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Organizational Culture and the Quality of Work Life of Healthcare Providers in Pakistan: A Systems-Based Perspective
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Author(s): Arfa Masihuddin (Rufayda, Karachi, Pakistan), Waqas Hameed (Aga Khan University, Pakistan), Mohammad Asim (Aga Khan University, Pakistan)and Syed Mairaj Shah (Aga Khan University, Pakistan)
Copyright: 2026
Pages: 42
Source title:
Fostering Organizational Culture for Provider Well-Being: The 5S's Well-Being Framework
Source Author(s)/Editor(s): Minhaj Qidwai (Dean Faculty of Allied Health and Medical Sciences, Al-Kawthar University Karachi Pakistan, Faculty Member American Institute for Healthcare Quality, USA and Unet Consultants Pakistan/Canada)and Arfa Masihuddin (Rufayda, Karachi, Pakistan)
DOI: 10.4018/979-8-2600-0582-8.ch007
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Abstract
This chapter examines the perception of quality of work life (QWL) among healthcare providers in private-sector tertiary care hospitals in Karachi, Pakistan. The research involved 42 healthcare providers from three hospitals, using in-depth interviews. The findings revealed that QWL is a combination of a well-paying job, a good work-life balance, a comfortable working environment, supportive leadership, and family support. Organizational factors affecting QWL include fair monetary compensation, increased workload, lack of infrastructure, decision-making autonomy, and feedback from leadership. Emotional and practical support from colleagues significantly influences QWL by mitigating workplace stress. Family expectations were recognized as a factor influencing QWL, as healthcare providers frequently encounter challenges in fulfilling unrealistic demands. Initiatives to improve QWL include introducing confidential mental health services, support facilities, and personal development skills. The results are shown using the 5Ss framework: Self, Society, State, Systems, and Spirituality. Key themes include workload and burnout, leadership behavior, infrastructure gaps, peer and familial support, and a lack of recognition. The chapter proposes human-centered and policy-driven interventions to improve QWL in resource-constrained healthcare settings. Healthcare organizations should establish wellness committees to promote a positive work culture and improve QWL.
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