Motivation

Nurses’ Work Motivation: Essence and Associations

The purpose of this study was to describe and explain hospital nurses’ work motivati on and the factors associated with it. The study was performed between 2009 and 2014. [from abstract]

Potential Impact of Devolution on Motivation and Job Satisfaction of Healthcare Workers in Kenya: Lessons from Early Implementation in Kenya and Experiences of other Sub-Saharan African Countries

Kenya’s healthcare devolution was introduced to enhance the quality of care, user satisfaction, equity, and efficiency in service delivery. However, it has since been facing plethora of challenges mostly because healthcare workers (HCWs), who play a significant role in achieving health objectives, were neglected during implementation. This dissertation tries to identify the potential impact of devolution on motivation and satisfaction of HCWs in a politicised Kenyan context. [from abstract]

Factors Associated to Job Satisfaction Among Health Care Workers at Public Hospitals of West Shoa Zone, Orom ia Regional State, Ethiopia: A Cross Sectional Study

The main aim of this study is to assess job satisfaction and associated factors among healt
h workers at public hospitals in west Shoa zone of Oromia Region. [from abstract]

Factors Affecting Job Motivation Among Health Workers: A Study From Iran

Human resources are the most vital resource of any organizations which determine how other
resources are used to accomplish organizational goals. This research aimed to identity factors affecting health
workers’ motivation in Shahid Beheshti University of Medical Sciences (SBUMS). [from abstract]

The Impact of Team Building on Communication and Job Satisfaction of Nursing Staff

A series of team-building activities were conducted on a medical-surgical unit and their impact on staff’s communication and job satisfaction was examined. Forty-four unit personnel participated in the interventions. Staff communication and job satisfaction were measured before and after the intervention. The findings linked team-building activities with improved staff communication and job satisfaction. [from abstract]

Pay for Performance: An Analysis of the Context of Implementation In A Pilot Project in Tanzania

Pay for performance schemes are increasingly being implemented in low income countries to improve health service coverage and quality. This paper describes the context within which a pay for performance programme was introduced in Tanzania and discusses the potential for pay for performance to address health system constraints to meeting targets. [from abstract]

The Effects of Health Worker Motivation and Job Satisfaction on Turnover Intention in Ghana: A Cross-Sectional Study

The study explored the effects of motivation and job satisfaction on turnover intention and how motivation and satisfaction can be improved by district health managers in order to increase retention of health workers. [from abstract]

Factors Affecting Motivation and Retention of Primary Health Care Workers in Three Disparate Regions in Kenya

This study investigated factors influencing motivation and retention of HCWs at primary health care facilities in three different settings in Kenya - the remote area of Turkana, the relatively accessible region of Machakos, and the disadvantaged informal urban settlement of Kibera in Nairobi. [from abstract]

Retention of Female Volunteer Community Health Workers in Dhaka Urban Slums: a Prospective Cohort Study

Volunteer community health workers (CHWs) are a key approach to improving community-based maternal and child health services in developing countries. A case–control study conducted in response to high dropout rates in the first year of the project showed that financial incentives, social prestige, community approval and household responsibilities were related to early retention in the project. In our present prospective cohort study, we aimed to better understand the factors associated with retention of volunteer CHWs once the project was more mature. [adapted from abstract]

Sources of Community Health Worker Motivation: A Qualitative Study in Morogoro Region, Tanzania

This study aimed to explore sources of community health worker motivation to inform programs in Tanzania and similar contexts. [from abstract]

Interventions to Improve Motivation and Retention of Community Health Workers Delivering Integrated Community Case Management (iCCM): Stakeholder Perceptions and Priorities

This work reports the results of semi-structured interviews with 15 international stakeholders, selected because of their experiences in community health worker program implementation, to elicit their views on strategies that could increase community health worker motivation and retention. [from abstract]

Association between Health Worker Motivation and Healthcare Quality Efforts in Ghana

This paper addresses indicators of health worker motivation and assesses associations with quality care and patient safety in Ghana. The aim is to identify interventions at the health worker level that contribute to quality improvement in healthcare facilities. [from abstract]

Motivation and Incentives of Rural Maternal and Neonatal Health Care Providers: A Comparison of Qualitative Findings from Burkina Faso, Ghana and Tanzania

This study explores the role of provider motivation in the quality of maternal and neonatal care. The main research questions were: which factors motivated these respondents to join the health professions; what is understood by the term motivation; what influences their motivation, job satisfaction and the quality of their care; and which incentives do these providers themselves suggest. [adapted from author]

Measuring Health Worker' Motivation in Rural Health Facilities: Baseline Results from Three Study Districts in Zambia

This study assessed health worker motivation as part of the baseline assessment for a health system strengthening intervention in three rural districts in Zambia by examining underlying issues grouped around relevant outcome constructs such as job satisfaction, general motivation, burnout, organization commitment, conscientiousness and timeliness that collectively measure overall levels of motivation. [adapted from abstract]

Understanding the Complex Drivers of Intrinsic Motivation for Health Workers in Malawi

This report is a nationally representative study in Malawi that employed both qualitative and quantitative data collection methods to assess statistically significant drivers of intrinsic motivation for health workers of every cadre accross the entire health system including public, private for-profit, and faith-based health workers. [adapted from author]

Our Side of the Story: A Policy Report on the Lived Experience and Opinions of Ugandan Health Workers

This research set out to explore with frontline health workers and their managers how working conditions affect attitudes, behaviour and practices. It also sought the positive side of the health worker experience. The report documents the experiences and views of 122 nursing health workers in all regions of Uganda covering government, not-for-profit and private ownership organisations. [adapted from author]

Challenges of Developing an Instrument to Assess Health Provider Motivation at Primary Care Level in Rural Burkina Faso, Ghana and Tanzania

The objective of this study was to develop a common instrument to monitor any changes in maternal and neonatal health care provider motivation resulting from the introduction of pilot interventions in rural, primary level facilities in Ghana, Burkina Faso, and Tanzania. [from abstract]

Assessing Community Health Workers' Performance Motivation: A Mixed-Methods Approach on India's Accredited Social Health Activists (ASHA) Programme

This study examined the performance motivation of community health workers and its determinants on India’s Accredited Social Health Activist program. [from abstract]

Health Worker Satisfaction and Motivation: An Empirical Study of Incomes, Allowances and Working Conditions in Zambia

In this study the authors examine the relationship between health worker incomes and their satisfaction and motivation. [from abstract]

Maternal and Newborn Healthcare Providers in Rural Tanzania: In-Depth Interviews on Motivation, Performance and Job Satisfaction

This article describes an exploratory study that asked: what is understood by the term motivation; what encourages and discourages providers of maternal and newborn care in rural areas; and which factors influence their performance and job satisfaction. [adapted from author]

Honourable Calling? Findings From the First Wave of a Cohort Study with Final Year Nursing and Medical Students in Ethiopia

This report contains results from descriptive analysis of a cohort study with final year health students in Ethiopia to build a base line for a cohort survey with future health workers and to provide insights on the supply side aspect of human resources in the health sector. [adapted from summary]

Institutions for Health Care Delivery: A Formal Exploration of What Matters to Health Workers

Using qualitative data from Rwanda, this study focuses on four institutional factors that affect health worker performance and career choice: incentives, monitoring arrangements, professional norms and health workers’ intrinsic motivation. It also provides illustrations of three institutional innovations that work, at least in the context of Rwanda: performance pay, the establishment of community health workers and increased attention to the training of health workers. [adapted from introduction]

Valuing Health Workers: Implementing Sustainable Interventions to Improve Health Worker Motivation

The focus of this study has been to identify the most common causes for the health worker high attrition rate and poor motivation within the health sector, and look at the various solutions that are possible. It brings together the findings of many relevant studies by other authors and identifies the most common reasons for high attrition rates. [adapted from summary]

Valuing Health Workers in Cambodia

The objectives of the research are to come to a better understanding of why health workers adopt behaviours that impact negatively on patients and to look for solutions in policy and practice to improve staff motivation and morale. [from author]

Health Worker Motivation in the Context of HIV Care and Treatment Challenges in Mbeya Region, Tanzania: A Qualitative Study

The aim of this paper is to explore the challenges generated by HIV care and treatment and their impact on health worker motivation in Mbeya Region, Tanzania. [from abstract]

Paying Health Workers for Performance in Battagram District, Pakistan

This article presents the results of an evaluation of a project in Pakistan to contribute to learning about the design and implementation of pay-for-performance systems and their impact on health worker motivation. [adapted from abstract]

Effects of Performance Appraisal in the Norwegian Municipal Health Services: a Case Study

This research evaluates the potential effect of job motivation, learning and self-assessment through performance appraisals for health personnel. [from introduction]

Willingness to Work in Rural Areas and the Role of Intrinsic Versus Extrinsic Professional Motivations: A Survey of Medical Students in Ghana

This paper assesses the influence of intrinsic and extrinsic motivation on willingness to accept postings to deprived areas among medical students in Ghana. [from abstract]

Baseline Assessment of HIV Service Provider Productivity and Efficiency in Uganda

As part of the collaborative to improve the efficiency of HIV service delivery, the authors conducted a baseline assessment of HIV/AIDS provider productivity, efficiency, and engagement in Uganda. [adapted from author]

Perceived Unfairness in Working Conditions: the Case of Public Health Services in Tanzania

The main objective of this article is to explore health workers’ experience of working conditions, linked to motivation to work. [from abstract]