Motivation of health workers and associated factors in public hospitals of West Amhara, Northwest Ethiopia
Identifieur interne : 000F09 ( Main/Exploration ); précédent : 000F08; suivant : 000F10Motivation of health workers and associated factors in public hospitals of West Amhara, Northwest Ethiopia
Auteurs : Zemichael Weldegebriel [Éthiopie] ; Yohannes Ejigu [Éthiopie] ; Fitsum Weldegebreal [Éthiopie] ; Mirkuzie Woldie [Éthiopie]Source :
- Patient preference and adherence [ 1177-889X ] ; 2016.
Abstract
Health professionals’ motivation reflects the interaction between health professionals and their work environment. It can potentially affect the provision of health services; however, this important attribute of the workplace climate in public hospitals is not usually given serious attention to the desired level. For this reason, the authors of this study have assessed the level of motivation of health professionals and associated factors in public hospitals of West Amhara, Northwest Ethiopia.
A facility based cross-sectional study was conducted in eight public hospitals of West Amhara from June 1 to July 30, 2013. A total of 304 health professionals were included in this study. The collected data were analyzed using SPSS software version 20. The reliability of the instrument was assessed through Cronbach’s α. Factor scores were generated for the items found to represent the scales (eigenvalue greater than one in varimax rotation) used in the measurement of the variables. The scores were further analyzed using one-way analysis of variance,
Mean motivation scores (as the percentage of maximum scale scores) were 58.6% for the overall motivation score, 71.0% for the conscientiousness scale, 52.8% for the organizational commitment scale, 58.3% for the intrinsic motivation scale, and 64.0% for organizational burnout scale. Professional category, age, type of the hospital, nonfinancial motivators like performance evaluation and management, staffing and work schedule, staff development and promotion, availability of necessary resources, and ease of communication were found to be strong predictors of health worker motivation. Across the hospitals and professional categories, health workers’ overall level of motivation with absolute level of compensation was not significantly associated with their overall level of motivation.
The strongest drivers of all motivation dimensions were found to be nonfinancial human resource management tools, so policy makers and health workforce stake holders should focus on these tools to alleviate motivation problems.
Url:
DOI: 10.2147/PPA.S90323
PubMed: 26929608
PubMed Central: 4760664
Affiliations:
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Medical Sciences, Jimma University, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Health Services Management, College of Public Health and Medical Sciences, Jimma University, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Weldegebreal, Fitsum" sort="Weldegebreal, Fitsum" uniqKey="Weldegebreal F" first="Fitsum" last="Weldegebreal">Fitsum Weldegebreal</name><affiliation wicri:level="1"><nlm:aff id="af3-ppa-10-159">Department of Medical Laboratory Science, College of Health and Medical Science, Haramaya University, Harar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Medical Laboratory Science, College of Health and Medical Science, Haramaya University, Harar</wicri:regionArea><wicri:noRegion>Harar</wicri:noRegion></affiliation></author><author><name sortKey="Woldie, Mirkuzie" sort="Woldie, Mirkuzie" uniqKey="Woldie M" 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id="af1-ppa-10-159">Public Planning Department, Debark Hospital, Debark, North Gondar, Amhara Region, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Public Planning Department, Debark Hospital, Debark, North Gondar, Amhara Region</wicri:regionArea><wicri:noRegion>Amhara Region</wicri:noRegion></affiliation></author><author><name sortKey="Ejigu, Yohannes" sort="Ejigu, Yohannes" uniqKey="Ejigu Y" first="Yohannes" last="Ejigu">Yohannes Ejigu</name><affiliation wicri:level="1"><nlm:aff id="af2-ppa-10-159">Department of Health Services Management, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Health Services Management, College of Public Health and Medical Sciences, Jimma University, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author><author><name sortKey="Weldegebreal, Fitsum" sort="Weldegebreal, Fitsum" uniqKey="Weldegebreal F" first="Fitsum" last="Weldegebreal">Fitsum Weldegebreal</name><affiliation wicri:level="1"><nlm:aff id="af3-ppa-10-159">Department of Medical Laboratory Science, College of Health and Medical Science, Haramaya University, Harar, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Medical Laboratory Science, College of Health and Medical Science, Haramaya University, Harar</wicri:regionArea><wicri:noRegion>Harar</wicri:noRegion></affiliation></author><author><name sortKey="Woldie, Mirkuzie" sort="Woldie, Mirkuzie" uniqKey="Woldie M" first="Mirkuzie" last="Woldie">Mirkuzie Woldie</name><affiliation wicri:level="1"><nlm:aff id="af2-ppa-10-159">Department of Health Services Management, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Health Services Management, College of Public Health and Medical Sciences, Jimma University, Jimma</wicri:regionArea><wicri:noRegion>Jimma</wicri:noRegion></affiliation></author></analytic><series><title level="j">Patient preference and adherence</title><idno type="eISSN">1177-889X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Health professionals’ motivation reflects the interaction between health professionals and their work environment. It can potentially affect the provision of health services; however, this important attribute of the workplace climate in public hospitals is not usually given serious attention to the desired level. For this reason, the authors of this study have assessed the level of motivation of health professionals and associated factors in public hospitals of West Amhara, Northwest Ethiopia.</p></sec><sec><title>Methods</title><p>A facility based cross-sectional study was conducted in eight public hospitals of West Amhara from June 1 to July 30, 2013. A total of 304 health professionals were included in this study. The collected data were analyzed using SPSS software version 20. The reliability of the instrument was assessed through Cronbach’s α. Factor scores were generated for the items found to represent the scales (eigenvalue greater than one in varimax rotation) used in the measurement of the variables. The scores were further analyzed using one-way analysis of variance, <italic>t</italic>-tests, Pearson’s correlation, and hierarchical multiple linear regression analyses. The cut-off point for the regression analysis to determine significance was set at β (95% confidence interval, <italic>P</italic><0.05).</p></sec><sec><title>Results</title><p>Mean motivation scores (as the percentage of maximum scale scores) were 58.6% for the overall motivation score, 71.0% for the conscientiousness scale, 52.8% for the organizational commitment scale, 58.3% for the intrinsic motivation scale, and 64.0% for organizational burnout scale. Professional category, age, type of the hospital, nonfinancial motivators like performance evaluation and management, staffing and work schedule, staff development and promotion, availability of necessary resources, and ease of communication were found to be strong predictors of health worker motivation. Across the hospitals and professional categories, health workers’ overall level of motivation with absolute level of compensation was not significantly associated with their overall level of motivation.</p></sec><sec><title>Conclusion</title><p>The strongest drivers of all motivation dimensions were found to be nonfinancial human resource management tools, so policy makers and health workforce stake holders should focus on these tools to alleviate motivation problems.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lai, Er" uniqKey="Lai E">ER Lai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buchbinder, S" uniqKey="Buchbinder S">S Buchbinder</name></author><author><name sortKey="Shanks, Nh" uniqKey="Shanks N">NH Shanks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deci, El" uniqKey="Deci E">EL Deci</name></author><author><name sortKey="Koestner, R" 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sortKey="Killingsworth, Jr" uniqKey="Killingsworth J">JR Killingsworth</name></author><author><name sortKey="Normand, C" uniqKey="Normand C">C Normand</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Henderson, Ln" uniqKey="Henderson L">LN Henderson</name></author><author><name sortKey="Tulloch, J" uniqKey="Tulloch J">J Tulloch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fritzen, Sa" uniqKey="Fritzen S">SA Fritzen</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Éthiopie</li></country></list><tree><country name="Éthiopie"><noRegion><name sortKey="Weldegebriel, Zemichael" sort="Weldegebriel, Zemichael" uniqKey="Weldegebriel Z" first="Zemichael" last="Weldegebriel">Zemichael Weldegebriel</name></noRegion><name sortKey="Ejigu, Yohannes" sort="Ejigu, Yohannes" uniqKey="Ejigu Y" first="Yohannes" last="Ejigu">Yohannes Ejigu</name><name sortKey="Weldegebreal, Fitsum" sort="Weldegebreal, Fitsum" uniqKey="Weldegebreal F" first="Fitsum" last="Weldegebreal">Fitsum Weldegebreal</name><name sortKey="Woldie, Mirkuzie" sort="Woldie, Mirkuzie" uniqKey="Woldie M" first="Mirkuzie" last="Woldie">Mirkuzie Woldie</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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