Organisational Culture, Work Attitude and Quality Healthcare Delivery in Selected Public Healthcare Facilities in Lagos State, Nigeria

This study examines the effect of organisational culture on quality healthcare delivery in public healthcare facilities in Lagos State, Nigeria. Grounded in the Social Exchange Theory, it focuses on two cultural traits, involvement and consistency, from the Denison Organisational Culture Model. The study further investigates the mediating role of work attitude, specifically job satisfaction and organisational commitment. A cross-sectional survey design was employed, with 457 questionnaires distributed to healthcare workers in selected public healthcare facilities and 381 valid responses obtained. The data were analyzed using descriptive and inferential statistics, including frequency counts, means, standard deviations, and regression analysis. Findings indicate that both involvement and consistency traits significantly and positively influence quality healthcare delivery, with involvement explaining a larger proportion of the variance. Furthermore, job satisfaction and organisational commitment were found to partially mediate the relationships between the cultural traits and healthcare delivery, highlighting the role of positive work attitudes in translating cultural strengths into improved service outcomes. The study concludes that fostering employee participation and ensuring alignment across organisational practices enhances healthcare delivery in public facilities. It recommends that healthcare managers strengthen organisational culture through inclusive decision-making, teamwork, and coherent internal systems, while also supporting employee satisfaction and commitment to achieve sustained improvements in healthcare quality.