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Organizational culture is a determinant for quality improvement. This paper aims to assess organizational culture in a hospital setting, understand its relationship with perceptions about quality of care and identify areas for improvement.

The paper is based on a cross‐sectional survey in a large clinical department that used two validated questionnaires. The first contained 20 items addressing perceptions of cultural typology (64 respondents). The second one assessed staff views on quality improvement implementation (48 faculty) in three domains: leadership, information and analysis and human resource utilization (employee satisfaction).

All four cultural types received scoring, from a mean of 17.5 (group), 13.7 (developmental), 31.2 (rational) to 37.2 (hierarchical). The latter was the dominant cultural type. Group (participatory) and developmental (open) culture types had significant positive correlation with optimistic perceptions about leadership (r=0.48 and 0.55 respectively, p<0.00). Hierarchical (bureaucratic) culture was significantly negatively correlated with domains; leadership (r=−0.61, p<0.00), information and analysis (−0.50, p<0.00) and employee satisfaction (r=−0.55, p<0.00). Responses reveal a need for leadership to better utilize suggestions for improving quality of care, strengthening the process of information analysis and encouraging reward and recognition for employees.

It is likely that, by adopting a participatory and open culture, staff views about organizational leadership will improve and employee satisfaction will be enhanced. This finding has implications for quality care implementation in other hospital settings.

The paper bridges an important gap in the literature by addressing the relationship between culture and quality care perceptions in a Pakistani hospital. As such a new and informative perspective is added.

The purpose of this paper is to objectively assess the best type of continuing medical education (CME) activity that makes the most impact on the physicians’ behavior in changing their practices and to derive future needs for planning effective CME activities.

This paper presents a survey. A questionnaire was designed, pilot‐tested and administered in a CME session to all the health physicians of a private medical university in Sind province of Pakistan. The questionnaire incorporated seven core items that assessed the impact of different types of CME activities on the physicians. The respondents rated the impact of CME based on their competence, performance, patient care processes and management on a five‐point Likert scale. Respondents’ responses in terms of type, committed time, usefulness, sponsorships and settings were also analyzed.

A total of 194 health physicians completed the questionnaire (response rate=100 per cent); 56 per cent of the responses were from female physicians. A majority of the respondents in their replies ranked local large‐group lectures, symposiums and workshops higher than journal clubs, conferences and on‐line CMEs. More than half of the respondents rated the impact of CMEs on a five‐point Likert scale as good or very good. This was in relevance to increase in their competence, performance, patient care processes and change in management style.

The data generated through the survey are subject to desirability bias and may over‐represent the responses. The other limitation was the single university setting.

The methodology can thus be adaptable by CME planners within the region to assess the impact of the current CME activities in improving physicians’ competence and professionalism, and in designing effective academic activities for the future.

There is no other study that demonstrates the impact of the types of CME on physicians in the Pakistani medical profession and hence this paper is of high interest.

For many years, the concept of safety culture has attracted researchers from all over the world, and more particularly in the area of healthcare services. The purpose of this paper is to measure safety culture dimensions in order to improve and promote healthcare in Algeria.

The used approach consists of getting a better understanding of healthcare safety culture (HSC) by measuring the perception of healthcare professionals in order to guide promotion actions. For this, the Hospital Survey on Patient Safety Culture questionnaire was used in a pilot hospital setting where it was distributed on a number of 114 health professionals chosen by stratified random sampling.

The results showed that the identified priority areas for HSC improvement help in establishing a trust culture and a non-punitive environment based on the system and not on the individual.

Safety is recognized as a key aspect of service quality, thus measuring the HSC can help establish an improvement plan. In Algerian health facilities, this study is considered the first to examine perceptions in this particular area. The current results provide a baseline of strengths and opportunities for healthcare safety improvement, allowing the managers of this type of facilities to take steps that are more effective.

The purpose of this study was to understand the lived experiences of ten (10) product innovation employees in medical device firms’ sustainability initiatives, considering leadership, organizational and employee factors within the healthcare industry.

Phenomenology was chosen as it supports an in-depth analysis of the lived experience of several individuals, who are experiencing a similar phenomenon. This methodology permitted the researcher to “view experience and behavior as an integrated and inseparable relationship of the subject and object and of parts and whole.”

The intersection of employee, leader and organizational factors should be considered to further organizational citizenship behavior to the environment. Within each theme, cognitive dissonance is present. Understanding and acknowledging the choice required by the individual, leader and/or organization may impact overall environmental organizational citizenship behavior.

When implementing sustainable activities, three key areas should be evaluated: leaders, organizations and employees.

This study provides insight into employee experiences and sustainable activities.

This research adds to the literature on organizational citizenship behavior to the environment within medical device firms as it provides insight into how sustainability programs within firms could be approached. Healthcare’s climate impact contributes to emissions which are equivalent to having 75 million vehicles on the road, annually. In addition, this study provided an initial understanding of the lived experiences of employees within the medical device industry when themes are analyzed. The results may help organizations understand the experiences of employees to further advance their vision and mission, by understanding the phenomenon of how sustainability initiatives are perceived.