Intergative analysis of organizational culture and climate in public hospitals in the Republic of Moldova

Authors

DOI:

https://doi.org/10.52692/1857-0011.2025.2-82.25

Keywords:

beliefs, hospital management, norms, organizational climate, organizational culture, public hospitals, values

Abstract

This study examines key aspects of organizational culture and climate in public hospitals in the Republic of Moldova, based on the perceptions of employees and patients. Employing a mixed-methods approach-both quantitative and qualitative-the research was conducted on samples of 825 employees, 845 patients, and 150 managers across eight public hospitals at the republican, district, and municipal levels. The study identifies and analyzes elements of organizational culture, culture types, and the perceptions of both employees and patients regarding the psychological climate. It explores fundamental components of organizational culture, such as beliefs, values, and norms, and their interrelation with organizational climate. Data were collected using questionnaires, psychodiagnostic tools, observation, interviews, and focus groups. The findings reveal a clear interdependence between organizational culture and climate, highlighting how institutional values, behavioral norms, and shared beliefs shape the workplace climate and how climate contributes to the development and strengthening of hospital cultures.

Author Biographies

Nina GLOBA , Nicolae Testemițanu State University of Medicine and Pharmacy

Doctor of Medical Sciences, University Assistant

Larisa SPINEI, Nicolae Testemițanu State University of Medicine and Pharmacy

Habilitated Doctor of Medical Sciences, Professor

Ludmila GOMA , Nicolae Testemițanu State University of Medicine and Pharmacy

doctor în economie, conferențiar universitar

References

Furtunescu F. Managementul organizaţiilor în sănătate, în lumina actelor normative care reglementează sistemul sanitar: tz. de doctor în medicină. Sibiu, 2005.

Kondalkar V.G. Organizational behavior. New Delhi: New Age International, 2007, pp. 335- 347. ISBN-13:978-8122420111.

Nicolescu O., Verboncu, I. Management. Bucureşti: Ed. Economică, 1997. 596p.

Cojocaru N.D. Interrelaţii între managementul comunicării şi climatul organizaţional ca suport al deciziei de schimbare a firme: tz. de doct. în economie. Sibiu, 2008.

Sein Myint N.N., Kunaviktikul W., Stark A. A contemporary understanding of organizational climate in healthcare setting: A concept analysis. Nurs Forum. 2021, nr. 56(1), pp. 172-180. doi: 10.1111/nuf.12513. ISSN 1744-6198.

Vidac M. et al. Perception of organizational climate by university staff and students in medicine and humanities: A qualitative study. Accountability in Research Ethics, Integrity and Policy [online]. 2023, nr. 30(2), pp. 1-27 ISSN 1545-5815.

Ețco C., Cărăruș M., Davidescu-Creangă E. Psihologie managerială. Chişinău: Bons Offices, 2006, 280 p. ISBN 978-9975-80-005-1.

Globa N. Particularitățile culturii organizaţionale în instituțiile medico-sanitare publice spitalicești din Republica Moldova: tz de doct în științe medicale. Chișinău, 2024.

Taylor EJ., Pangan JC. Should Healthcare Organizations Promote a Spiritually Healthy Work Environment? Holistic Nursing Practice [online]. 2024, nr. 38(3): pp. 148-150. |DOI: 0.1097/HNP.0000000000000641.

Lee EH., Yu HJ. Effects of perceived spiritual management, work engagement, and organizational commitment on job satisfaction among clinical nurses: the mediating role of perceived spiritual management. BMC Nurs [online]. 2023, nr.22, 462p. https://doi.org/10.1186/s12912-023-01625-x.

Trus M., Galdikiene N., Balciunas S., Green Ph., Helminen M., Suominen T. Connection between organizational culture and climate and empowerment:The perspective of nurse managers. Nursing and Health Sciences [online]. 2018, 21(1). DOI:10.1111/nhs.12549.

Kang JY, Lee MK, Fairchild EM, Caubet SL, Peters DE, Beliles GR, Matti LK. Relationships Among Organizational Values, Employee Engagement, and Patient Satisfaction in an Academic Medical Center. Mayo Clin Proc Innov Qual Outcomes. 2019 Oct 22;4(1):8-20.

Published

2026-03-26

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Research Article

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