Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
Department of Business Studies, Uppsala University, Uppsala, Sweden.
Nurs Health Sci. 2020 Dec;22(4):1169-1176. doi: 10.1111/nhs.12789. Epub 2020 Nov 16.
Shortage and turnover of registered nurses are worldwide challenges, and work motivation is one factor in retaining staff in the healthcare sector. The aim of this study was to explore registered nurses' motivation expressed in daily communication, using the basic needs in self-determination theory as a framework. A secondary analysis of ethnographic data, collected through participant observations, informal interviews during observations, and individual interviews, was used. A total sample of all registered nurses employed at a hospital unit in Sweden (n = 10) participated. The data were analyzed thematically through the lens of the basic needs in self-determination theory: autonomy, competence, and relatedness. Self-regulation of learning, the possibilities to discuss work-related challenges with colleagues, and having registered nurses lead dialogues with physicians were factors connected to autonomy. Having a registered nurse and physician solve problems together was a factor connected to competence. A sense of belonging and security in a permissive climate between registered nurses was connected to relatedness. This paper has implications for increased awareness of the three basic motivational needs, which could be used in the development of attractive workplaces.
注册护士短缺和人员流动是全球范围内的挑战，工作动机是留住医疗保健领域员工的一个因素。本研究旨在探讨注册护士在日常交流中表达的动机，以自我决定理论的基本需求为框架。这是对通过参与式观察、观察期间的非正式访谈和个人访谈收集的民族志数据进行的二次分析。瑞典一家医院的所有注册护士（n=10）都参与了这项研究。研究人员通过自我决定理论的基本需求视角对数据进行了主题分析：自主性、能力和关联性。自我调节学习、与同事讨论工作相关挑战的可能性以及让注册护士主导与医生的对话是与自主性相关的因素。注册护士和医生一起解决问题是与能力相关的因素。在宽容的氛围中有一种归属感和安全感是与关联性相关的因素。本文对提高对这三种基本动机需求的认识具有重要意义，这可以用于开发有吸引力的工作场所。
