Student Dissertation

Agency : Home Healthcare; Motivational Factors; Nurses Staff; Job Experience Factor

Background : Home health care organizations nurses' work motivation is widely important for providing high-quality health care. It is needed that evidence-based knowledge and studies on nurses' work motivation are generated in order to establish the implications for effective motivation strategies and ultimately improvement of performance. The purpose of this study was to assess the levels of nurses’ work motivation and determine the factors associated with it. This was a cross-sectional study conducted over a sample of 120 nurses at Portea –Medical, home health care organization, Bangalore between February 2017 and April 2017.

Methodology : To fulfill the aims of the study, a questionnaire and one HRD tool was used. These were based on the Herzberg's two factor theory (1959). Using them motivation levels of the nursing staff were obtained based on the intrinsic motivation among randomly selected respondents across all the nurses of the organization. These also helped in identifying the factors that led to motivation such clearly defined jobs, adequate salary, adequate in-service training, opportunity to serve the community, timely confirmation/promotion, balance between work and family among others.

Findings : Nurses were more than moderately motivated to work. The majority of nurses had a strong intrinsic work motivation. Personal factors such as academic qualification, marital status, trainings, etc. affect their motivation significantly. Older nurses with a longer duration of service and/or a leading position had higher internal motivation. Entry level staff was found to have lower motivation levels and reasons for this can be attributed to lack of empowerment in the organization.

Recommendations : As nursing is a profession taken by choice to serve the community, it is justified that the staff shows presence of intrinsic motivation. The reasons that contribute towards low motivation, wherever seen, are due to organizational factors and not personal. The organization needs to use these findings to improve the motivational level. As health is sensitive and critical aspect, it is essential to deal sensitively and critically with those who handle it.