A qualitative study on factors influencing the situational and contextual motivation of medical specialists

Autor: Gerda Croiset, Rashmi A. Kusurkar, Klaas Jan Nauta, Stéphanie M.E. van der Burgt, Saskia M. Peerdeman
Přispěvatelé: Psychiatry, IOO, Other Research, Neurosurgery, APH - Mental Health, Center for Evidence Based Education, APH - Quality of Care, Amsterdam Public Health, Lifelong Learning, Education & Assessment Research Network (LEARN)
Rok vydání: 2020
Předmět:
Adult
Male
020205 medical informatics
Medical Specialists
Attitude of Health Personnel
self-determination theory
media_common.quotation_subject
Applied psychology
Continuing professional development
02 engineering and technology
Social Environment
Affect (psychology)
Constructivist teaching methods
Interviews as Topic
Nonprobability sampling
03 medical and health sciences
0302 clinical medicine
0202 electrical engineering
electronic engineering
information engineering
Humans
Interpersonal Relations
030212 general & internal medicine
Situational ethics
Workplace
Qualitative Research
Self-determination theory
Original Research
Netherlands
media_common
Motivation
Career Choice
General Medicine
Middle Aged
Feeling
Personal Autonomy
Medicine
Education
Medical
Continuing
Female
Patient Care
Psychology
Autonomy
Specialization
Qualitative research
Zdroj: International Journal of Medical Education, 11, 111-119. International journal of medical education
International journal of medical education. International journal of medical education
van der Burgt, S M E, Nauta, K, Croiset, G, Kusurkar, R A & Peerdeman, S M 2020, ' A qualitative study on factors influencing the situational and contextual motivation of medical specialists ', International Journal of Medical Education, vol. 11, pp. 111-119 . https://doi.org/10.5116/ijme.5e88.b9ff, https://doi.org/10.5116/ijme.5e88.b9ff
International journal of medical education. INT JOURNAL MEDICAL EDUCATION-IJML
International Journal of Medical Education
ISSN: 2042-6372
Popis: Objectives The aim was to investigate which factors influence the situational motivation of medical specialists and how situational and contextual motivation affect one another. Methods A qualitative design was used, and a constructivist approach was adopted with the Self-Determination Theory of motivation as a framework. Twenty-two medical specialists from three medical centers in the Netherlands were recruited through convenience, snowball and purposive sampling and observed for two days each. At the end of the second observation day, a semi-structured interview was conducted. Data were transcribed and coded in an open manner. Themes were finalized through discussion and consensus. Results Two-hundred and fifty hours of observation data together with the interview data identified that medical specialists experience six main themes influencing their situational motivation during a workday. Technical issues are influencing motivation negatively factors. Working with colleagues can be both a motivating factor and influence motivation negatively, e.g., filling in for each other through feelings of relatedness was motivating. Being in control of one's own planning through feelings of autonomy was motivating. Patient care, especially in combination with teaching, stimulated specialists' motivation. Conclusions The results indicate that factors influencing motivation negatively are mainly tasks and organizational processes that distract from patient care or that compromise the quality of care. When optimizing the work environment of medical specialists, autonomous motivation and continuing professional development are stimulated. These, in turn, can improve the quality of patient care and wellbeing of specialists.
Databáze: OpenAIRE
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