To explore and compare the factors influencing work motivation among registered nurses, enrolled nurses and health care assistants in long-term health care setting

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To explore and compare the factors influencing work motivation among registered nurses, enrolled nurses and health care assistants in long-term health care setting

 

Author: Ho, Suk-kwan Victoria
Title: To explore and compare the factors influencing work motivation among registered nurses, enrolled nurses and health care assistants in long-term health care setting
Degree: M.Sc.
Year: 2001
Subject: Nurses -- China -- Hong Kong
Employee motivation -- China -- Hong Kong
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Management
Pages: xi, 86 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1573204
URI: http://theses.lib.polyu.edu.hk/handle/200/1425
Abstract: Nowadays, nurse managers face many new challenges in Hong Kong. They are required to provide high quality of care to their clients with less resource, especially after the Asian economic crisis. Work motivation research helps nurse managers to understand more about motivation factors of different groups of nursing staff; and ultimately increase their ability to influence frontline staff to improve productivity. In motivation theories, content theories are concerned with identifying the needs that people have and how these needs are prioritised. They are also concerned with the types of incentives and goals that people strive to attain in order to be satisfied and perform well. Herzberg's Motivation-Hygiene Theory and his critical incident methodology were applied in this study. This was a cross-sectional exploratory study and self-report survey design. Data were collected through semi-structured telephone interviews. Sampling design was convenient stratified sampling drawn from a long-term health care unit of a hospital under the Hospital Authority in Hong Kong. It was found that Registered Nurses, Enrolled nurses and Health Care Assistants had different patterns of needs on motivation factors. These factors affected their mental health, quality and quantity of care. Recognition and interpersonal relationships were the essential factors that affect the performance of these three groups of nursing staff. ENs valued achievement but HCAs valued responsibility. Three out of five RNs named salaries as the work motivation factor. Some factors have bi-directional nature. They account for the happy and unhappy experience of the respondents. Therefore, ward manager should be a resourceful person for continual supporting and praising her staff sincerely. She should also care for the staff's mental health and emotional feelings especially when the staff committed mistakes and when children's conditions become critically ill or death. During job redesign, job enrichment could be applied to meet the needs of responsibilities for HCAs and job enlargement could be used for meeting the need of achievement for ENs. Nursing care is teamwork. Team building activities, human relations training, good communication skills and conflict resolutions were therefore essential for building up good interpersonal relationship among the three groups of respondents so that they could perform as an effective and efficient team. It was concluded that Herzberg's critical incident methodology could be a useful tool to help informants to recall detailed information on the factors that affected their performance and mental health. The findings of this study provided insight for nurse managers to create a motivated environment for their staff in order to improve their performance and optimize their productivity.

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