The Dynamics of Trust and Culture in Shaping Strategy Implementation in Sudan's Healthcare Sector.

Abstract

The healthcare sector in Sudan faces significant challenges, including inadequate infrastructure and limited resources. In this context, trust within organizations plays a critical role in shaping effective strategy implementation. This study explores the critical role of trust in the strategy implementation processes within Sudan's healthcare sector, focusing on the largest private hospitals in Khartoum State. Utilizing the Competing Values Framework (CVF), the research categorizes organizational culture into Clan, Hierarchy, Market, and Adhocracy types and examines how trust influences strategic outcomes. Findings reveal that trust operates as an independent variable, significantly impacting strategy implementation across all cultural typologies rather than moderating the relationship between organizational culture and strategy implementation. The study underscores the importance of cultivating trust to enhance employee engagement, foster collaboration, and improve patient care, particularly in resource-constrained environments like Sudan. By prioritizing trust, healthcare leaders can create more resilient and effective organizations capable of overcoming operational challenges. The research provides valuable insights for healthcare management and suggests future studies expand this investigation to different regions, and sectors, and through longitudinal methods to understand further the dynamics of trust and organizational culture in healthcare.