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Flourishing at work: Nurses' motivation through daily communication - an ethnographic approach
Uppsala University, Dept of Public health & Caring Sciences, Sweden.
Uppsala University, Dept of Business Studies, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala University, Dept of Public health & Caring Sciences, Sweden. (Comcare)ORCID iD: 0000-0002-4302-5529
Uppsala University, Dept of Public Health & Caring Sciences, and Dept of Medical Sciences, Sweden.
2020 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 22, no 4, p. 1169-1176Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Australia: John Wiley & Sons, 2020. Vol. 22, no 4, p. 1169-1176
National Category
Nursing
Research subject
Care Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-52767DOI: 10.1111/nhs.12789ISI: 000589631400001PubMedID: 33104296Scopus ID: 2-s2.0-85096654498OAI: oai:DiVA.org:mdh-52767DiVA, id: diva2:1508208
Available from: 2020-12-09 Created: 2020-12-09 Last updated: 2022-11-25Bibliographically approved

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Holmström, Inger

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