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Improving motivation among health care workers in private health care organizations: A perspective of nursing personnel

机译：改善私人卫生保健组织中卫生保健工作者的动力：护理人员的观点

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Purpose – The study aims to explore the experiences of nursing personnel in private health care organizations in Lithuania, in terms of their work motivation and satisfaction, promotion and quitting the job, interpersonal interaction at work and to identify areas for sustainable improvement to the health care services they provide. Design/methodology/approach – The research problem includes the following questions. What is the attitude of nursing personnel to the existing elements of motivation in private health care organizations? What organizational tools should be developed in order to improve the motivation of nursing personnel? The sample consists of 237 registered nurses practitioners and 30 nurses' managers working in private health care sector. Methods: data selection: questioning survey; data analysis: descriptive statistics, correlation and factor analysis (using SPSS for Windows 12.0). The research instrument involves 99 closed-ended items divided into 11 evaluation blocks; Cronbach a of every part ranges from 0.68 to 0.85. Findings – Results showed no statistical differences among nurse practitioners and executives of what motivates them in private health care organization as workplace and illuminated factors that decrease and increase motivation among nurses. Motivation decreases, when nurses are not empowered not autonomous in activity; nurses' competencies (specific professional and general) are not applied in full value, e.g. managerial, educational, social-psychological, clinical/expertise; decisions are not made collectively; in organization does not exist mechanism of information-sharing; meetings of personnel are not prepared methodically. Motivation increases when the nurses collaborate with physicians by parity; nursing profession is respected and recognized as autonomous and valued by themselves and other health care specialists; the interpersonal communication is effective and conflicts are solved constructively. Research limitations/implications – A major weakness is that the characteristics of the present sample may limit the generalizability of the results. The major implication is that the paper supports the prediction for characteristics of motivation among health care workers in private health care organizations with perspective of nursing personnel. Originality/value – The paper examines in a private health care sector the factors that increase and/or decrease the motivation of nursing personnel.
机译：目的–该研究旨在探索立陶宛私人医疗保健组织中护理人员的工作动机和满意度，晋升和辞职，工作中的人际互动，并确定可持续改善医疗保健的领域他们提供的服务。设计/方法/方法–研究问题包括以下问题。护理人员对私人卫生保健组织中现有动机要素的态度如何？应该开发哪些组织工具以提高护理人员的动力？样本包括在私人卫生保健部门工作的237名注册护士从业人员和30名护士经理。方法：数据选择：问卷调查；数据分析：描述性统计，相关性和因子分析（对于Windows 12.0使用SPSS）。该研究工具涉及99个封闭式项目，分为11个评估模块。每个部分的Cronbach a范围从0.68到0.85。研究结果–结果显示，在执业医师和管理人员中，私人卫生保健机构作为工作场所的动机以及减少或增加护士动机的启发性因素之间没有统计学差异。如果没有授权护士，他们的活动动机就会减弱。护士的能力（专业和一般的特殊能力）未得到充分利用，例如管理，教育，社会心理，临床/专业知识；决策不是集体做出的；组织中不存在信息共享机制；人员会议没有系统地准备。当护士通过平价与医生合作时，动机就会增强；护理行业被自己和其他卫生保健专家所尊重和认可为自治，并且受到重视；人际沟通有效，矛盾得到建设性解决。研究的局限性/意义-一个主要的弱点是当前样本的特征可能会限制结果的推广性。主要含义是，本文支持从护理人员的角度预测私人医疗机构中医护人员的动机特征。原创性/价值–本文研究了私营医疗部门中增加和/或减少护理人员动力的因素。

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