Scottlitrevorgcul22930511

Scottlitrevorgcul22930511 - I N T EG R A T I V E L I T E R...

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INTEGRATIVE LITERATURE REVIEWS AND META-ANALYSES Mapping the organizational culture research in nursing: a literature review Shannon Scott-Findlay PhD RN Post-Doctoral Fellow, Department of Pediatrics, Faculty of Medicine & Dentistry & Centre for Health Promotion Studies, University of Alberta, Edmonton, Alberta, Canada Carole A. Estabrooks PhD RN Professor and Canada Research Chair, Knowledge Utilization Studies Program, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada Accepted for publication 5 June 2006 Correspondence: Shannon Scott-Findlay, Department of Pediatrics, Room 9432, Aberhart Centre One, University of Alberta, Edmonton, Alberta, Canada T6G 2J3. E-mail: [email protected] doi: 10.1111/j.1365-2648.2006.04044.x SCOTT-FINDLAY S. & ESTABROOKS CA. (2006) Journal of Advanced Nursing 56 (5), 498–513 Mapping the organizational culture research in nursing: a literature review Aim. This paper reports a critical review of nursing organizational culture research studies with the objectives of: (1) reviewing theoretical and methodological char- acteristics of the studies and (2) drawing inferences specific to the state of knowledge in this field. Background. Organizational culture is regarded as significant in influencing research use in clinical practice yet it is not understood how culture shapes practitioners’ behaviours. Only one review of this empirical literature in nursing has been com- pleted. Method. Using selected computerized databases, published nursing research studies in English that examine organizational culture were accessed. Organizational cul- ture studies were categorized using Hatch’s three perspectives on organizational culture: (1) modern, (2) symbolic-interpretive and (3) postmodern. The review was conducted in 2005. Results. Twenty-nine studies were in the final data set. Results pointed to variations in cultural definitions and incorporation of organizational sciences theory. In clas- sifying the studies, modern perspectives dominated ( n ¼ 22), symbolic-interpretive approaches were an emerging group ( n ¼ 6) and one study was unclassifiable. Our results expand current cultural instrument reviews by pinpointing tools that have been previously overlooked and by identifying ongoing theoretical and methodo- logical challenges for researchers. Conclusion. An exclusive reliance on modernistic approaches in organizational culture research cannot yield a complete understanding of the phenomenon. Rather, the field could benefit from a variety of cultural approaches. In a similar vein, researchers need to be mindful of the terminology and the unit of analysis they use in their research, as these are the two largest research challenges. Keywords: literature review, nursing, organizational behaviour, organizational culture, research utilization 498 Ó 2006 The Authors. Journal compilation Ó 2006 Blackwell Publishing Ltd
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Today’s healthcare professionals face demands for increased accountability and transparency in their decision-making at clinical practice and policy levels. This demand is justifiable
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