2009 03 10 Organizational Culture

Organizational Culture:
From Assessment to Action

Version 1.0
March 2009
The focus of this Info-pack is to assist the workplace health promotion intermediary with specific
actions and ideas relevant to changes in workplace organizational culture. This includes tools to
assess the organizational culture component of workplace health as well as possible actions to
address changes in culture.
This Info-pack contains:
An overview of three potential approaches that can be used to understand and assess
organizational culture.
Practical ideas and strategies to consider that can help change an organizations culture
when necessary.
Examples of good practice in organizational culture change.
A list of available resources about organizational culture change.
Additional Copies & Copying

Permission
Additional copies of this resource are available free of charge
in Ontario only. Please direct requests to (416) 978-0595 or
[email protected].
Acknowledgements
Members of THCU Comprehensive Workplace Health
Promotion Project Team:
Larry Hershfield, Manager
Nancy Dubois
Jessica Elgie
This workbook is also available on our Website at

www.thcu.ca/workplace.
Giovanna Ferrara
Diane Finkle Perazzo, Editor
The Health Communication Unit at the

Centre for Health Promotion,
University of Toronto,
155 College Street, Suite 400,
Toronto, Ontario
M5T 3M7
Tel: (416) 978-0595
Fax: (416) 971-1365
Email: [email protected]
Web: www.thcu.ca/workplace
Permission to copy this resource is granted for educational
purposes only. If you are reproducing in part only, please
credit The Health Communication Unit, at the Centre for
Health Promotion, University of Toronto as the source.
Nancy van Boxmeer

Stephen Kingston (MediaDoc Inc.) Design & Production
Disclaimer
The Health Communication Unit and its resources and
services are funded by the Ontario Ministry of Health Promotion. The opinions and conclusions expressed in this paper
are those of the author(s) and no official endorsement by the
funder is intended or should be inferred.
Version 1.0, March 10, 2009
Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
The Purpose of this Info-Pack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
How to Use this Info-Pack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
A Word about Organizational Culture. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Organizational Culture and the Comprehensive Workplace Health

Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Planning to Change Culture using a Health Promotion Planning

Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Conducting Situational Assessments within the Workplace-Specic

Planning Framework . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Section 1: Organizational Culture - Three Potential Approaches . . . . . 9

1.
The Competing Values Framework (Cameron and Quinn, 2006). . . . . . . . . . . . . 9
2.
The Three Levels of Culture Model (Schien, 1999). . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.
The Four Conditions of Culture: Control, Demand, Eort, Reward

(Shain, 2001) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Section 2: Assessing Organizational Culture . . . . . . . . . . . . . . . . . . . . . . . 15

1.
Data Collection and Assessment using the Competing Values Framework

(Cameron and Quinn, 2006). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.
Data Collection and Assessment using the Three Levels of Culture Model
(Schien, 1999). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
3.
Data Collection and Assessment using the Four Conditions of Culture

Approach (Shain, 2001) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Section 3: Changing Organizational Culture . . . . . . . . . . . . . . . . . . . . . . . 21

1.
Changing Organizational Culture using the Competing Values Framework

(Cameron and Quinn, 2006). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
2.
Changing Organizational Culture using the Three Levels of Culture Model

(Schien, 1999). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
3.
Changing Organizational Culture using the Four Conditions of Culture

Approach (Shain, 2001) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Section 4: Strategies for Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Section 5: Some Organizational Culture Change Success Stories. . . . . 32
Section 6: Tools to Guide and Manage Organizational Culture
Change. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Introduction
They say that time changes things, but you actually have to change them yourself.
Andy Warhol
Be the change you want to see in the world.
Mahatma Gandhi
The Purpose of this Info-pack

This Info-pack was developed in response to feedback gathered from a 2007/2008 Ontario
Public Health Needs Assessment, evaluation data from past THCU symposiums and from
a series of focus groups conducted by The Health Communication Unit in 2008/2009.
These sources pointed towards an overwhelming need to identify action steps for assessing and addressing organizational culture in the workplace.
This Info-pack is designed for health promotion intermediaries who are relatively new
to the area of workplace health promotion or who are looking for a refresher on current
theory and practice about organizational culture. This document, like all THCU Infopacks, is grounded in the Comprehensive Workplace Health Approach or the Triangle
(see Figure 1) and also builds on a previous THCU Info-pack entitled Inuencing the
Organizational Environment to Create Healthy Workplaces.
This Info-pack outlines three models that can be used to assess and then plan to change
organizational culture. The theoretical basis of each model is outlined; an overview of
how to assess organizational culture using each model is provided; and, based on the
results of the assessment, actions that can be taken to improve organizational culture (and
ultimately health) are described.
How To Use This Info-pack

Section 1: Understanding Culture - Three Theoretical Models
In this section you will be introduced to three theoretical models that address organizational culture. You can use this information to decide which model best suits your
employee group, workplace and strategic direction. Once you have identied a model, you
can move on to Section 2 where you will use your chosen model to assess your organizations culture.
Section 2: Assessing Organizational Culture
In this section, you will learn about each models approach to assessing organizational
culture. Read each approach and, if your chosen model best reects the data you would
like to collect, you are on the right track. If you nd that another model may be more
appropriate you are still free to change to that one and follow the assessment instructions.
Once you have your assessment completed and information compiled you can move to
Section 3.
Organizational Culture: From Assessment to Action
Section 3: Changing Organizational Culture

Section 3 describes each models approach to changing organizational culture. Using your
preferred model, follow the steps in Section 3 and Section 4 to create a plan for change.
Section 4: Strategies for Action
Section 4 provides some concrete strategies for action that you can use to move forward
and change your organizations culture.
Section 5: Some Organizational Cultural Change Success Stories
This section tells the stories of several organizations that have been successful in managing the culture change process.
A Word about Organizational Culture

There are many denitions of organizational culture. These range from the very simple to
the very complex. For example, organizational culture can be seen as:
The identity of an organization and its people that is created maintained and
transformed by its employees and leaders. (ICAF, 1999)
A deeply rooted level of basic assumptions and beliefs that is ingrained within
an organization. (Schein, 1988)
An explicit social product arising from social interaction either as an intentional or unintentional consequence of behaviour (e.g., language, customs,
methods of problem solving, use of tools or technology, and design of work
settings). (ICAF, 1999)
Organizational culture is a fundamental part of an organizations collective experience. It

may include routines, beliefs, values, goals, and systems which are learned, re-learned and
passed on to new employees. Organizational culture can also include formal processes
such as policies and procedures relating to working hours, employee benets and job
descriptions; and informal processes such as leadership styles and patterns of information
sharing. (Region of Waterloo, 2007)
There are many good reasons why organizations need to work hard to maintain a good or
improve a poor organizational culture:
Organizations with strong, healthy cultures tend to outperform organizations

with weaker cultures. (Malick, 2001)
The psychosocial work environment, the organization of work and the management culture of the workplace can have a dramatic impact on employee
stress and health outcomes. (Shain, 2001)
Developing a healthy workplace provides an opportunity to improve the health

of your organization and to improve its public image and prole. It also oers
the chance to curb organizational health costs and directly aect your bottom
line. (Jones, 2005)
When employees experience a supportive work environment, costs related to

illness, disability and absenteeism are lowered and employee satisfaction and
productivity are increased. (Shain and Suurvali, 2001)
Better management of employees can be an important key to becoming an

employer of choice and attracting and retaining talented sta. (Yardly, 2006)
Organizational Culture and the Comprehensive Workplace

Health Categories
Organizational culture is one of three categories of the Comprehensive Workplace Health
(CWH). CWH is an approach to protecting and enhancing the health of employees that
relies and builds upon the eorts of employers to create a supportive management under
and upon the eorts of employees to care for their own well-being. (Shain and Suurvali,
2001)
Figure 1: Comprehensive Workplace Health Categories
Within this broad denition, workplace health interventions are categorized into three
groups: occupational health and safety, health and lifestyle practices and organizational
culture.
Health and lifestyle

practices are also
often referred
to as voluntary
health practices,
or personal health
practices.
Occupational Health and Safety refers to eorts to protect workers against

health and safety hazards on the job. It involves the establishment of programs, policies and standards that outline how an organization will recognize,
assess and control hazards. The scope of Ontario health and safety is broad,
including things such as musculoskeletal disorders, housekeeping, machine
guarding, fall protection, rst aid, early and safe return to work, and the roles
of the joint health and safety committee.
Health and Lifestyle Practices1 refers to addressing any of a wide variety of

behavioural issues such as tobacco use, alcohol and drug use, nutrition, immunization, stress management and physical activity.
Organizational
culture is also often
referred to as organizational change.
Organizational Culture2 (the subject of this Info- pack) involves improving

job satisfaction and productivity by changing worker attitudes and perceptions, the psychosocial aspect of work, management practices and the way
work is organized.
Improving the health of the organization as a whole and the health of its employees
requires attention to all three sides or categories of the CWH. Employers who are committed to improving the health of their employees through positive occupational health
and safety and health and lifestyle practices should also be addressing issues related to the
organizational culture.
Culture is deeply ingrained into the fabric of an organization and therefore, changing
and inuencing organizational culture is never a quick and easy process. Organizational
culture is the overarching foundation or basis for workplace health - which is why it
is depicted as the category at the base of the CWH triangle, as the base of CWHP. For
example, a workplace might implement programs and supports to assist employees cope
with stress, such as physical activity programs. However, these eorts may be unsuccessful
if the underlying organizational culture is causing the stress.
Addressing Comprehensive Workplace Health is a process that requires many steps over
time. Although this Info-pack addresses the subject of organizational culture using three
dierent approaches, it is important to note that the CWH categories and health promotion principles should not be separated, but intertwined into your planning process.
Planning to Change Culture using a Health Promotion

Planning Approach
3
For more
information and
resources on Health
Promotion Program
Planning, please
visit: www.thcu.ca/
infoandresources/
planning.htm
It is important to note that when you are taking a comprehensive approach to workplace
health, you are treating the workplace as a determinant of health and not just a setting in
which to deliver health promotion programs. Planning to change culture in the workplace
follows the same principles and practices as any other type of health promotion planning3.
Figure 2: The Health Promotion Planning Approach
This Info-pack focuses specically on Step #2 Conducting a Situational Assessment and

Step #4 Developing Strategies, Activities and Resources.
Conducting Situational Assessments within the Workplace-Specific

Planning Framework
The Health Communication Unit has developed a Workplace-Specic Planning Framework
which also stresses the importance of conducting situational assessment early in the
process. (THCU, 2004) This is because it is not possible to make eective planning decisions without good data about the intended audience, the political and social environment,
stakeholder opinions, possible programs and other factors.
For more details
regarding how to
undertake a situational assessment,
visit the THCU Online
Planning Tool at:
www.thcu.ca/ohpp/
learning_centre.cfm
?view=tmm
Situational Assessments4 are used to:
For more resources

on the topic of Situational Assessment,
visit: www.thcu.ca/
infoandresources/
resource_display.
cfm?res_sub_topic
ID=32
There are ve key qualities to good situational assessments:
learn more about and dene audience(s)
anticipate trends and issues that may aect program implementation
identify promising programs
A situational assessment is like a snapshot of the present that can be used to plan for
the future.
1. A situational assessment inuences planning in signicant ways by examining

a range of issues including the legal and political environment, stakeholder
views, the health needs of the population, the literature and previous evaluations, and the overall vision for the project. All this content is aimed at
addressing three key questions:
What is the impact of the problem?
What are the roots causes of the problem?
What are the possible solutions for the problem?
2. Although the process (or how) of situational assessments is largely about data
collectionthat is deciding what type of data to collect, from who/what, and
howthe processes used to collate, sort, prioritize and interpret the data are
equally important parts of the step.
3. We use the term situational assessment in place of the term needs assessment
to avoid the common pitfall of only looking at problems and diculties rather
than the strengths and assets of individuals, organizations, communities and
societies. This is a slight shift in thinking which can completely transform
programming decisions and the community response to the decisions.
4. Another key health promotion approach is an ecological or multi-level examination of issues. Using this approach, you would consider the issue within
the context of four levels of change: individuals, networks, organizations and
societies. Changes can be made at each level that will ultimately impact on
a particular health problem. When conducting a situational assessment, the
bottom line varies. For example,
The bottom line for individuals is maintaining a personal behaviour

change,
The bottom line for networks is to create social change through

opinion leadership and social inuence.
The bottom line for organizations is to change policies (that is, their
rules, incentives and rewards, sanctions and punishments, allocation
of resources).
The bottom line for society is to change its formal laws, as issues rise
and decision-makers respond.
5. A health promotion approach also demands a situational assessment that

looks broadly and deeply at health issues and considers socio-environmental
aspects such as biomedical, behavioural and socio-environmental approaches.
Situational assessments can focus on any aspect of the workplace that aects health,
including the employees themselves. For that reason, situational assessment tools relate to
all three aspects of the CWH categories. THCUs Comprehensive Workplace Health Promotion: Recommended and Promising Practices for Situational Assessment Tools outlines
a number of assessment tools that are recommended for use in Ontario workplaces. Four
of these (as of February, 2009) focus on assessing organizational culture. Th is Info-pack
will explore three additional approaches.
In some cases, an organization may not be ready to invest the time and resources
needed to conduct a complete and comprehensive situational assessment. This Info-pack
addresses one part of a situational assessment that can be conducted relatively easily to
develop preliminary benchmarks and to assess the culture of an organization. As a result,
later, when the organization is ready to conduct a more comprehensive situational assessment, it will already have some culture score benchmarks, or baseline measures. A few
reasons this can benet the organization is that measuring culture scores is relatively easy,
and measurable culture scores can be re-evaluated in relatively short periods of time with
minimal resources. As well, internal culture score benchmarks can provide data to track
progress, facilitate improvement/changes in interventions and to track progress.
More information about THCUS Comprehensive Workplace Health Promotion Planning
Framework can be found in the Introduction to Comprehensive Workplace Health Promotion Info-pack.
Figure 3: CWH Planning Framework (enlarge in nal document) (THCU, 2004)
Wo r k p l a ce Pro g ra m M a n a g e m e nt
Element 1 Element 2 Element 3 Element 4 Element 5 Element 6 Element 7 Element 8
Internal
Project
Management
Obtain
Establish
Management
Healthy
and Labour Workplace
Support
Committee
Components
Components
Business Case
Participation
Time
Money / Resources
Data-gathering
Decision-making
Components
Strategic
Recruitment
Terms of
Reference
Leadership
Conduct
Situational
Assessment
Develop
Healthy
Workplace
Plan
Components
Environmental
Scan
Needs & Risk
Assessment
Organizational
Change Survey
Components
Vision
Mission
Values
Goals
Strategies
Key Audiences
Sustanability
Develop
Obtain
Implement
Program & Management
Plan
Evaluation and Labour
Plan
Support
Components
Components
Plans
Objectives
Programs/
Presentation
Activities
Evidence
awareness
education &
skill building
supportive
environments
policies
Indicators
Evaluation
Methodology
Resources
Timeline
Responsibilities
Components
Communication &
Marketing
Capacity
Building
Events
Interpersonal
Activities
Monitoring
Conduct
Evaluation
process
outcome
impact
economic
Generate
Evaluation
Report
Components
Key Result
Areas
Indicators
Results
Implications
Recommendations
I m p l e m e nt Eva l u at i o n
Section1: Organizational Culture Three Potential Approaches

In this section we explore three dierent approaches to dening organizational culture in
the workplace. Each approach is linked to a specic method of measuring and assessing
culture (described in Section 2) and specic action steps that can be taken to aect and
improve organizational culture (described in Section 3).
These three approaches have been chosen because they are unique for a number of
reasons. One approach is strongly theoretically based (The Competing Values Framework), one is based on more practical considerations, such as limited resource situations.
(The Three Levels of Culture Model), and one is empirically based (The Four Conditions of
Culture)
5
It should be noted
that none of the
three presented
here have been
assessed with the
same rigor applied
to those in THCUs
Catalogue of Situational Assessment
Tools.
The three approaches presented here are also unique in the way they work within organizations. For instance, one is focused on the organization as a whole while another relies
on the input of individual employees. Each approach is well regarded and none have been
previously proled in the THCU Catalogue of Situational Assessment Tools5.
(www.thcu.ca/Workplace/sat/index.cfm).
It is important to note that there is no one right way to assess organizational culture. In
some cases, even a blend of approaches may work best. In order to select the most appropriate approach for your workplace, you will need to answer the following questions based
on your rst-hand knowledge:
What approach would your organizations various employee groups respond

best to?
What approach would be best for your workplace considering available time,
money and other resources?
What approach would have the biggest impact?
1. The Competing Values Framework (Cameron and Quinn, 2006)

How the Competing Values Framework Works
The Competing Values Framework was developed by Kim S. Cameron and Robert E.
Quinn. It is a broadly applicable model that is intended to foster successful leadership;
improve organizational eectiveness; and promote value creation. It helps leaders think
dierently about value creation and shows them how to clarify purpose, integrate practices and lead people. The Competing Values Framework has been studied and tested in
organizations for more than 25 years and is used by rms as a map, an organizing mechanism, a sense-making device, a source of new ideas and a learning system.
The Competing Values Framework can tell you if your organizations predominant culture
falls into one or two of four types: the hierarchy culture; the market culture, the clan
culture; or the adhocracy culture. The predominant culture is then explored and strategies
are suggested on how to move from the baseline to a preferred future.
The Hierarchy Culture

A hierarchy culture is often found in formal, structured organizations that
emphasize smooth running, stability, predictability and eciency. These organizations rely on formal rules and policies. Because the environment is relatively
stable, tasks and functions are usually integrated and coordinated and uniformity
in products and services is maintained. Hierarchical organizations tend to rely
on clear lines of decision-making authority, standardized rules and procedures.
Control and accountability mechanisms are valued as the keys to success.
The Market Culture
Market culture organizations tend to be oriented toward the external environment
and are focused on transactions with external constituencies such as suppliers,
customers, contractors, licensees, unions and regulators. Unlike a hierarchy, where
internal control is maintained by rules, specialized jobs, and centralized decisions,
the market culture operates primarily through economic market mechanisms,
such as monetary exchange. Protability, bottom-line results, strength in market
niches, stretch targets, and secure customer bases are primary objectives of
the organization. Market oriented cultures are results-oriented and emphasize
winning.
The Clan Culture
anizations with a clan culture are family type organizations that emphasize
shared values and goals, cohesion, inclusion, individuality and a sense of engagement. They sometimes seem more like extended families than economic entities.
Rather than relying on rules and procedures, clan-type rms focus on teamwork,
employee involvement programs and corporate commitment to employees.
The Adhocracy Culture
The root word of adhocracy is ad hoc, implying something temporary, specialized
and dynamic. Adhocracies are often characterized as tents rather than palaces
in that they can recongure themselves rapidly when new circumstances arise. A
major goal of an adhocracy is to foster adaptability, exibility and creativity where
uncertainty, ambiguity and information overload are typical. In an adhocracy
culture, the emphasis is often on individuality, risk-taking and anticipating the
future. The gure below summarizes many of the key features of the Competing
Values Theory.
10
Figure 4. The Competing Values of Leadership, Eectiveness and Organizational

Theory (Cameron and Quinn, 2006)
Flexibility and Discretion
The Clan Culture
The Advocacy Culture

Orientation:
Leader type:
CREATIVE
Innovator
Entrepreneur
Visionary
Value Drivers:
Innovative outputs
Transformation
Agility
Theory of Effectiveness: Innovativeness,
vision and new resources produce
effectiveness.
The Hierachy Culture

Orientation:
Leader type:
CONTROLLING
Coordinator
Monitor
Organizer
Value Drivers:
Efficiency
Timeliness
Consistency and uniformity
Theory of Effectiveness: Control and
efficiency with capable processes produce
effectiveness.
The Market Culture

Orientation:
Leader Type:
COMPETING
Hard Driver
Competitor
Producer
Value Drivers:
Market share
Goal achievement
Profitability
Theory of Effectiveness: Aggressively
competing and customer focus produce
effectiveness.
External Focus and Differentiation
COLLABORATIVE
Facilitator
Mentor
Team Builder
Value Drivers:
Commitment
Communication
Development
Theory of Effectiveness: Human development
and participation produce effectiveness.
Internal Focus and Integration
Orientation:
Leader Type:
Stability and Control
When to Use the Competing Values Framework

The Competing Values Framework is eective in organizations whose culture is in need
of change and a tool is required to sort out what kind of culture, or perhaps many subcultures (particularly in larger and/or de-centralized organizations) currently exist.
This framework may work well if:
There is a fair bit of time available for assessment.
The organization is large and its structure complex.
High level thinkers are available to dedicate time to understanding the complexities and terminologies of this approach.
2. The Three Levels of Culture Model (Schien, 1999)

How the Three Levels of Culture Model Works
Edgar H. Scheins model focuses on three dierent levels of culture which move from the
visible to the tacit, or invisible. The rst level consists of visible artifacts such as myths,
rites, stories and symbols. The second level consists of espoused values which are strategies, goals or philosophies that characterize a specic way of thinking within a company.
11
The third and most basic level of organizational culture consists of basic assumptions or
unconscious, often taken-for-granted beliefs, perceptions, thoughts and feelings. These
basic assumptions, such as the perception of human nature, the nature of human interaction or the basic understandings of time or truth, are often implicit and not consciously
known to employees.
Level One: Artifacts
Artifacts provide easily observable clues to the culture of the workplace. They
include elements such as the architecture, dcor and space design, whether there
are doors between work stations, if people dress informally or formally, whether
actions are fast-paced or careful and deliberate.
Level Two: Espoused Values
An organizations values will shape why it functions the way it does. These values
are usually learned and adopted. For example an organization may say it believes
in teamwork but the espoused value shows that most decisions are made without
involving employees.
Level Three: Shared Tacit Assumptions
Tacit assumptions are informed and inuenced by the values, beliefs and assumptions of the founders and key leaders that made an organization successful. For
example, if a founder of an organization is responsible for developing a product
that responds to a high market goods and service need, he or she may favour a
highly disciplined organization. The organization may attract people who like
discipline and order, and as they succeed, they also come to take it for granted that
hierarchy, discipline, and order are the only way to run an eective organization.
When to Use the Three Levels of Culture Model
The Three Levels of Culture model oers the opportunity for progression over time and
may provide organizations who have a long way to go in their organizational change, the
option to address things in smaller, more manageable phases. Organizations might use
this framework when:
Time is limited.
There are few resources to allocate to the change process.
There are relatively small groups (teams, departments) to which the concepts
can be explained.
3. The Four Conditions of Culture: Control, Demand, Effort, Reward

(Shain, 2001)
A recent Apex study of the Canadian federal public service showed that lack of job control
increased stress, leading to increased musculoskeletal problems (90%), cardiovascular problems
(120%), gastrointestinal problems (210%), coronary heart disease (350%) and mental health
disorders (1740%). (Jones, 2005)
How the Four Conditions of Culture Model Works:

Dr. Martin Shain has identied four conditions of work which disproportionately contribute to stress and satisfaction outcomes in employees. These conditions range from low
control (having too little inuence over the way you do your daily work) and low reward
12
(not receiving adequate recognition or feedback on performance) to high eort (having

to expend too much mental energy over too long a period) and high demand (having too
much to do in too little time over too long a period). Each condition aects employee outcomes and the ability of the organization to meet or exceed performance indicators. For
instance, low control and low reward circumstances tend to contribute to low employee
satisfaction while low reward and high eort contribute to high stress, as depicted in
Figure 5 below.
Figure 5: The Four Conditions Eecting Culture
The Four Conditions Effecting Culture
Low Control: having too little influence over the way you do your daily
work
Low Reward: not receiving adequate recognition or feedback on
performance
High Effort: having to expend too much mental energy over too long
a period
High Demand: having too much to do in too little time over too long a
period
Employee Outcome
Low Satisfaction
High Stress
The eect of these inuences are multiplied when high demand/low control and high
eort/low reward conditions are perceived as unfair and reect the employers lack of
respect for employees. The perception of unfairness and/or mistrust in an organization
can also have a negative eect on employee health and well-being. The sense of unfairness
is a powerful mediator of how stress aects health for feelings of unfairness can magnify
the eects of perceived stress on health. (Jones, 2005)
Organizational stress increases when work is organized and designed in ways that ignore
or devalue certain basic human needs. Stressors, also known as mental hazards threaten
employees mental safety in the same way that an unsafe workplace may aect their
physical safety. High levels of stress and strain in a workplace can be expressed in the form
of injuries, infectious diseases, cardiovascular diseases or events; anxiety, depression or
hostility and dependence on alcohol, tobacco and/or certain prescription and over-thecounter drugs. (Health Canada, 2008).
Stress can indirectly impact employee well-being, especially in high demand/eort and
low control situations, as well as in situations such as lack of sleep, substance misuse,
depression and anger. Stress mounts when work is no longer satisfying. (Health Canada,
2008)
When to Use the Four Conditions of Culture Model
The Four Conditions of Culture Model is relatively easy to implement. The model has been
tested during development and found to be both valid and reliable and has been highly
studied in the Canadian context. The model requires the involvement of all employees and
provides an excellent opportunity for engagement; however, employee input may result in
heightened expectations.
13
Organizations might use this framework when:
14
There is a desire to involve all employees in data-gathering.
There are small groups of people interested in examining their organizations

culture.
A model oriented to the Canadian workplace is needed.
High levels of stress have been identied or stress is suspected to be the cause
of problems in the workplace.
Section 2: Assessing Organizational

Culture
Each of the three approaches described in the previous sections include a data collection and assessment method that can be used to assess organizational culture. We have
selected three that focus solely on that aspect of workplace health.
1. Data Collection and Assessment using the Competing Values

Framework (Cameron and Quinn, 2006)
Cameron and Quinns framework utilizes an Organizational Culture Assessment Instrument (OCAI) which is comprised of six domains with four items to be assessed within
each domain to assess. One hundred points per domain are divided among these four
alternatives, depending on the extent to which each alternative ts with the organization
for the present (in the Now) column. When results have been analyzed, points are again
assigned in the Preferred column to identify the degree of change needed for each aspect.
This instrument is to be completed individually by everyone within the unit, team or
organization targeted for change, or by the entire organization if it is not yet clear where
or what the change targets are. The tool has been found to be both useful and accurate in
diagnosing important aspects of an organizations underlying culture as well as being a
good predictor of organizational performance. It has been used in more than a thousand
organizations.
1. Dominant Characteristics
Now
Preferred
100
100
A The organization is a very personal place. It is like an extended

family. People seem to share a lot of themselves.
B The organization is a very dynamic and entrepreneurial place.
People are willing to stick their necks out and take risks.
C The organization is very results-oriented. A major concern is
with getting the job done. People are very competitive and
achievement-oriented.
D The organization is a very controlled and structured place. Formal
procedures generally govern what people do.
Total
15
2. Organizational Leadership
Now
Preferred
Total
100
100
3. Management of Employees
Now
Preferred
Total
100
100
4. Organizational Glue
Now
Preferred
100
100
A The leadership in the organization is generally considered to

exemplify mentoring, facilitating or nurturing.
B The leadership in the organization is generally considered to
exemplify entrepreneurship, innovation or risk-taking.
C The leadership in the organization is generally considered to
exemplify a no-nonsense, aggressive, results-oriented focus.
D The leadership in the organization is generally considered to
exemplify coordinating, organizing or smooth-running efficiency.
A The management style in the organization is characterized by

teamwork, consensus, and participation.
B The management style in the organization is characterized by
individual risk-taking, innovation, freedom and uniqueness.
C The management style in the organization is characterized by harddriving competitiveness, high demands and achievement.
D The management style in the organization is characterized by
security of employment, conformity, predictability and stability in
relationships.
A The glue that holds the organization together is loyalty and mutual
trust. Commitment to this organization runs high.
B The glue that holds the organization together is commitment to
innovation and development. There is an emphasis on being on the
cutting edge.
C The glue that holds the organization together is the emphasis on
achievement and goal accomplishment.
D The glue that holds the organization together is formal rules and
policies. Maintaining a smooth-running operation is important.
Total
16
5. Strategic Emphasis
Now
Preferred
100
100
100
100
A The organization emphasizes human development. High trust,

openness and participation persist.
B The organization emphasizes acquiring new resources and
creating new challenges. Trying new things and prospecting for
opportunities are valued.
C The organization emphasizes competitive actions and achievement.
Hitting stretch targets and winning in the marketplace are
dominant.
D The organization emphasizes permanence and stability. Efficiency,
control and smooth operations are important.
Total
6. Criteria of Success
A The organization defines success on the basis of the development
of human resources, teamwork, employee commitment, and
concern for people.
B The organization defines success on the basis of having the most
unique or newest products. It is a product leader and innovator.
C The organization defines success on the basis of winning in the
marketplace and outpacing the competition. Competitive market
leadership is key.
D The organization defines success on the basis of efficiency.
Dependable delivery, smooth scheduling and low-cost production
are critical.
Total
2. Data Collection and Assessment Using the Three Levels of

Culture Model (Schien, 1999)
Measuring Your Companys Culture: A Four-Hour Exercise
According to Edgar Schein, assessing organizational culture can be extremely dicult.
He recommends an informal process where colleagues gather together and work with a
facilitator who can help identify areas that seem to matter to the continuing success of the
organization. This group should follow the six steps detailed below. (Schein, 1999)
1. Dene the Business Problem
Meet in a room with lots of wall space and several ipcharts. Start with a business
problem: something you would like to x, something that could work better, or a new
strategic intent. Focus on concrete areas of improvement.
2. Review the Concept of Culture
Once you agree on the strategic or tactical goals (or the elements that need to be changed
or improved), review the concept of culture that exists at the three levels of visible artifacts, espoused values and shared tacit assumptions.
17
3. Identify Artifacts
Start with identifying the artifacts that characterize your organization. Ask new members
of the organization what it is like to work there. What artifacts do they notice? Record all
the items that are mentioned. Examples of artifacts include dress codes, level of formality,
working hours, meeting styles, social events, rites and rituals, etc.
4. Identify Values
After identifying the artifacts, the group should list some of the espoused values that the
organization holds. These may have been written down and published or even reiterated as
part of a vision of how the organization should be operating in the future to remain viable
and competitive.
5. Compare Values with Artifacts
Next, compare the espoused values with the artifacts in those same areas. For example,
if customer focus is espoused as a value, see what systems of reward or accountability
have been identied as artifacts and whether they support customer focus. If they do not,
you have identied an area where a deeper tacit assumption is operating and driving the
systems. You now have to search for that deeper assumption.
As a general principle, the way to deeper cultural levels is through identifying the inconsistencies and conicts you observe between overt behavior, policies, rules and practices
(the artifacts) and the espoused values as formulated in vision statements, poli-cies, and
other managerial communications. You must then identify what is driving the overt
behavior and other artifacts. This is where the important elements of the culture are
embedded. As you uncover deep and shared assumptions, write them down on a separate
page. You will begin to see what the patterns are among those assumptions and which
ones seem to really drive the system in the sense that they explain the presence of most of
the artifacts that you have listed.
6. Assess the Shared Assumptions
The nal step in the process is to assess the pattern of shared basic assumptions that
were identied in terms of how they aid or hinder you in accomplishing the goals you set
out in the rst step of this process (dening the business problem). Since culture is very
dicult to change, it is important to focus on identifying the assumptions that can help
you. Try to see your culture as a positive force to be used rather than a constraint to be
overcome. If you see specic assumptions that are real constraints, then you must make a
plan to change those elements of the culture. These changes can best be made by taking
advantage of the positive, supportive elements of your culture.
3. Data Collection and Assessment Using the Four Conditions of

Culture (Shain, 2001)
The Four Conditions of Culture can be measured using Shains Stress Satisfaction Oset
Score (SSOS). This scoring system utilizes a four step approach to collecting data and
assessing organizational culture.
18
Step 1. Ask the Questions

Four simple questions can be administered individually or inserted into other workplace
health surveys. These questions will create a benchmark culture score for the organization
and can be re-administered every 9-12 months to monitor progress. Each employee in the
unit being monitored must complete the survey.
Each answer is to be answered with either Yes or No.
Question 1: (eort) I consider my workload reasonable.
Question 2: (demand) I can complete my assigned workload during my regular

working hours.
Question 3: (control): I have a say in decisions and actions that impact on my

work.
Question 4: (reward): I get adequate recognition from my immediate supervisor

when I do a good job.
Step 2. Calculate the Stress Satisfaction Oset Score (SSOS)

Question values are as follows:
Question 1 (eort) yes = 1 point
no = 0 points
Question 2 (demand)
yes = 1 point
no = 0 points
Question 3 (control)
yes = 0 point
no = 1 point
Question 4 (reward)
yes = 0 point
no = 1 point
For example:
yes
yes
yes
yes
Cultural change
is neither easy nor
foolproof. It can
take time - at least
one year, more
likely between
three and six
years - and it takes
effort and vigilance.
A great deal of
patience and
long-term support
is needed. (www.
toolpack.com/
culture.html)
19
no 1. I consider my workload reasonable.

no 2. I can complete my assigned workload during my regular working hours.
no 3. I have a say in decisions and actions that impact on my work.
no 4. I get adequate recognition from my immediate supervisor when I do a
good job.
Results:
(1) + (0) (1) + (1) = -1
The SSOS for this particular survey is -1
When the SSOS is negative, stress outweighs satisfaction.
When the SSOS is positive, satisfaction outweighs stress.
When the SSOS is zero, stress and satisfaction cancel one another.
You will need to calculate the SSOS for each survey completed. The SSOS is the score for
each individual employee. Each survey completed will receive an SSOS.
(Question1) + (Question2) (Question3) + (Question4) = SSOS
Step 3. Compile and Analyze data

Plot all the SSOS scores into a chart similar to the one below. This will help you keep your
data organized. The example shown below is for a workplace with 30 employees.
Score
Number of
Employees
Calculation
Final Value
Total % of Employees
-2
-2x4
-8
13.3%
-1
-1x4
-4
13.3%
0x9
30%
1x8
26.7%
2x5
10
16.7%
TOTAL
30
100.0%
26.6%
30%
43.4%
100.0%
Step 4. Calculate the Business Health Culture Index (BHCI)

The Business Health Culture Index is the average SSOS for the worksite as a whole.
FORMULA:
BHCI = Sum of SSOS for all respondents
Number of employees
BHCI = (-8) + (-4) + (8) + (10)
30
BHCI = 6/30 = +0.20
20
When the BHCI is negative, stress outweighs satisfaction.
When the BHCI is positive, satisfaction outweighs stress.
When the BHCI is zero, stress and satisfaction cancel one another.
For more information, tools and

supports about
program planning
such as setting
goals and objectives, establishing
priorities for the
identified population of interest, and
identifying indicators, please visit:
www.thcu.ca/ohpp
Section 3: Changing Organizational

Culture
Once you have dened your organizational culture and assessed its specic challenges,
your next step will be to determine what changes are necessary to address these challenges and create your ideal organizational culture. You will need to establish organizational goals that will lead you to where you want your organization want to be. This
process will require a developing a vision and establishing long term goals. Some of this
will have taken place during your assessment phase; however, you will probably need to
spend ore time developing a long-term plan that will include specic, measurable activities.
No matter which of the three approaches you used, you should now have a better indication of whether or not there is a need to change and some of specic areas for improvement.
If you used the Competing Values Framework, your preferred scores may have outweighed your now scores. The area of discrepancy between the two scores will tell you
which areas are in need of change. Some may require a lot of eort, however, those with
smaller discrepancies may be easier to address and serve as an opportunity for a few early
wins.
If you used the Three Levels of Culture Model, you will have noted that this model uses
a very qualitative process. After the meeting the facilitator may have some suggestions on
how to compile your information into a plan. The next section provides some guiding tips
for leaders to keep in mind and the steps in Section 4 will help to articulate further actions
you can take to change your organizations culture.
If you used the Four Conditions of Culture approach, your scores can be used to identify
the percentage increase youd like to see in your Business Health Culture Index. This
number can be used as a benchmark to work toward over the next several years
Note: In this section, we will provide a menu of potential actions your workplace might
undertake to change its organizational culture. This menu can be used to help you select
those actions that are best suited to your organizational context. It is not expected that
your organization will attempt all these suggestions. We recommend that you focus on the
suggestions provided under your preferred approach and also consider the strategies for
action provided in Section 4.
Time is on Your Side
According to Graham Lowe (2004), one of the most fundamental change agents within an
organization is its culture. Many organizations recognize this and attempt to transform
culture by making supercial changes, such as introducing a tness program or a exible
work schedule. To positively aect organizational culture, it is essential to adopt a deeper,
transformational approach. This shift to a new culture and work system can take from
three to ve years to be eective.
21
No matter what the size of your organization, there are several guiding principles and
action steps that must be championed and supported at the senior level and throughout
the entire organization including health promotion sta, human resource professionals,
managers and practitioners. For example, to be successful in making cultural change,
organizations must begin by implementing enabling conditions (conditions that supply the
means or opportunity to improve culture) and establishing an iterative process that will
repeat or reoccur in order to engage the entire organization. Each organization is unique
and so will its approach be to change. (Lowe, 2004)
Note: Changing a long and well established organizational culture is one of the toughest
tasks a workplace will ever undertake. Often, when an organization is at a point where it
is considering a culture change, a signicant event has occurred and there may indeed be
some kind of crisis to address as well. See Section 5 for some examples about organizations such as the Canadian Blood Services who were forced to address their organizational
culture as the result of a crisis.
A note about leadership
Cultural changes must often be spearheaded by one or two people with strong ideas. This may be
the head of the business, a consultant, or a designated executive or team. The best results seem to be
achieved when there is a firm commitment from the top, which is communicated directly to each and
every person in the business. (Zatz, 1994)
Your organizations leadership will be crucial as you implement cultural change. Employees are
very sensitive to what leaders pay attention to and this can have a major effect on your organizations culture. The change process will bring out the organizations underlying core values and can
provide an opportunity for a leader to influence the organizations culture in either a positive or a
negative way. Nothing can take the place of leaders walking the talk.
1. Changing Organizational Culture using the Competing Values

Framework (Cameron and Quinn, 2006)
The Competing Values Framework provides numerous suggestions for managers to initiate culture change. We have provided only a selection of these below. As you consider
what to accomplish in the quadrant most relevant to your workplace, select the ideas most
relevant to your circumstances and add others if necessary. (Cameron and Quinn, 2006)
Tip: Choose ideas from this list based on your Now and Preferred scores (above) that
coincide with the specic gaps or needs within your organization.
Leadership
22
Move from a hierarchical to a exible structure.
Decentralize authority from central corporate bodies so that each unit or plant
director has control of all budgets within the unit.
Be sure there is an eective succession plan in place
Make a critical analysis of the current vision statement.
Analyze the organizations key values.
Review the vision, values, goals, objectives, and measures being used at the
corporate level.
Employ a planning process that operates on a ve-year time horizon and

involves vision and mission and both short- and long-term planning. See that
the planning process stretches current assumptions.
Review the impacts of every corporate policy and procedure now in place.
Recommend appropriate reductions.
If high-level managers spend signicant amounts of time approving expenditures they know little about or for low dollar amounts, modify the process so
that lower-level people have nal sign-o.
Increase the capacity for information to ow through the system, particularly

in times of high tension or crisis.
Institute an internal communications program that more eectively informs

people of events, activities, and programs. Use the latest technology for such a
system.
Ensure that all are involved in the decision process.
Institute an eective employee survey program that will allow for systematically monitoring employee attitudes and ideas. Establish employee teams to
work on making changes identied in the survey.
Identify the longest-standing intergroup conicts. Analyze those conicts, and

design a systematic set of interventions for transcending them.
Assess and improve the processes associated with employee diversity.
Develop a training program for middle managers that allows them to better
understand the strategic pressures on the organization and that conveys how
their role must change for the company to be more eective.
Evaluate every practice and process in each unit. Establish measurement

criteria and methods for maintaining accountability.
Institute a health and safety audit. Develop a system to assess and improve
health and safety, and hold an annual audit that closely examines all practices.
Use process improvement audits. Compare the results to industry standards.

Analyze the best practices used elsewhere.
Do an assessment of the disruptions that aect your organization. Develop

plans for crisis prevention and crisis response.
Build cross-functional teamwork by establishing an operational planning

group that provides a plan of the day and a three-day view into the future.
Employee Engagement
23
Involve employees in all phases of strategic planning.
Assess the need for a more global perspective among the members of your
unit, and provide opportunities to broaden and globalize their perspectives.
Hold planning retreats.
Assign someone to read the current literature on competitor intelligence. Have

that person assess the state of the units mechanisms of competitive intelligence and recommend ap-propriate changes.
Form an employee team to assess the growth potential of core businesses and
identify potential new high-growth areas.
Bring all disciplines and departments into the rst stages of the design process
for new services and products. Be sure that the customer is represented.
Increase the eectiveness of the employee suggestion system. Benchmark the

best system in other organizations and up grade your current system.
Develop programs to increase the facilitation and team-building skills of the

workforce.
Hold celebrations and internal organization trade shows that allow employees
to show o their new, underdeveloped, experimental ideas. Celebrate trialand-error learning.
Energize the employee recognition system, Empower managers to use

resources to reward extra eort.
Develop systems to encourage, measure and reward innovative behavior at

all levels of the system.
Develop visible rewards that recognize the creativity and innovation

of employees, teams, and units. Recognize not only good ideas but also
orchestrating and sponsoring activities that help new ideas get developed and
adopted.
Implement a benets program that allows each employee to select options. For
example, within a set amount, allow the individual to choose the desired level
of medical, dental, life, and disability insurance coverage.
Create an internal university. Create an overall educational function that has a

systematic training strategy for educational needs at every level of the unit.
Improve the relationships between support and line operations. Use a

facilitator to help each support group identify its strengths and weaknesses in
providing support. Help the line groups identify their key support needs. Hold
sessions for the groups to explore their relationship and develop a new set of
expectations for working together.
Put all employees through a training program that includes the practical applications of creative thinking, the strategic reasons for increased responsiveness,
and the basic principles of organizational innovation.
Develop a reading program on the topic of creating and implementing change.
2. Changing Organizational Culture Using the Three Levels of

Culture Model (Schein, 1999)
The Three Levels of Culture Model provides the following guidelines for managing culture
change (Schein, 1999):
24
Dont oversimplify culture or confuse it with climate, values, or corporate philosophy. Culture underlies and largely determines these other variables. Trying
to change values or climate without getting at the underlying culture will be a
futile eort.
Dont label culture as solely a human resources (or touchy-feely) aspect of an

organization, aecting only its human side. The impact of culture goes far
beyond the human side of the organization to aect and inuence its basic
mission and goals.
Dont assume that the leader can manipulate culture just because he or she
can control many other aspects of the organization. Culture, because it is
largely determined and controlled by the members of the organization, not
the leaders, is dierent. Culture may end up controlling the leader rather than
being controlled by him or her.
Dont assume that there is a correct culture, or that a strong culture is better
than a weak one. Dierent cultures may t dierent organizations and their
environments, and the desirability of a strong culture depends on how well it
supports the organizations strategic goals and objectives.
Dont assume that all the aspects of an organizations culture are important,
or will have a major impact on the functioning of the organization. Some
elements of an organizations culture may have little impact on its functioning.
The leader must distinguish which elements are important and focus on those.
3. Changing Organizational Culture Using the Stress Satisfaction

Offset Score (Shain, 2001)
The Stress Satisfaction Oset Score focuses on creating an action plan that emphasises
increasing satisfaction and decreasing stress in four key areas: increasing control, increasing rewards, reducing eort and reducing demands.
Increase Control
Increase employee control where possible by providing more autonomy and

opportunities for decision making.
Plan ahead.
Encourage both formal and informal feedback.
Involve employees through consultation, either individually or in groups.
Give teams responsibility for individual projects.
Consider exible work hours or arrangements to accommodate workers

external responsibilities.
Increase Rewards
25
Promote sta where possible and provide them with opportunities for external
representation.
Provide positive feedback on work well done.
Establish special projects or secondments, which can also aid in skill knowledge development.
Provide leave days to permit workers time for child care, elder care and personal reasons.
Acknowledge workers contributions to the work plan.
Ensure that all employees are aware of the purpose of their specic task and
how these help work towards the business plan objectives.
Provide opportunities for training and lateral moves to support on-going

development and growth.
Provide sta with access to the top people in the organization as this is a
powerful incentive to feel a part of the company.
Provide support programs related to healthy personal coping strategies for

employees (healthy diet, physical activity, relaxation) and substance abuse
awareness programs.
Reduce Demand
Clarify priority work for employees.
Set realistic service delivery standards with clients.
Train managers to be good workload management coaches and to establish

boundaries between essential work and work that can wait.
Ensure workloads are manageable and sta levels are sucient.
Avoid or eliminate monotonous work where possible.
Reduce sudden changes (e.g. new technologies, abrupt work re-arrangement)

in the workplace.
Meet regularly with employees to discuss work plans.
Permit workers to change or swap shifts with each other to accommodate

family and other responsibilities.
Provide clear and accurate job descriptions so employees are sure what is
expected of them and dont end up with conicting demands on their time.
Create a brake mechanism in the change process an administrative group

designed to reduce the amount of change the organizations undertakes at
once.
Decrease Eort
26
Engage sta in re-designing work processes to reduce eort and strain.
Be open to new ways of work that will help meet the growing business
demands.
Encourage teamwork to help distribute eort across many.
Provide exible working hours.
Monitor perfectionist tendencies.
Ensure sta are taking holidays/lieu days/breaks.
Encourage work-family balance.
Invest in technology and high quality training and development.
Equip sta with conict management skills.
Improve Communication
Establish clear rules and policies for dealing with grievances and disciplinary
issues.
Regularly report to all employees on the organizations objectives and policies,

past and present performance and future plans and prospects.
Learn to identify potential stressors before they occur or escalate.
Listen to workers ideas and concerns.
Ensure communication channels are in place so workers do not suer from

stress in silence or isolation.
Make sure some communication with employees is face-to-face even though

e-mail may seem more ecient.
Provide the context for decisions, and communicate eectively and constantly.
Follow the basic principles of good communication.
How To Ensure Your Strategy Succeeds (From Lowe, 2004)

Recognize and remove barriers to organizational change
Be on the alert for barriers such as high job demands, high job stress or resistance from
managers. Make leadership more cooperative and take a vested interest in change e.g. part
of a performance appraisal. Make organizational health processes part of the business
strategy.
Spread new organization practices through learning and innovation
There are no easy formulas for organizational change. Programs and initiatives must be
customized to the organizational conditions.
Take an integrated top-down and bottom-up approach
Successful change will also mean a change in leadership style. A strong vision and openness for change is required. Leadership and employee empowerment should be balanced
-- level the playing eld.
Engage all employee groups in the change process
The change must contribute to the organizational goals. Strong commitment from
senior management and walking the talk is essential for meaningful involvement of all
employee groups. Employees must also be involved in the creation and maintenance of
working conditions.
27
Reduce the stress of change so it is not an impediment

Workplace change can be stressful to employees. Design the change process so it will
reduce workplace stressors.
Measure progress
Gather evaluation data to show strengths or areas for improvement as well as inform decisions and actions.
A Note about Evaluation

Once you have developed your strategy for action you will also need to consider how to
measure your progress. Be warned! Measuring the change process can be challenging!
The following principles can help to develop measures and an evaluation strategy:
28
Capture both outcome (e.g. reduced sick days) and process (e.g. meet with
human resource sta ) indicators.
Establish baseline measures by using internal data at the onset of the intervention. You will then have the ability to come back o the data set and make
comparisons, identifying areas of strengths or areas for improvement.
If possible, compare your progress to external benchmarking (this is not

always available or relevant).
Gather data in the form of employee surveys, administrative data (absenteeism, EAP usage, employee benet claims); program data (participation rates,
pre and post program health improvements); focus groups and employee
consultations and return on investment analysis. (Lowe, 2004)
Section 4: Strategies for Action

The purpose of this section is to help you identify activities or behaviors that can move
your organization toward its desired future culture. It is intended only to provide some
initial ideas and to stimulate creative thought. Often managers indicate they know where
they want to go but they dont know where to begin. As we have mentioned earlier, organizational culture change should always be viewed as an incremental process.
Step 1: Prioritize
After you have completed your assessment, communicate the results back to
your employee group and meet with stakeholders.
As a collective determine the top issues that need to be addressed or pick one
issue to focus on as a starting point.
Gather feedback and prioritize in focus groups or in a facilitated session with

an experienced facilitator.
Step 2: Conrm
Ensure that what you heard from the employees, managers and stakeholders
is correct. Communicate this information back to those involved and reiterate
what you heard and let them know that work is being done.
Ensure you continue to communicate with all those who are involved in the
change process. This might include e-mail updates, a regular agenda item on
monthly meetings, an update box in an internal newsletter, etc.
Step 3: Identify Gaps between Current State and Ideal State
Identify the gaps that help identify the changes in culture that need to be initiated. (Quinn, 2006 )
Ask why there is a discrepancy and what is preventing change?
Identify barriers and roadblocks.
Step 4: Problem-Solve Solutions
Ask the employees for solutions! They know the workplace best, what solutions
do they think would work best? What solutions can they control?
The culture change process is not a quick process, reach consensus on which
actions should be started at present and which can be addressed at a later date.
Identify what is working and what should continue (Quinn, 2006)
Step 5: Repeat the Process with Other Groups (if applicable)
29
If the picture formed from this meeting is incomplete or muddy, repeat the
process with one or more other groups.
If you think there might be subgroups with their own shared assumptions,
test your thought by bringing together groups that reect those possible
differences.
Problem Solving Support Tools:
SWOT/PEEST
For more details on undertaking a SWOT or PEEST Analysis, go to:
www.thcu.ca/ohpp/learning_centre.cfm?view=tmm
THCUs Force Field Analysis can help identify positive or driving / negative
or restraining inuences as well as barriers and enablers that can be an important part of the change management process
(www.thcu.ca/ohpp/view.cfm?stepID=2&worksheetID=9)
Force-field Analysis
Helping Forces
Stable workforce,
moderate turnover
Knowledgeable
wellness committee
Company is
profitable
Staff want training
on communication
Management is
supportive and
believes change is
necessary
Timing: the
company iis rewriting performance
metrics
30
Hindering Forces
Increased /
improved
communication
between
management
and workers
Workforce is resistant
to change
No situational
assessment results
Supervisors are very
production-focused
Use only lagging
indicators
No training
g on
communication &
management skills
No clearly defined
goals or objectives
re:communication
Planning Considerations
The following strategies from the eld of health promotion will help your organize a plan
of action for change.
Awareness building:
Do people need to know there is a risk of X?
Education/Skill Building:
Do people need to learn skills that will help them deal with (or
remove the risk of) X?
Environmental Support:
Can the environment be changed to make it easier for people to
deal with X.?
Policy Development:
Can policies be developed that reduce the risk or make it easier to
deal with X?
Consider the following questions:
What do leaders pay attention to, measure and control?
How do leaders respond to incidents and crises?
How do leaders allocate scarce resources?
What does role modeling, teaching and coaching mean in your organization?
How are rewards allocated?
What are the existing criteria for recruitment, promotion, retirement and
exiting?
Do managers understand how they aect others?
Do managers understand and adjust the job demands, job control, eort
required and rewards appropriately?
Do managers know how to mediate disputes? Are solutions reasonable and

feasible?
Are there other examples and research that exist within your organization?
What else has been done?
Are there best practices that have been perfected by a similar organization?
Note: A participatory decision making that stresses inclusive solutions and shared responsibility is ideal for eective culture change.
31
Section 5: Some Organizational

Culture Change Success Stories
The Canadian Blood Services
The Canadian Blood Services (CBS) was established in an environment of failure and
scandal by the Krever Commission of Inquiry on the Blood System in Canada in 1997. The
CBSs new management was given the mandate to rebuild the blood system in Canada;
regain the trust of Canadians in their blood supply; and create risk management programs
aimed at preventing future catastrophes. A fundamental part of the CBS change agenda
was to transform the existing corporate culture within the blood supply system.
In order to change its culture, the CBS adopted a rigorous balanced scorecard program to
enhance communication of the new strategy; ensure alignment across the organization;
measure and guide its performance and increase overall success. This strategy focused on:
mobilizing change through executive leadership; making strategy a continual process and
part of all sta s daily work; aligning the organization with the strategy; and translating
the strategy into operational terms.
The cultural changes implemented by CBS were a large part of the CBSs success in
transforming Canadas national blood supply system. It now has a sound governance
framework; a responsive, consolidated and increasingly ecient service delivery model; a
high degree of preparedness, network capability and relevant support services rooted in
safety rst, risk management and quality principles. (CHLNet, 2008)
(www.bloodservices.ca)
Vancouver International Airport Authority

The Vancouver International Airport Authority introduced an employee assistance
program which stressed two-way communication, the use of company-wide surveys and
discussions with supervisors on work assignments and workload balance.
(www.yvr.ca/authority)
Petro-Canada Burrard Products Terminal

This busy industrial products terminal shifted to a culture of mutual respect by focusing
on employee participation in decision making, alternative work arrangements, informal
shift-switching and a stress on communications.
(www.clbc.ca/les/CaseStudies/petrocanada.pdf)
32
Rideau Construction Inc.

Rideau Construction in Ottawa changed its culture to stress openness and trust, two-way
communications during performance reviews, work/life balance initiatives and extime.
(www.rideaucon.ca)
QLT Inc.
This global biopharmaceutical company transformed its culture through innovative measures such as a family room (last resort child care service), proactive work-life balance
practices, ex-time, sabbaticals and unpaid leave arrangements
(www.qltinc.com/Qltinc/main/mainhome.cfm)
(Canadian Labour and Business Centre, 2002)
33
Section 6: Tools to Guide and Manage

Organizational Culture Change
Guarding Minds at Work
Guarding Minds@Work is being developed by the Centre for Applied Research in Mental
Health and Addiction (CARMHA), a research centre within the Faculty of Health Sciences at Simon Fraser University and has been commissioned by Great-West Life Centre
for Mental Health in the Workplace and funded by The Great-West Life Assurance
Company.
www.healthyworkplacemonth.ca/activities/work_culture_01.php
www.guardingmindsatwork.com
Neighbour at Work
The Neighbour@Work Centre is a fee for service program which was created to help
organizations protect the mental wellbeing of their employees by promoting a culture of
fairness, civility and respect. The philosophy is that everyone in the workplace community
or sphere of inuence whom you aect through your actions, words and expressed
attitudes particularly those with whom you interact on a regular basis.
http://www.neighbouratwork.com
Vital Workplaces
Vital Workplace is a programmatic and cultural approach to improving the eectiveness
of teams and other work units through enhancing the social and psychological wellbeing
of their members.
http://www.i-workplacesolutions.com/vitalworkplace.htm
Sunlife Financial: Action Steps to a Healthy Culture

Sun Life Financials HealthyRETURNS workplace health promotion strategy for plan
sponsors utilizes a healthy culture change process that has proven to be successful in
enhancing the culture of departments. This success is driven primarily from the fact that
the process increases the employee involvement in decisions that aect their work.
For more information please email: [email protected]
International Stress Management Association

This organization promotes sound knowledge and best practice in the prevention and
reduction of human stress. (http://www.isma.org.uk)
34
Health and Safety Executive (HSE)

HSEs job is to protect people against risks to health or safety arising out of work activities.
(http://www.hse.gov.uk)
Other Tools and Resources
35
THCUs Conducting Focus Groups Workbook

http://www.thcu.ca/infoandresources/evaluation_resources.htm
The Change Management Directory

http://www.change-management-directory.com/
The Organizational Development Institute

http://www.odinstitute.org
The Organizational Development Network

http://www.odnetwork.org/index.php
The Society for Organizational Learning

http://www.solonline.org/
Human Resource Professionals Association of Ontario

http://www.hrpao.org/hrpao
Canadian Society for Training and Development

http://www.cstd.ca
References
First Annual CHLNet Symposium. (2008). Leadership in Motion: Changing Systems,
Creating Results. Report of a meeting held by the Canadian Health Leadership Network.
Canadian Labour and Business Centre. (2002). Twelve Case Studies on InnovativeWorkplace Health Initiatives. Retrieved at: http://www.clbc.ca/les/Reports/summary_of_key_
conclusions-nal-e.pdf
Health Canada. (2008) Best Advice on Stress Management. Retrieved at:
http://www.hc-sc.gc.ca/ewh-semt/pubs/occup-travail/stress-part-2/biblio-eng.php
Industrial College of the Armed Forces (ICAF) (1999) Strategic Leadership and Decision
Making. National Defence University. Chapter 16: Organizational Culture. Retrieved at:
http://www.ndu.edu/inss/books/Books-201999/StrategicLeadershipandDecision-makingFeb99/pt4ch16.html
Jones, D. (2005). Will your organizational culture attract the new generation of workers?
How your organizations health aects the bottom line. Health Work and Wellness Conference. October 2005. Retrieved at: http://conferences.healthworkandwellness.com/pics/
What_is_a_healthy_workplace.pdf
Lowe, Graham S. (2004). Healthy Workplace Strategies: Creating Change and Achieving
Results. Prepared for The Workplace Health Strategies Bureau, Health Canada.
Malick, L. (2001) Understanding and Changing Your Organizations Culture. Industrial
Management. March-April 2001.
National Quality Institute (NQI). (2000). Framework for the Development of a Healthy
Workplace.
Quinn, C. (2006) Diagnosing and Changing Organizational Culture. John Wiley & Sons.
2006.
Region of Waterloo (2007) The Handbook for Healthy Workplaces. Project Health.
Section 2: Organizational Culture. April 2007. Retrieved at: www.projecthealth.ca
Schein, E. (1988).Organizational Culture and Leadership. San Francisco: Jossey-Bass.
Schein E. (1999). The Corporate Culture Survival Guide. John Wiley & Sons.
Shain, M., Suurvali, H. (2001). Investing in Comprehensive Workplace Health Promotion.
Centre for Addiction and Mental Health (CAMH) and the National Quality Institute
(NQI). 8
36
37
References
Yardly, J. (2006). Creating High Quality Municipal Workplaces: What your Employers are
Telling US. From the Canadian Association of Municipal Administrators (CAMA) Annual
Conference. Brock University. Workplace Health Research Laboratory. Retrieved at
http://www.brocku.ca/buwi/research/
Zatz, D. (1994) Organizational Culture. ToolPack Consulting. Retrieved at:
http://www.toolpack.com/culture.html
Further Information:
Burton, J. (2007). Creating Healthy Workplaces. IAPA. Retrieved at
http://64-85-42-114.ip.van.radiant.net/pdf/2004_HWP_Healthy_Workplace_FINAL.pdf
Canadian Union of Public Employees (CUPE). (2003) Enough Workplace Stress: Organizing
for Change. Retrieved at http://cupe.ca/updir/stress_guideline.pdf
Corbett, D. (2001). Why Focus on a Healthy Workplace? NQI.
Duxbury, L., Higgins, C. & Coghill, D. (2003). Voices of Canadians Seeking Work-Life
Balance. Human Resource Development Canada: Labour Program. Retrieved at http://
www.hrsdc.gc.ca/eng/lp/spila/wlb/pdf/Voices.pdf
Hagberg, R. Heifetz, J. (2000). Corporate Culture/Organizational Culture: Understanding
and Assessment. Telling the CEO his/her baby is ugly. Hagberg Consulting Group (HCGH)
Retrieved at: www.hcgnet.com
Hayes, J. (2002). The Theory and practice of Change Management. New York: Palgrave.
Lim S.Y. & Murphy L.R. (1999). The relationship of organizational factors to employee
health and overall eectiveness. American Journal of Industrial Medicine Supplement.
42-43.
Lowe, G.S. (2004). Healthy Workplace Strategies. Creating Change and Achieving
Results. Workplace Health Strategies Bureau. Retrieved at http://www.grahamlowe.ca/
documents/93/Hlthy%20wkpl%20strategies%20report.pdf
Trit (2005). Organizational Health Audit: A collaborative tool developed by Tri Fit Inc.,
1998; Revised by Canadas Healthy Workplace Week, 2005. Retrieved at
http://www.healthyworkplacemonth.ca/2005/pdf/CHWW_Health_Audit.pdf
38
37
References

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Organizational Culture:

From Assessment to Action

Additional Copies & Copying

This workbook is also available on our Website at

The Health Communication Unit at the

Nancy van Boxmeer

The Purpose of this Info-Pack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

How to Use this Info-Pack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

A Word about Organizational Culture. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Organizational Culture and the Comprehensive Workplace Health

Planning to Change Culture using a Health Promotion Planning

Conducting Situational Assessments within the Workplace-Specic

Section 1: Organizational Culture - Three Potential Approaches . . . . . 9

The Competing Values Framework (Cameron and Quinn, 2006). . . . . . . . . . . . . 9

The Three Levels of Culture Model (Schien, 1999). . . . . . . . . . . . . . . . . . . . . . . . . . 11

The Four Conditions of Culture: Control, Demand, Eort, Reward

Section 2: Assessing Organizational Culture . . . . . . . . . . . . . . . . . . . . . . . 15

Data Collection and Assessment using the Competing Values Framework

Data Collection and Assessment using the Four Conditions of Culture

Section 3: Changing Organizational Culture . . . . . . . . . . . . . . . . . . . . . . . 21

Changing Organizational Culture using the Competing Values Framework

Changing Organizational Culture using the Three Levels of Culture Model

Changing Organizational Culture using the Four Conditions of Culture

Section 4: Strategies for Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

The Purpose of this Info-pack

How To Use This Info-pack

Organizational Culture: From Assessment to Action

Section 3: Changing Organizational Culture

A Word about Organizational Culture

Organizational culture is a fundamental part of an organizations collective experience. It

Organizations with strong, healthy cultures tend to outperform organizations

Developing a healthy workplace provides an opportunity to improve the health

Organizational Culture: From Assessment to Action

When employees experience a supportive work environment, costs related to

Better management of employees can be an important key to becoming an

Organizational Culture and the Comprehensive Workplace

Health and lifestyle

Occupational Health and Safety refers to eorts to protect workers against

Health and Lifestyle Practices1 refers to addressing any of a wide variety of

Organizational Culture: From Assessment to Action

Organizational Culture2 (the subject of this Info- pack) involves improving

Planning to Change Culture using a Health Promotion

Organizational Culture: From Assessment to Action

This Info-pack focuses specically on Step #2 Conducting a Situational Assessment and

Conducting Situational Assessments within the Workplace-Specific

Situational Assessments4 are used to:

For more resources

There are ve key qualities to good situational assessments:

learn more about and dene audience(s)

anticipate trends and issues that may aect program implementation

identify promising programs

1. A situational assessment inuences planning in signicant ways by examining

What is the impact of the problem?

What are the roots causes of the problem?

What are the possible solutions for the problem?

Organizational Culture: From Assessment to Action

The bottom line for individuals is maintaining a personal behaviour

The bottom line for networks is to create social change through

5. A health promotion approach also demands a situational assessment that