The Effect of Organizational Recognition on the Motivations of Nurses and Midwives working in Hospitals

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  • 病院に就労する看護師・助産師への承認がモチベーションに与える影響
  • 病院に就労する看護師・助産師への承認がモチベーションに与える影響 : 看護師と助産師の比較に焦点を当てて
  • ビョウイン ニ シュウロウ スル カンゴシ ・ ジョサンシ エ ノ ショウニン ガ モチベーション ニ アタエル エイキョウ : カンゴシ ト ジョサンシ ノ ヒカク ニ ショウテン オ アテテ
  • —Comparing the Processes of Nurses to the Processes of Midwives—
  • ―看護師と助産師の比較に焦点を当てて―

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Abstract

<p>Objectives: The aim of this study is to examine the effect of organizational recognition by giving opportunities such as enhancing the expertise of nurses and midwives or giving them autonomy to increase their motivation and desire to work at their hospitals as long as possible.</p><p>Method: We conducted a questionnaire survey for 115 midwives working in three tertiary emergency medical institutions, three secondary emergency medical institutions, and a clinic midwife facility, and for 123 nurses working in a tertiary emergency medical institution. We received responses from 89 nurses (recovery rate 72.4%) and 111 midwives (recovery rate 96.5%). We conducted an exploratory factor analysis and thus identified three factors of organizational recognition by giving opportunity, which were called "acquisition of expertise," "granting roles in the ward," and "granting autonomy." The main analysis was conducted using multiple-group structural equation modeling, in which three types of organizational recognition were set as independent variables.</p><p>Results: Granting autonomy increased the motivation of nurses via increasing their will to continue to work as an organization member, but for midwives it increased their will to continue to work as a professional. In both, acquisition of expertise directly enhanced their motivation.</p><p>Discussion: Whichever occupation participants were in, organizational recognition by being given the opportunity to enhance their autonomy and expertise was important to maintain and improve their work motivation. The finding that in midwives, granting autonomy increased their will to continue to work as a professional, but not as a member of the organization, suggests that hospital organizations need to encourage midwives in a different manner.</p>

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