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The significance of organizational culture (OC) pervades all workplaces, extending even to health systems. While numerous studies have examined the perceptions of OC among nurses and physicians, there is a notable gap in understanding the perspectives of non-patient-facing health system employees. This study aims to fill this void by investigating the perceptions and drivers of OC among non-patient-facing personnel within health systems.

This study employed a mixed-methods approach, starting with a 31-question survey disseminated to health system employees through trade organizations to capture diverse perspectives on OC. Subsequently, employees were invited to participate in semi-structured interviews. A total of 23 interviews were conducted to explore the underlying factors shaping employees’ perceptions of OC.

A total of 67 surveys were completed, with 61 used in the analysis. The results revealed a predominantly positive outlook, highlighting the significance of supportive leadership and involvement in decision-making processes. The qualitative analysis identified four key themes: effective communication and transparency, coordinated teamwork, supportive leadership and the impact of external factors like the coronavirus disease 2019 (COVID-19) pandemic.

Effective leadership should prioritize open communication, employee autonomy and involvement in decision-making. These strategies foster a culture of trust, accountability and engagement, enhancing employee morale and job satisfaction while promoting a collaborative and innovative work environment conducive to long-term success and growth.

This research examines the often-overlooked perspectives of non-patient-facing health system staff, providing valuable insights and strategies for leaders to improve OC and create a more positive, inclusive and supportive work environment.

The purpose of this paper was to undertake a comprehensive review of Kirkpatrick’s four-level evaluation model. Included was a brief discussion on the additions that have been suggested by critics attempting to make it more responsive to training practitioners’ needs as well as researchers’ inquiries. Also included is a contrast of Kirkpatrick’s model with the expanded model offered by Holton (1996) and a discussion of several key areas of agreement with his model as well as areas of concerns with Holton’s criticism of Kirkpatrick’s four-level model. This article also discussed the relationship of two key factors, not widely examined in the transfer of training literature that could impact the transfer of training to the workplace, namely trainee attributes and the supervisory role in training transfer as affected specifically by a manager’s degree of transformational leadership. A model depicting the balance between these two factors on training transfer was presented in an attempt to assist training professionals seeking to further understand the effects of this interaction on training transfer. Several recommendations were suggested to help training practitioners. Finally several recommendations were given for future studies.