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Analysis of the perception of institutional culture for health sector reform in Nigeria

A. Olukoga (School of Medicine, Health Policy & Practice, University of East Anglia, Norwich, UK)
M. Bachmann (School of Medicine, Health Policy & Practice, University of East Anglia, Norwich, UK)
G. Harris (School of Management Studies, University of KwaZulu‐Natal, Durban, South Africa)
T. Olukoga (Norfolk & Norwich University Hospital, Norwich, UK)
A.A. Olasinde (Federal Medical Centre, Owo, Nigeria)

Leadership in Health Services

ISSN: 1751-1879

Article publication date: 9 February 2010

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Abstract

Purpose

The purpose of this paper is to analyse the perception of institutional culture in four hospitals in Nigeria and its influence on the implementation of the health sector reform programme in the country.

Design/methodology/approach

A cross‐sectional study of 507 healthcare professionals and managers using a self‐administered questionnaire was carried our.

Findings

The overall perception of institutional culture was above average at 56.4 per cent. The perceptions of the two dimensions of institutional culture were: leadership 59.3 per cent and character 54.0 per cent. Two out of the 11 statements on institutional culture had levels of perception that were lower than 50 per cent. These were: “staff morale and job satisfaction are high at all levels, and regularly evaluated by the institution” (41.6 per cent) and “information is shared openly in the institution” (44.3 per cent).

Originality/value

There is a need to strengthen the character dimension of the institutional culture of Nigerian hospitals, especially staff morale and job satisfaction as well as the sharing of information in the hospitals.

Keywords

Citation

Olukoga, A., Bachmann, M., Harris, G., Olukoga, T. and Olasinde, A.A. (2010), "Analysis of the perception of institutional culture for health sector reform in Nigeria", Leadership in Health Services, Vol. 23 No. 1, pp. 75-87. https://doi.org/10.1108/17511871011013788

Publisher

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Emerald Group Publishing Limited

Copyright © 2010, Emerald Group Publishing Limited

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