THE IMPACT OF TOTAL QUALITY MANAGEMENT PRACTICES ON OF SUSTAINABILITY IN PALESTINIAN HOSPITALS, THE ORGANIZATIONAL CULTURE AS A MEDIATOR
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Date
2024-07-02
Authors
Issa, Yara
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Publisher
An-Najah National University
Abstract
Sustainability is an organizational phenomenon that has been largely focused on in western literature. However, in developing countries, its importance has not been realized until recent years. The current study aims to investigate the impact of total quality management (TQM) on hospitals sustainability (HS) through mediating role of organizational culture (OC). Seven TQM practices were adopted from the Malcolm Baldrige National Quality Award (MBNQA) model, organizational sustainability consisted of social, environmental and economic dimensions and OC consisted of two types, namely, hierarchical and market cultures. The conceptual model was built on "institutional theory" to explain the relationships between the study variables. A questionnaire was used as a quantitative tool for data collection from 90 respondents from 26 public and private hospitals working in West Bank-Palestine. Partial least Squares Structural Equation Modelling (PLS-SEM) was used for analysis. The findings indicated high levels of implementation of TQM practices (4.0989) and OC practices (4.2155). Moreover, organizational sustainability of hospitals was implemented at high level (3.938). The structural analyses indicated a significant and positive impact of TQM on HS (β =0.649, T =10.705, P-value =0.000). This indicates that TQM significantly enhances organizational capabilities to achieve sustainability outcomes. TQM also proved to have a significant and positive impact on OC (β =0.743, T =13.080, P-value =0.000). Moreover, a similar impact of OC is found on HS (β =0.235, T =3.512, P-value =0.000). Finally, OC was found to act as a partial mediator in the relationship between TQM and HS (β = 0.174, T = 3.266, P-value =0.001). The analysis revealed that TQM is equally important for all hospitals (public and private) for sustainability of hospitals, at different levels of organizational culture. This study provides practical implications for achieving the hospital sector’s sustainability by merging OC with practices of TQM, which provides valuable insights into the hospital’s policies and practices and individuals vital to data exchange and policy enforcement within the sustainability of organizations.