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Showing papers on "Organizational culture published in 2014"


Journal ArticleDOI
TL;DR: In this article, the authors developed a rationale for an empirical model based on Schein's conceptual model; the study reports a test of an empirically validated model, and the findings have implications for theory and practice, especially in relation to building an organizational culture within professional service firms that fosters innovative behavior.

637 citations


Journal ArticleDOI
TL;DR: In this paper, the authors argue that the perceived distinction between the objectivity of science and the subjectivity of culture is itself a social fact (a common perception) and attribute the absence of awareness of the cultural dimensions of scientific practice to this distinction, especially for macrocultures and large societies.

517 citations


Journal ArticleDOI
TL;DR: In this paper, a comprehensive set of organizational components that comprise a firm's radical product innovation capability is identified based on an extensive literature review, including senior leadership, organizational culture, organizational architecture, and product launch strategy.

453 citations


Journal ArticleDOI
04 Dec 2014-Nature
TL;DR: It is shown that employees of a large, international bank behave, on average, honestly in a control condition, but when their professional identity as bank employees is rendered salient, a significant proportion of them become dishonest.
Abstract: Trust in others' honesty is a key component of the long-term performance of firms, industries, and even whole countries. However, in recent years, numerous scandals involving fraud have undermined confidence in the financial industry. Contemporary commentators have attributed these scandals to the financial sector's business culture, but no scientific evidence supports this claim. Here we show that employees of a large, international bank behave, on average, honestly in a control condition. However, when their professional identity as bank employees is rendered salient, a significant proportion of them become dishonest. This effect is specific to bank employees because control experiments with employees from other industries and with students show that they do not become more dishonest when their professional identity or bank-related items are rendered salient. Our results thus suggest that the prevailing business culture in the banking industry weakens and undermines the honesty norm, implying that measures to re-establish an honest culture are very important.

437 citations


Journal ArticleDOI
TL;DR: A large research programme to examine culture and behaviour in the English National Health Service identified many ‘bright spots’ of excellent caring and practice and high-quality innovation across the NHS, but also considerable inconsistency.
Abstract: Background Problems of quality and safety persist in health systems worldwide. We conducted a large research programme to examine culture and behaviour in the English National Health Service (NHS). Methods Mixed-methods study involving collection and triangulation of data from multiple sources, including interviews, surveys, ethnographic case studies, board minutes and publicly available datasets. We narratively synthesised data across the studies to produce a holistic picture and in this paper present a highlevel summary. Results We found an almost universal desire to provide the best quality of care. We identified many ‘bright spots’ of excellent caring and practice and high-quality innovation across the NHS, but also considerable inconsistency. Consistent achievement of high-quality care was challenged by unclear goals, overlapping priorities that distracted attention, and compliance-oriented bureaucratised management. The institutional and regulatory environment was populated by multiple external bodies serving different but overlapping functions. Some organisations found it difficult to obtain valid insights into the quality of the care they provided. Poor organisational and information systems sometimes left staff struggling to deliver care effectively and disempowered them from initiating improvement. Good staff support and management were also highly variable, though they were fundamental to culture and were directly related to patient experience, safety and quality of care. Conclusions Our results highlight the importance of clear, challenging goals for high-quality care. Organisations need to put the patient at the centre of all they do, get smart intelligence, focus on improving organisational systems, and nurture caring cultures by ensuring that staff feel valued, respected, engaged and supported.

382 citations


Journal ArticleDOI
TL;DR: The role of leadership and actions that leaders can take at and across levels in developing a strategic climate for EBP implementation within the outer and inner contexts of health care are addressed.
Abstract: There has been a growing impetus to bridge the gap between basic science discovery, development of evidence-based practices (EBPs), and the availability and delivery of EBPs in order to improve the public health impact of such practices. To capitalize on factors that support implementation and sustainment of EBPs, it is important to consider that health care is delivered within the outer context of public health systems and the inner context of health care organizations and work groups. Leaders play a key role in determining the nature of system and organizational contexts. This article addresses the role of leadership and actions that leaders can take at and across levels in developing a strategic climate for EBP implementation within the outer (i.e., system) and inner (i.e., organization, work group) contexts of health care. Within the framework of Edgar Schein's “climate embedding mechanisms,” we describe strategies that leaders at the system, organization, and work group levels can consider and apply ...

310 citations


Journal ArticleDOI
TL;DR: A compilation of the evidence on workplace programs' effectiveness coupled with recommendations for critical review of outcome studies shows that well-designed and well-executed programs that are founded on evidence-based principles can achieve positive health and financial outcomes.
Abstract: Objective: To respond to the question, “Do workplace health promotion programs work?” Methods: A compilation of the evidence on workplace programs’ effectiveness coupled with recommendations for critical review of outcome studies. Also, reviewed are recent studies questioning the value of workplace programs. Results: Evidence accumulated over the past three decades shows that well-designed and well-executed programs that are founded on evidence-based principles can achieve positive health and financial outcomes. Conclusions: Employers seeking a program that “works” are urged to consider their goals and whether they have an organizational culture that can facilitate success. Employers who choose to adopt a health promotion program should use best and promising practices to maximize the likelihood of achieving positive results.

296 citations


Journal ArticleDOI
TL;DR: In this paper, the authors conceptualize ambidextrous organizational culture as a higher-order construct consisting of organizational diversity and shared vision, and examine its impacts on contextual ambidexterity and consequently on new product innovation outcomes.
Abstract: Contextual ambidexterity is of paramount importance for new product innovation and organizational success, particularly in high-tech firms operating in a dynamic environment. Whilst it is recognized that contextual ambidexterity is grounded in organizational culture, existing research has not crystallized what kind of organizational culture enables contextual ambidexterity and consequently new product innovation. In this paper, drawing on data from 150 UK and 242 Chinese high-tech firms, we conceptualize ambidextrous organizational culture as a higher-order construct consisting of organizational diversity and shared vision, and examine its impacts on contextual ambidexterity and consequently on new product innovation outcomes. Using structural equation modelling, we find significant relationships between ambidextrous organizational culture, contextual ambidexterity and new product innovation outcomes; contextual ambidexterity mediates the relationship between ambidextrous organizational culture and new product innovation outcomes. Our findings also suggest that the above relationships are robust in the UK–China comparative research context, and that contextual ambidexterity and new product innovation outcomes are dependent on business unit level heterogeneity (i.e. ambidextrous organizational culture and research and development strength) rather than industry or cross-cultural differences.

266 citations


Journal ArticleDOI
TL;DR: In this article, a literature survey of peer-reviewed journal articles, survey reports, master theses, doctoral theses and paradigmatic books with managerial impact is used as the research methodology.
Abstract: Purpose – The purpose of this paper is to present an analysis of research on lean focusing on barriers in its implementation through a systematic literature survey. Design/methodology/approach – A literature survey of peer-reviewed journal articles, survey reports, master theses, doctoral theses and paradigmatic books with managerial impact is used as the research methodology. Findings – The findings derived from the evaluation of the publications analyzed have led to the identification of 24 lean barriers. The success of lean implementation will not be entirely based on application of appropriate tools and techniques alone but also on the top managements' involvement and leadership, workers' attitude, resources and the organizational culture. Research limitations/implications – This literature survey is primarily focused on lean implementation in the manufacturing sector. Practical implications – This paper explores barriers for successful lean implementation and provides a concise description of the bar...

251 citations


Journal ArticleDOI
TL;DR: In this paper, the authors empirically link CEO personality to culture and organizational culture to objective measures of firm performance using data from respondents in 32 high-technology companies, and they show that CEO personality affects a firm's culture and that culture is subsequently related to a broad set of organizational outcomes including a firm’s financial performance (revenue growth, Tobin's Q), reputation, analysts' stock recommendations, and employee attitudes.
Abstract: Studies of organizational culture are almost always based on two assumptions: (a) Senior leaders are the prime determinant of the culture, and (b) culture is related to consequential organizational outcomes. Although intuitively reasonable and often accepted as fact, the empirical evidence for these is surprisingly thin, and the results are quite mixed. Almost no research has jointly investigated these assumptions and how they are linked. The purpose of this article is to empirically link CEO personality to culture and organizational culture to objective measures of firm performance. Using data from respondents in 32 high-technology companies, we show that CEO personality affects a firm’s culture and that culture is subsequently related to a broad set of organizational outcomes including a firm’s financial performance (revenue growth, Tobin’s Q), reputation, analysts’ stock recommendations, and employee attitudes. We discuss the implications of these findings for future research on organizational culture.

204 citations


Journal ArticleDOI
TL;DR: This is the first paper that provides a consolidated list of key lean readiness factors that can guide practice, as well as future theory and empirical research.
Abstract: Purpose – The purpose of this paper is to determine the readiness factors that are critical to the application and success of lean operating principles in healthcare organizations through a review of relevant literature. Design/methodology/approach – A comprehensive review of literature focussing on lean and lean healthcare was conducted. Findings – Leadership, organizational culture, communication, training, measurement, and reward systems are all commonly attributed readiness factors throughout general change management and lean literature. However, directly related to the successful implementation of lean in healthcare is that a setting is able to authorize a decentralized management style and undertake an end-to-end process view. These can be particularly difficult initiatives for complex organizations such as healthcare settings. Research limitations/implications – The readiness factors identified are based on a review of the published literature. The external validity of the findings could be enhanc...

Journal ArticleDOI
TL;DR: In this paper, the authors present evidence of the effects of reform efforts at the school and system levels, through articulating five phases: Phase 1 -understand the organisational culture of the school; Phase 2 -action research and research initiatives at school level; Phase 3 -managing change and comprehensive approaches to school reform; Phase 4 -building capacity for student learning at the local level and the continuing emphasis on leadership;Phase 5 -systemal improvement.
Abstract: Over the last 4 decades, the school effectiveness and school improvement research bases have gained prominence and recognition on the international stage. In both a theoretical and empirical sense, they have matured through a wide range of well-documented projects, interventions, and innovations across a range of countries, describing how efforts to help schools become increasingly effective learning environments for the full range of their students have been more or less successful. This review presents evidence of the effects of reform efforts at the school and system levels, through articulating 5 phases: Phase 1 – understanding the organisational culture of the school;Phase 2 – action research and research initiatives at the school level;Phase 3 – managing change and comprehensive approaches to school reform;Phase 4 – building capacity for student learning at the local level and the continuing emphasis on leadership;Phase 5 – towards systemic improvement. The review concludes by reflecting on how the ...

Journal Article
TL;DR: The results of this study support the role of positive leadership approaches that empower nurses and discourage workplace incivility and burnout in nursing work environments and provide empirical support for the notion of resonant leadership.
Abstract: Nursing leaders are indispensable in creating positive nursing work environments that retain an empowered and satisfied nursing workforce. Positive and supportive leadership styles can lower patient mortality and improve nurses' health, job satisfaction, organizational commitment, emotional exhaustion, and intent to stay in their position. The results of this study support the role of positive leadership approaches that empower nurses and discourage workplace incivility and burnout in nursing work environments. The findings also provide empirical support for the notion of resonant leadership, a relatively new theory of relationship-focused leadership approaches. This research adds to the growing body of knowledge documenting the key role of positive leadership practices in creating healthy work environments that promote retention of nurses in a time of a severe nursing shortage.

Journal ArticleDOI
TL;DR: In this article, the authors performed content analysis on interviews of 14 independent experts about their experience with corrupt organizations and found that corrupt organizations perceive themselves to fight in a war, which leads to their taken-for-granted assumption that "the end justifies the means".
Abstract: Although theory refers to organizational culture as an important variable in corrupt organizations, only little empirical research has addressed the characteristics of a corrupt organizational culture. Besides some characteristics that go hand in hand with unethical behavior and other features of corrupt organizations, we are still not able to describe a corrupt organizational culture in terms of its underlying assumptions, values, and norms. With a qualitative approach, we studied similarities of organizational culture across different corrupt organizations. In this study, we performed content analysis on interviews of 14 independent experts about their experience with corrupt organizations. With this approach, we gained insights about different corrupt organizations spanning different branches (e.g., government, foreign trade, pharmacy, sports, building industry). We found that corrupt organizations perceive themselves to fight in a war, which leads to their taken-for-granted assumption that “the end justifies the means”. This assumption inspires many values and norms of the organizational culture. An important value in a corrupt organization is “security”, and an important norm is punishment of deviant (i.e., non-corrupt) behavior. Furthermore, managers and employees differ in their perception of organizational culture. While the management endorses values, such as success, results, and performance, and implements these values in their norms of goal setting, employees make use of rationalization strategies and endorse values of security and team spirit.

Journal ArticleDOI
TL;DR: The relationship between organizational culture and financial performance remains elusive even though researchers have studied it for some time as mentioned in this paper, and they suggest that the relationship between culture and performance can be reconciled by recognizing that culture encompasses three components: (1) the content of norms (norm content); (2) how widely members agree about norms (culture consensus); and (3) how intensely organizational members hold particular norm (norm intensity).
Abstract: Summary The relationship between organizational culture and financial performance remains elusive even though researchers have studied it for some time. Early research suggested that a strong culture that aligns members’ behavior with organizational objectives boosts financial performance. A more recent view is that, because strong cultures promote adherence to routines and behavioral uniformity, they are less effective in dynamic environments. We suggest that the relationship between culture and performance can be reconciled by recognizing that culture encompasses three components: (1) the content of norms (norm content); (2) how widely members agree about norms (culture consensus); and (3) how intensely organizational members hold particular norms (norm intensity). We hypothesize that “strong cultures”—where a high consensus exists among members across a broad set of culture norms—can contribute to better financial performance even in dynamic environments if norm content intensely emphasizes adaptability. We test this hypothesis in a sample of large firms in the high-technology industry. Firms characterized by higher culture consensus and intensity about adaptability performed better three years later than did those characterized by lower consensus, lower intensity about adaptability, or both. We discuss how parsing culture into content, consensus, and intensity advances theoretical and empirical understanding of the culture–performance relationship. Copyright © 2014 John Wiley & Sons, Ltd.

Journal ArticleDOI
TL;DR: In this paper, the authors outline the recommended logic for the development and validation of culture effectiveness surveys and identify three key challenges for future culture researchers to address: (1) the confirmatory testing of nested models, (2) the guidelines for aggregating data to the organizational level, and (3) the establishing of criterion related validity.
Abstract: This review traces the development of survey research methods within the organizational culture tradition and focuses specifically on those instruments that measure the aspects of culture that are related to organizational effectiveness. Our review suggests that the reliability and validity of most instruments in this category is quite limited. This review outlines the recommended logic for the development and validation of culture effectiveness surveys and identifies three key challenges for future culture researchers to address: (1) the confirmatory testing of nested models, (2) the guidelines for aggregating data to the organizational level, and (3) the establishing of criterion-related validity. Using data from the Denison Organizational Culture Survey, we present an empirical illustration of the three challenges identified above and conclude by considering limitations and opportunities for future research.

Journal ArticleDOI
TL;DR: In this paper, a study was conducted to qualitatively explore servant leadership from the perspective of employees, which revealed servant leadership positively influences employee engagement while contributing to employee loyalty to the workplace, and participants were more committed, built healthy work relationships, and actively participated in achieving organizational goals.
Abstract: Servant leadership is a leadership philosophy which addresses the concerns of ethics, customer experience, and employee engagement while creating a unique organizational culture where both leaders and followers unite to reach organizational goals without positional or authoritative power. With employees viewed as one of the greatest assets for organizations, maintaining loyal, productive employees while balancing profits becomes a challenge for leaders, and drives the need to understand employee engagement drivers. Thus, the purpose of this study was to qualitatively explore servant leadership from the perspective of employees. Participants were 11 employees from a servant leadership led restaurant who took part in two focus groups. The modified van Kaam method (Moustakas 1994) contributed to data analysis, which examined employee responses for comparison and assessment. Several themes emerged including servant leader experience, servant leader traits, the impact of servant leadership, the application of servant leadership, and limited employee attrition. The themes revealed servant leadership positively influences employee engagement while contributing to employee loyalty to the workplace. Based on the servant leader experience, participants were more committed, built healthy work relationships, and actively participated in achieving organizational goals. Findings are discussed in light of current research and practical applications are provided.

Journal ArticleDOI
TL;DR: The operationalization of the BPM culture concept provides a theoretical foundation for future research and a tool to assist organizations in developing a cultural environment that supports successful BPM.

Journal ArticleDOI
TL;DR: In this article, the authors propose a conceptual framework that explores the relationships among the following constructs: corporate/organisational culture, market orientation, organisational commitment and organisational performance in non-profit organizations.
Abstract: Purpose – The purpose of this paper is to propose a conceptual framework that explores the relationships among the following constructs: corporate/organisational culture, market orientation, organisational commitment and organisational performance in non-profit organisations. Design/methodology/approach – In line with previous studies in the field, a quantitative research design was adopted. The data collection was performed through a mail survey of a sample of Portuguese non-profit organisations operating in the area of health. Structural equation modelling was used as a means to analyse the hypothesised relationships. Findings – Results have shown that organisational culture impacts on organisational performance. Concerning the market orientation consequences, the study results suggest that higher levels of market orientation result in both high levels of organisational commitment and organisational performance. Results also suggest that organisational commitment does not affect performance in a very si...

Journal ArticleDOI
TL;DR: In this paper, the authors study the effect of corporate culture on the relationship between firm performance and CEO turnover and demonstrate that the probability of a CEO change, on average, is positively influenced by the competition-and creation-oriented cultures.

Journal ArticleDOI
TL;DR: In this paper, the authors examined the organizational attributes that attract final-year management students towards organizations and found that most preferred organizational attributes were organizational culture, brand name, and compensation.
Abstract: Purpose – To examine the organizational attributes that attract final-year management students towards organizations. The paper aims to study the already adopted employer branding strategies and the preferred channel through which organizations should promote employer attractiveness. Based on previous studies and current findings, a conceptual model on employer branding process has been developed and presented. Design/methodology/approach – This article is based on semi-structured interviews, survey results and review of academic employer branding models. Findings – It was found that among the students, most preferred organizational attributes were organizational culture, brand name and compensation. Students rated job portal to be the preferred channel for employer attractiveness. The study showed that there exists a significant and positive correlation between strong brand image and likelihood to apply. Research limitations/implications – The survey sample was limited to private business schools only. P...

Journal ArticleDOI
TL;DR: In this article, the authors investigated how organic types of organizational culture (i.e., adhocracy and clan) serve as a strategic resource to influence marketing effectiveness and performance in an emerging economy, using an extended form of the resource-based view as their theoretical framework.
Abstract: Organizational culture is a strategic resource that influences a range of activities within firms, and empirical evidence from management and marketing demonstrates that it impacts performance. In this study, we investigate how organic types of organizational culture (i.e., adhocracy and clan) serve as a strategic resource to influence marketing effectiveness and performance in an emerging economy, using an extended form of the resource-based view as our theoretical framework. We posit that organic cultures, which are relatively dominant in emerging-nation firms, serve as antecedents of competitive advantage and superior performance. We selected China as the context to test the veracity of our model and use multiple informants and archival performance data to minimize common method variance. Our results support the proposed model and demonstrate that organic cultures impact market responsiveness, while confirming the critical roles of market responsiveness and product strategy change in producing superior performance. We further demonstrate a direct effect between clan culture and product strategy change, in addition to its indirect effect. Importantly, our results uncover that, although individually either adhocracy or clan culture can significantly improve the firm’s responsiveness, their combined effect does not enhance market responsiveness; that is, their interaction yields a negative coefficient. Additionally, the influence of organic cultures on market responsiveness varies across different industry types. These important differences, along with theoretical contributions and managerial implications of our findings, are discussed, and several avenues for future research are proposed.

Journal ArticleDOI
TL;DR: In this article, the conceptual and practical considerations in family-centered care for children with cerebral palsy and their families are discussed, including explorations of causal relationships between family centered care principles, elements of caregiving practice, client change processes, and child and family outcomes.
Abstract: This article focuses on conceptual and practical considerations in family-centered care for children with cerebral palsy and their families. In the last 5 years, there have been important advances in our understanding of the components of family-centered care, and initial attempts to understand the client change processes at play. Recent research elaborates on family-centered care by delving into aspects of family-provider partnership, and applying family-centered principles to organizational service delivery to bring about organizational cultures of family-centered care. Recent research has also begun to consider mediators of client change, and new practice models have been proposed that embrace family-centered principles and illustrate the "art" of practice. Future research directions are discussed, including explorations of causal relationships between family-centered care principles, elements of caregiving practice, client change processes, and child and family outcomes. The meaning of the recent literature for pediatric neurology practice is considered.

Journal ArticleDOI
TL;DR: Seven practical lessons for developing work-life interventions emerged from the WFRN Intervention, designed to reduce organizationally based work-family conflict in two contrasting contexts representative of major segments of today's U.S. workforce.

Journal ArticleDOI
TL;DR: In this article, the authors use social context theory to propose that line manager HR implementation is influenced by organizational culture, climate, and political considerations, and therefore, the implementation of effective human resource practices typically rests with line managers.

Journal ArticleDOI
TL;DR: It is found that the mean HPWS-business performance effect size was positive overall and positive in each country, regardless of its national culture or degree of institutional flexibility, and in loose cultures less a priori hypothesized consistency between an HPWS and national culture was associated with higher HPWS effectiveness.
Abstract: Our article develops a conceptual framework based primarily on national culture perspectives but also incorporating the role of managerial discretion (cultural tightness-looseness, institutional flexibility), which is aimed at achieving a better understanding of how the effectiveness of high-performance work systems (HPWSs) may vary across countries. Based on a meta-analysis of 156 HPWS-business performance effect sizes from 35,767 firms and establishments in 29 countries, we found that the mean HPWS-business performance effect size was positive overall (corrected r = .28) and positive in each country, regardless of its national culture or degree of institutional flexibility. In the case of national culture, the HPWS-business performance relationship was, on average, actually more strongly positive in countries where the degree of a priori hypothesized consistency or fit between an HPWS and national culture (according to national culture perspectives) was lower, except in the case of tight national cultures, where greater a priori fit of an HPWS with national culture was associated with a more positive HPWS-business performance effect size. However, in loose cultures (and in cultures that were neither tight nor loose), less a priori hypothesized consistency between an HPWS and national culture was associated with higher HPWS effectiveness. As such, our findings suggest the importance of not only national culture but also managerial discretion in understanding the HPWS-business performance relationship. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

Journal ArticleDOI
TL;DR: Analysis of the mechanisms of EA principles (EAP), that is EAP grounding, EAP management, and EAP guidance and their effects on EA consistency and EAM utility finds that all relations describing EAP mechanisms are significantly moderated by organizational culture.
Abstract: Enterprise architecture management (EAM) has become a widely acknowledged approach for guiding the continuous change of increasingly complex organizations. While methods and models for describing and analyzing enterprise architectures (EA) have been extensively discussed, principles guiding an EA's design and evolution are hardly covered in existing research. The paper at hand therefore analyzes the mechanisms of EA principles (EAP), that is EAP grounding, EAP management, and EAP guidance and their effects on EA consistency and EAM utility. Specifically we aim at understanding the role of organizational culture for the mechanisms and effects of EAP. Based on empirical data we find that all relations describing EAP mechanisms and their effects are significantly moderated by organizational culture. Based on our findings we give recommendations on how to deal with selected design decisions when introducing and developing EA principles in an organization.

Journal ArticleDOI
TL;DR: This work explored the unique perspectives of doctors who had also trained extensively in sport or music to better understand why feedback is challenging, aiming to distinguish the elements of the response to feedback that are determined by the individual learner from thoseetermined by the learning culture.
Abstract: Objectives Feedback should facilitate learning, but within medical education it often fails to deliver on its promise. To better understand why feedback is challenging, we explored the unique perspectives of doctors who had also trained extensively in sport or music, aiming to: (i) distinguish the elements of the response to feedback that are determined by the individual learner from those determined by the learning culture, and (ii) understand how these elements interact in order to make recommendations for improving feedback in medical education. Methods Using a constructivist grounded theory approach, we conducted semi-structured interviews with 27 doctors or medical students who had high-level training and competitive or performance experience in sport (n = 15) or music (n = 12). Data were analysed iteratively using constant comparison. Key themes were identified and their relationships critically examined to derive a conceptual understanding of feedback and its impact. Results We identified three essential sources of influence on the meaning that feedback assumed: the individual learner; the characteristics of the feedback, and the learning culture. Individual learner traits, such as motivation and orientation toward feedback, appeared stable across learning contexts. Similarly, certain feedback characteristics, including specificity, credibility and actionability, were valued in sport, music and medicine alike. Learning culture influenced feedback in three ways: (i) by defining expectations for teachers and teacher–learner relationships; (ii) by establishing norms for and expectations of feedback, and (iii) by directing teachers' and learners' attention toward certain dimensions of performance. Learning culture therefore neither creates motivated learners nor defines ‘good feedback’; rather, it creates the conditions and opportunities that allow good feedback to occur and learners to respond. Conclusions An adequate understanding of feedback requires an integrated approach incorporating both the individual and the learning culture. Our research offers a clear direction for medicine's learning culture: normalise feedback; promote trusting teacher–learner relationships; define clear performance goals, and ensure that the goals of learners and teachers align.

Journal ArticleDOI
TL;DR: The need to consider organizational development strategies aimed at creating more functional and less stressful climates and increasing levels of transformational leadership behaviors in order to reduce levels of burnout among clinicians working in public mental health settings for youth and families is suggested.
Abstract: Public-sector mental health care providers are at high risk for burnout, which negatively affects not only provider well-being but also the quality of services for clients and the functioning of organizations. This study examines the influence of demographics, work characteristic, and organizational variables on levels of burnout among child and adolescent mental health service providers operating within a public-sector mental health service system. Additionally, given the dearth of research examining differences in burnout levels among mental health subdisciplines (e.g., social work, psychology, marital and family therapy) and mental health programs (e.g., outpatient, day treatment, wraparound, case management), analyses were conducted to compare levels of burnout among multiple mental health disciplines and program types. Surveys were completed by 285 providers across 49 mental health programs in a large urban public mental health system. Variables representing dimensions of organizational climate and transformational leadership accounted for the greatest amount of variance in provider reported burnout. Analyses demonstrated significantly lower levels of depersonalization among wraparound providers compared to traditional case managers. Age was the only demographic variable related to burnout. Additionally, no significant effects were found for provider discipline or for agency tenure and caseload size. Results suggest the need to consider organizational development strategies aimed at creating more functional and less stressful climates and increasing levels of transformational leadership behaviors in order to reduce levels of burnout among clinicians working in public mental health settings for youth and families.

Journal ArticleDOI
TL;DR: This paper examined the effect of specific new public management (NPM)-related characteristics to explain innovation-oriented culture within public sector organizations according to NPM doctrines, an enhanced managerial autonomy combined with result control will stimulate a more innovationoriented culture in such organizations using multi-country survey data of over 200 public sector agencies.
Abstract: This article examines the effect of specific new public management (NPM)-related characteristics to explain innovation-oriented culture within public sector organizations According to NPM doctrines, an enhanced managerial autonomy combined with result control will stimulate a more innovation-oriented culture in such organizations Using multi-country survey data of over 200 public sector agencies, we test for the influence of organizational autonomy, result control and their interactions, on innovation-oriented culture High levels of managerial autonomy and result control have independent and positive effects However, the interaction between high personnel management autonomy and high result control has a negative effect