Hospital culture and social responsibility: a mixed study of the main lines for its development

Social responsibility is a key element in meeting the needs of the context in which an organization operates. In the healthcare sector, attention to this concept has involved studying internal aspects, as well as the contribution to its implementation in the management of processes and practices of the organization's agents. In order to analyze the relationship between social responsibility and hospital culture, a mixed study was conducted in two phases. First, a focused ethnography was implemented, followed by a systematic review study. The results showed a poor conceptual development of the category, the importance of organizational ethics, the values in the regulation exerted by hospital culture on social responsibility, and the need for the dual nature of social responsibility in terms of its design as an instrument or strategy of the organization. It is concluded that achieving a better operationalization of social responsibility is necessary for its reproduction in the hospital culture, as such responsibility must be promoted as an individual practice based on a solid worldview, and from this achievement, consolidated as a set of identifiable actions. Thus, quality must be a crossing in the design and description of the dimensions and indicators of social responsibility and an organizational value.