Organizational climate as a precondition of effective work of a therapeutic team.

Organizational climate among members of a group is a significant precondition of an effectively working team. The work of a therapeutic team remains on a higher organizational level in hospitals with accreditation, compared to units without the Quality Certificate. The study was undertaken to discover whether there are any differences in the evaluation of organizational climate among the staff of hospital wards in hospitals with and without the Quality Certificate. The study covered 161 physicians and 339 nurses from 4 hospitals with accreditation and 17 units without the Quality Certificate. The study was carried out by the method of a diagnostic survey; the technique was a questionnaire form. The results of the study showed that physicians and nurses from hospitals with accreditation significantly more often evaluated the organizational climate in their wards in positive terms. The staff from hospitals without the Quality Certificate evaluated the atmosphere in their wards in more negative terms, mainly due to low salaries, lack of physician - nurse co-operation and frustration as a reaction to poor results of the health care system reform.