Identification and Explanation of the Dimensions and Components of Organizational Anomie in the Health Sector: A Systematic Review

Subject Areas : Health Management Services

Alireza Mohammadi ¹ , Leila Riahi ^{2 *} , Seyed Jamaloddin Tabibi ³ , kamran hajinabi ⁴

1 - PhD Student, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
2 - Associate Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
3 - Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
4 - Assistant Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran

Received: 2024-11-15 Accepted : 2025-03-03 Published : 2025-10-21

Keywords: Organizational Anomie, Organizational Normlessness, Organizational Meaninglessness, Organizational Cynicism, Health,

Abstract :

Introduction: Organizational anomie is one of the significant challenges in today’s work environments, having considerable negative impacts on organizational performance. This study aims to identify and explain the dimensions and components of organizational anomie in the health sector.

Method: This study is a systematic review and mixed content analysis, classified as applied research. Data were collected through a search for relevant resources in reputable scientific databases. The stages of article selection included identification, screening, eligibility assessment, and final selection for analysis. Additionally, the various dimensions of organizational anomie were extracted and categorized through qualitative content analysis with an inductive approach and quantitative analysis. The relative importance of each dimension was determined by calculating their frequencies.

Findings: In this research, after selecting relevant articles, 21 papers addressed the dimensions of anomie and organizational anomie, identifying a total of 57 distinct dimensions. The extracted dimensions were categorized into three main groups as primary dimensions of organizational anomie. These dimensions include organizational normlessness (53%), organizational cynicism (28%), and organizational meaninglessness (19%), which accounted for the highest frequencies in the reviewed studies.

Conclusion: This study demonstrated that organizational anomie in the health sector can be identified and explained through three primary dimensions: normlessness, meaninglessness, and cynicism. Identifying these dimensions can assist managers and policymakers in better recognizing and managing organizational anomie, ultimately leading to improved performance and organizational health.

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