The role of organizational culture on practising quality improvement in Jordanian public hospitals

Raed Ismail Ababaneh (Yarmouk University, Irbid, Jordan)

Leadership in Health Services

ISSN: 1751-1879

Publication date: 20 July 2010



This study seeks to investigate empirically the impact of organizational culture (bureaucratic, innovative, and supportive) and quality improvement practices.


Data used in this study were obtained through a questionnaire by random sampling, which took place in four large public hospitals, located in Irbid Governorate, Jordan, involving 271 managers, physicians, and nurses.


Quality improvement practices were measured by 16 statements on a five‐point rating scale. Each of the three types of organizational culture was measured using five items on a five‐point rating scale.

Practical implications

The three types of culture have a significantly positive influence on quality improvement practices, and account for 62 per cent of the variation of quality improvement practices. Compared with bureaucratic and supportive cultures, innovative culture appears to play a stronger role in quality improvement practices. Contrary to expectations, the analysis shows that bureaucratic actions enhance rather than hinder quality improvement practices. Respondents with a bachelor or a higher degree and participating in a training course related to quality reported higher prevalence of each culture and a higher level of quality improvement practices.


Innovative culture has a crucial role in quality improvement practices compared with bureaucratic and supportive cultures.



Ismail Ababaneh, R. (2010), "The role of organizational culture on practising quality improvement in Jordanian public hospitals", Leadership in Health Services, Vol. 23 No. 3, pp. 244-259.

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