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Values or guiding principles are those beliefs or attitudes held by an organization that shape its internal operating culture (employees) and its response to its customers, suppliers, buyers, and other external constituencies. Organizational values or guiding principles often are manifested in written documents such as codes of behavior or codes of ethics. Patterns of behavior by individuals or groups within the organization also exemplify values that are understood to exist with or without documented statements.

In health care organizations, values and ethical statements are often prescribed through the professional licensure required for health care providers such as physicians and nurses. An example is found in the American Nursing Association's code. This document forms a code of ethics, which describes beliefs that guide individual behaviors and decision making in the nursing profession. Although individual commitment to professionally explicit values form the basis for individual participation in organizational values, the concept of organizational values or guiding principles is the broad-based expectation of the behaviors, decisions, actions, and expected performance of all employees that in total reflect the organization as a whole.

Other terms for values or guiding principles in an organization are creed, philosophy, core values, commitment to quality, and so forth. Values in an organization concern the philosophy of work that accomplishes the organization's mission and the nature, rights, and expected behaviors of those providing the product or service and the customers, clients, or patients being served. Value statements or statements of shared values may be found as part of the mission and vision statements in many organizations.

Understanding and Communicating Organizational Values

Organizational values are transmitted through formal and informal channels of communication. Formal channels include, in written form, booklets, banners, quotes, logos, business cards, slogans, posters, press releases, and articles. Executives in the organization use organizational value statements in speeches, employee “pep talks,” employee town meetings, and performance evaluations. Employees state organizational values through actions, comments, conversations, stories, decisions, memos, and letters. Whether formally documented or informally understood, all organizations have a set of working values that guide individual activities within the organization and that shape organizational reputation.

Using Organizational Values Effectively

Excellent organizations make use of statements of shared values in numerous ways:

  • To set expectations for customers or clients that the organization values quality in its service and products or that it places value on its service to its customers or clients
  • As a clear message of the value the organization places on the importance of its employees
  • As a means to better define key components of its mission statement
  • As a framework for individual decision making within the organization
  • To delineate boundaries of behaviors of executives and employees
  • To form the basis for the corporate culture
  • To articulate the level of social responsibility or organizational citizenship the organization embraces, such as commitment to healthy children
  • To articulate its priorities as related to social issues, such as a clean environment

Developing and Maintaining Organizational Values (Guiding Principles)

In the past decade health care organizations have sought to create a new vision for the performance and delivery of the services provided to health care recipients. Coupled with a new vision is the need for a new set of core values or guiding principles. However, the adoption of cultural values in an organization is a slow process frequently taking years. This is in part due to the changing mores of society in which organizational personnel live and operate. Capturing the sagas, stories, and myths about the perception of existing values provides the first step. Organizational values may not be blatantly obvious but rather are imbedded in the informal communications and actions of the organization's employees. Building on existing values that are consistent with the new vision, the organization can restate old values under the new paradigm. This method can help hasten the acceptance of new values.

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