Changing Organizational Culture through Gaming Public Deposited

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Last Modified
  • March 19, 2019
  • O'Connor, Megan
    • Affiliation: School of Nursing
  • This purpose of this project was to examine the impact of an experiential learning activity on staff nurse perceptions of organizational culture following a low cost gaming simulation, Friday Night at the ER®, at a large academic medical center in the Southeast United States. The key content concepts include discussion of organizational culture and patient care, description of the Friday Night at the ER®, and impact of the game on organizational culture scores and staff perceptions. There is a need for innovative methods that communicate elements (trust, communication) of organizational culture to staff to promote patient safety. Patient care has been negatively affected by communication lapses and poor choices that occur when health care employees are uninformed, have poor handoff processes, or make decisions out of fear. Health care costs continue to rise in the United States without a subsequent increase in quality outcomes. Innovative methods for educating staff are needed to improve communication and team processes in an effort to provide efficient and effective patient care. Forty staff nurses participated in Friday Night at the ER® and recorded their perceptions of organizational culture using a pre- and post-survey design through the Diagnosing Organizational Culture Instrument (DOCI). In the post-game survey participants were also asked to provide demographic data and respond to questions about the impact of the game experience. Post-game scores on the DOCI showed more positive perceptions of organizational culture following the learning activity. However, results were not statistically significant. A Likert survey conducted post-game play revealed that participants strongly recommend the game Friday Night at the ER® for colleagues, felt that it was a useful learning activity, learned new things about their organization, and felt that it helped them to be better prepared to provide high quality care. The board game Friday Night at the ER® is a low cost method that can be used to capitalize on team training and lead to improved organizational culture scores that can potentially translate into increased patient safety.
Date of publication
Resource type
Rights statement
  • In Copyright
  • Durham, Carol
  • Strickler, Jeff
  • Sherwood, Gwen
  • Hubbard, Grace
  • Doctor of Nursing Practice
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2014
Place of publication
  • Chapel Hill, NC
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