizational climate, based on the theory of Litwin and Stringer, shows differences according to occupational groups.
  • 6.     The Norms dimension of the organizational climate, based on the theory of Litwin and Stringer, shows differences according to occupational groups.
  • 7.     The Rewards dimension of the organizational climate, based on the theory of Litwin and Stringer, shows differences according to occupational groups.
  • 8.     The Clarity dimension of the organizational climate, based on the theory of Litwin and Stringer, shows differences according to occupational groups.
  • 9.    The Cordiality and Support dimension of the organizational climate, based on the theory of Litwin and Stringer, shows differences according to occupational groups.
  • 10 The Leadership dimension of the organizational climate, based on the theory of Litwin and Stringer, shows differences.

 

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Ricardo Palma University

Graduate School

 

Doctorates:
Doctorate in Political Science and International Relations.
Doctorate in Global Business Administration.

Master's Degrees:
Master's in Business Administration
Master's in Architecture with a Mention in
Business Management
Master's in Political Science
Master's in Organizational Behavior and
Human Resources
Master's in Higher Education Teaching
Master's in Ecology and Environmental Management
Master's in Education through Art
Master's in Industrial Engineering with a Mention in
Planning and Business Management
Master's in Museology.
Master's in Psychology with a Mention in Systems Auditing

Master's in National Development and Defense

Master's in Journalism

Master's in Public Health with a Mention in
Hospital and Health Services Administration

Master's in Nursing

 

Second Specialty:

Psychopedagogy

Educational Management

University Didactics

 

 

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