The impact of organisational culture and subculture on the performance of the health care organisation in Nigeria

The impact of organisational culture and subculture on the performance of the health care organisation Background: In the past, numerous research studies have investigated the impact of organisational culture and subculture on performance in business organisations. Several researchers draw on such research to investigate how organisational culture and subculture influence performance in healthcare. However, this has not sufficiently contributed to theory and practice; consequently, this study seeks to explore further the impact of organisational culture and subculture on the health care organisation's performance. This study focused on the healthcare organisation in Nigeria as past research studies have not explored the impact of organisational culture and subculture on the healthcare organisation's performance. Since various researches on the performance of the health care organisation in Nigeria had evident poor quality of care and performance. Hence this research study aims to explore the concept of organisational culture, subculture and performance in the health care organisation in Nigeria. Design and Method: A qualitative case study research approach was adopted in this study as this method helped analyse the participant's shared experiences. This study was conducted in one of the federal government hospitals in the northern part of Nigeria. There were three healthcare professionals selected to participate in this study, including the doctors, nurses, and managers from two wards in the hospital; medical and surgical wards. The study adopted a qualitative approach, which involved in-depth interviews. Semi-structured interview questions were used to obtain data for the interview, which was audio recorded. The data collected were transcribed verbatim and analysed using the thematic method utilising Braun and Clarke's assessment tool to generate themes and subthemes. Result: The findings suggested that organisational culture and subculture was a significant factor that influenced performance in the health care organisation in Nigeria. In the findings, five main themes emerged, which included mission and vision, the core values, quality of care, job satisfaction, innovation and development, which have the various attribute that facilitates the quality performance of the health care organisation. Conclusion: This study provided insight into the concept of organisational culture and subculture, highlighting its significance and its impact on the performance of the health care organisation. The findings of this research evidence the relationship between organisational culture, subculture and performance, contributing to new knowledge to the theories of organisational culture, subculture and performance already existing. This study's findings have shown the effectiveness of organisational culture and subculture in the health care organisation and how they can influence either a positive or negative performance. My findings in this study are significant to professional and managerial practice in the health care organisation, contributing to knowledge and understanding of cultural attributes such as mission and vision, attitude and behaviours, communication, teamwork and leadership, which are vital attributes capable of improving the quality of care in the health care organisation. Finally, my study finding has filled the research gap and added to the organisational culture and subculture literature in Nigeria . These findings can help make gradual changes to ineffective organisational culture and subcultures using the attributes of culture and subculture identified in this study as a guide within the health care organisation to improve the performance of the health system in Nigeria and other countries.