Investigating the Barriers to the Establishment of Total Quality Management in Educational and Non-educational Hospitals

Abstract

Background and Objectives: One of the most popular systems for creating structural changes in hospitals is total quality management; Which is known as one of the most important philosophies to increase the effectiveness of the organization and competitive advantage. This study aimed to investigate the barriers to the establishment of TQM in hospitals in Kerman Methods: This descriptive-correlational study examined the barriers to the establishment of TQM in hospitals in Kerman in 2019-2020. 377 managers and experts, medical, administrative and financial staff of the hospitals (188 Educational and 189 non-educational), entered the study through simple random sampling. Niga Barriers to implementing TQM questionnaire, Hershey & Blanchard Leadership Styles Questionnaire and Staff Maturity Questionnaire was used for data collection. Descriptive statistics (frequency, mean and standard deviation) and analytical statistics (Chi-square, independent t-test, analysis of variance and Tukey) were used to analyze the data. The significance level was 0.05. Results: The average total barriers to the implementation of TQM in Educational hospitals was more than non-Educational (P=0.046). The highest mean was related to cultural barriers and staff and imperative leadership and the professional organizational maturity of staff. There was a significant difference between the barriers to the implementation of TQM and leadership style and organizational maturity of staff (P<0.05). Conclusion: According to the results, the most obstacles to establishing TQM in Kerman hospitals were cultural barriers and staff, which were created due to the command leadership style. It is better for hospital managers to recognize the obstacles to the implementation of TQM, in order to remove these obstacles.

Keywords

• total quality management
• hospitals
• iran