Artykuł w czasopiśmie
Brak miniatury
Licencja
ClosedAccessDostęp zamknięty
 

What are the motivating and hindering factors for health professionals to undertake new roles in hospitals? A study among physicians, nurses and managers looking at breast cancer and acute myocardial infarction care in nine countries

Uproszczony widok
cris.lastimport.scopus2024-02-12T20:32:12Z
dc.abstract.enBackground Many European countries experience health workforce skill-mix changes due to population ageing, multimorbidity and medical technology. Yet, there is limited cross-country research in hospitals. Methods Cross-sectional, observational study on staff role changes and contributing factors in nine European countries. Survey of physicians, nurses and managers (n = 1524) in 112 hospitals treating patients with breast cancer or acute myocardial infarction. Group differences were analysed across country clusters (skill-mix reform countries [England, Scotland and the Netherlands] versus no reform countries [Czech Republic, Germany, Italy, Norway, Poland and Turkey]) and stratified by physicians, nurses and managers, using Chi-squared, Mann-Whitney U and Kruskal Wallis tests. Results Nurses in countries with major skill-mix reforms reported more frequently being motivated to undertake a new role (66.5%) and having the opportunity to do so (52.4%), compared to nurses in countries with no reforms (39.2%; 24.8%; p < .001 each). Physicians and nurses considered intrinsic motivating factors (personal satisfaction, use of qualifications) more motivating than extrinsic factors (salary, career opportunities). Reported barriers were workforce shortages, facilitators were professional and management support. Managers’ recruitment decisions on choice of staff were mainly influenced by skills, competences and experience of staff. Conclusion Managers need to know the motivational factors of their employees and enabling versus hindering factors within their organisations to govern change effectively.
dc.affiliationUniwersytet Warszawski
dc.contributor.authorDykowska, Grażyna
dc.contributor.authorLuyendjk, Marianne
dc.contributor.authorAskildsen, Jan Erik
dc.contributor.authorExel, Job van
dc.contributor.authorBont, Antoinette de
dc.contributor.authorCoretti, Silvia
dc.contributor.authorRuggeri, Matteo
dc.contributor.authorMcBride, Anne
dc.contributor.authorZander, Britta
dc.contributor.authorSvobodová, Hana
dc.contributor.authorMijal, Michał
dc.contributor.authorZvonickova, Marie
dc.contributor.authorHodyc, Daniel
dc.contributor.authorWinter, Małgorzata
dc.contributor.authorBruhn, Hanne
dc.contributor.authorMclaggan, Debbie
dc.contributor.authorElliott, Robert
dc.contributor.authorBond, Christine
dc.contributor.authorDogan, Meryem
dc.contributor.authorÖkem, Z. Güldem
dc.contributor.authorBusse, Reinhard
dc.contributor.authorBasihos, Seda
dc.contributor.authorKöppen, Julia
dc.contributor.authorMaier, Claudia B.
dc.contributor.authorSutton, Matthew
dc.contributor.authorGibson, Jonathan
dc.contributor.authorSobczak, Alicja
dc.contributor.authorOstrowska, Sabina
dc.contributor.authorIslam, Muhammad Kamrul
dc.contributor.authorOpsahl, Jon
dc.date.accessioned2024-01-26T11:56:59Z
dc.date.available2024-01-26T11:56:59Z
dc.date.issued2018
dc.description.financeNie dotyczy
dc.description.number10
dc.description.volume122
dc.identifier.doi10.1016/J.HEALTHPOL.2018.07.018
dc.identifier.issn0168-8510
dc.identifier.urihttps://repozytorium.uw.edu.pl//handle/item/124900
dc.identifier.weblinkhttps://www.sciencedirect.com/science/article/pii/S0168851018302896?via%3Dihub
dc.languageeng
dc.pbn.affiliationeconomics and finance
dc.relation.ispartofHealth Policy
dc.relation.pages1118-1125
dc.rightsClosedAccess
dc.sciencecloudnosend
dc.subject.enMotivation
dc.subject.enPhysicians
dc.subject.enNurses
dc.subject.enPersonnel administration
dc.subject.enHospital
dc.subject.enHealth workforce
dc.subject.enNew roles
dc.titleWhat are the motivating and hindering factors for health professionals to undertake new roles in hospitals? A study among physicians, nurses and managers looking at breast cancer and acute myocardial infarction care in nine countries
dc.typeJournalArticle
dspace.entity.typePublication