Influence of organizational culture on nursing perception of quality of healthcare services and intent to stay among nurses employed in public hospitals: A cross-sectional study.

BACKGROUND

Organizational culture significantly shapes nurses' perceptions of healthcare quality and their intention to stay, yet its specific impact on these outcomes remains underexplored in Jordanian public hospitals, where retention and healthcare quality challenges persist.

AIM: This study aims to investigate the influence of organizational culture on nurses' perceptions of healthcare service quality and their intention to stay in Jordanian public hospitals.

METHODS

A descriptive correlational design was applied. Validated scales of organization culture, quality of healthcare, and intention to stay were used to gather data on 131 nurses in a large governmental hospital in Jordan. It was analyzed by the use of descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple linear regression.

RESULTS

The sample was predominantly female (64.9 %), married (63.4 %), aged 21-30 years (47.3 %), and held bachelor's degrees (78.7 %). Organizational culture subscale scores ranged moderately high, reflecting a positive culture perception. Nurses generally perceived healthcare service quality favorably. Male gender was significantly associated with higher intention to stay, and greater nursing experience correlated with better perceived care quality. All four organizational culture types (Clan, Hierarchy, Adhocracy, Market) showed strong positive correlations with perception of healthcare quality but no significant correlations with intention to stay.

CONCLUSIONS

The findings underscore the crucial role of organizational culture in shaping perceptions of care quality but suggest that nurses' retention decisions may depend on other factors. Hospital administration should strengthen organizational culture to enhance care quality while addressing broader workforce needs to improve retention.