title: Understanding organizational culture: the key to successful middle manager strategic involvement in health care delivery?
abstract: OBJECTIVE
  The aim of this study was to explore the extent to which organizational culture influenced strategic involvement.
  
  
  BACKGROUND
  It is crucial for the strategic management of health care that the cultural dimensions affecting health service organizations are identified and understood. How culture influences middle manager strategic involvement has not been established and therefore an understanding of the power of organizational culture is important to middle managers working in not-for-profit health care organizations.
  
  
  CONCLUSIONS
  It was demonstrated that strong organizational culture predicted strategic involvement, and supported the importance of middle managers remaining strategically involved in the development of new organizational strategic initiatives. Findings have implications for strategic management in health service organizations.
authors.affiliation: School of Nursing and Midwifery, University College Dublin, Ireland. marie.carney@ucd.ie
authors.forename: Marie
authors.initials: M
authors.lastname: Carney
mesh_terms: D000328:Adult; D003695:Delivery of Health Care / Q000458:organization & administration*; D005260:Female; D006298:Health Services Administration; D006801:Humans; D007494:Ireland; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators; D015279:Organizational Culture