title: The impact of organizational culture on clinical managers' organizational commitment and turnover intentions.
abstract: OBJECTIVE
  The purpose was to investigate managers' perceptions of organizational culture and attitudinal and behavioral reactions during and after restructuring, and to test a model linking culture to outcome.
  
  
  BACKGROUND
  Healthcare reform has altered the work environment, but few studies have documented the impact of system changes on managers responsible for clinical services.
  
  
  METHODS
  Survey data were collected from clinical managers (N = 104; 99) employed by 3 institutional boards in Newfoundland and Labrador in 2000 and 2002. Response rates were 57.6% and 47.7%, respectively.
  
  
  RESULTS
  For both periods, most variable ratings were in the low range and depicted moderately, positive intercorrelations. Select culture variables, trust, and job satisfaction emerged as significant predictors of commitment. Although culture and trust exerted inconsistent effects on intent, satisfaction remained a predictor over time.
  
  
  CONCLUSIONS
  The findings support the negative impact of reform on clinical managers, and the strong link between positive ratings of culture, trust, and satisfaction, and greater commitment and intent to stay. Greater attention should focus on promoting more positive cultures and work-related attitudes, and less turnover intentions.
authors.affiliation: School of Nursing and Clinical Epidemiology, Memorial University of Newfoundland, St. John's, NL, Canada. cway@mun.ca
authors.forename: Christine
authors.initials: C
authors.lastname: Way
authors.forename: Deborah
authors.initials: D
authors.lastname: Gregory
authors.forename: Judy
authors.initials: J
authors.lastname: Davis
authors.forename: Norma
authors.initials: N
authors.lastname: Baker
authors.forename: Sandra
authors.initials: S
authors.lastname: LeFort
authors.forename: Brendan
authors.initials: B
authors.lastname: Barrett
authors.forename: Patrick
authors.initials: P
authors.lastname: Parfrey
mesh_terms: D005260:Female; D018166:Health Care Reform; D019538:Health Care Surveys; D006754:Hospital Restructuring; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000458:organization & administration; D009523:Newfoundland and Labrador; D009740:Nursing Staff / Q000458:organization & administration*; D015279:Organizational Culture; D009936:Organizational Innovation; D010558:Personnel Loyalty; D010559:Personnel Management; D010563:Personnel Turnover; D012044:Regression Analysis