Abstract
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.
Highlights
Shortage and turnover of registered nurses in healthcare are worldwide challenges (Hayes et al, 2012), associated with patient safety risks and higher patient mortality (Ball et al, 2018)
We have focused on registered nurses' motivation expressed in daily communication, since communication between registered nurse colleagues and with other professions is fundamental in the care of patients (Robb, Barrett, Komaromy, & Rogers, 2004; Boynton, 2015; Edmondson, 2018)
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
Summary
Shortage and turnover of registered nurses in healthcare are worldwide challenges (Hayes et al, 2012), associated with patient safety risks and higher patient mortality (Ball et al, 2018). The World Health Organization highlighted work motivation as one of the factors important for resolving problems with recruiting and retaining staff in the healthcare sector (World Health Organization, 2016). A definition of motivation at work is a drive to do something, focused on what energizes and gives direction in performing work tasks (Ryan & Deci, 2017). We have focused on registered nurses' motivation expressed in daily communication, since communication between registered nurse colleagues and with other professions is fundamental in the care of patients (Robb, Barrett, Komaromy, & Rogers, 2004; Boynton, 2015; Edmondson, 2018)
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