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Determinants and consequences of health worker motivation in hospitals in Jordan and Georgia

Author

Listed:
  • Franco, Lynne Miller
  • Bennett, Sara
  • Kanfer, Ruth
  • Stubblebine, Patrick

Abstract

Health worker motivation reflects the interactions between workers and their work environment. Because of the interactive nature of motivation, local organizational and broader sector policies have the potential to affect motivation of health workers, either positively or negatively, and as such to influence health system performance. Yet little is known about the key determinants and outcomes of motivation in developing and transition countries. This exploratory research, unique in its broader study of a whole range of motivational determinants and outcomes, was conducted in two hospitals in Jordan and two in Georgia. Three complementary approaches to data collection were used: (1) a contextual analysis; (2) a qualitative 360-degree assessment; and (3) a quantitative in-depth analysis focused on the individual determinants and outcomes of the worker's motivational process. A wide range of psychometric scales was used to assess personality differences, perceived contextual factors and motivational outcomes (feelings, thoughts and behaviors) on close to 500 employees in each country. Although Jordan and Georgia have very different cultural and socio-economic environments, the results from these two countries exhibited many similarities among key determinants: self-efficacy, pride, management openness, job properties, and values had significant effects on motivational outcomes in both countries. Where results were divergent, differences between the two countries highlight the importance of local culture on motivational issues, and the need to tailor motivational interventions to the specific issues related to particular professional or other groupings in the workforce. While workers themselves state that financial reward is critical for their work satisfaction, the data suggest a number of non-financial interventions that may be more effective means to improve worker motivation. This research highlights the complexity of worker motivation, and the need for a more comprehensive approach to increasing motivation, satisfaction and performance, and for interventions at both organizational and policy levels.

Suggested Citation

  • Franco, Lynne Miller & Bennett, Sara & Kanfer, Ruth & Stubblebine, Patrick, 2004. "Determinants and consequences of health worker motivation in hospitals in Jordan and Georgia," Social Science & Medicine, Elsevier, vol. 58(2), pages 343-355, January.
    • Handle: RePEc:eee:socmed:v:58:y:2004:i:2:p:343-355
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    Cited by:

    1. Garcia-Goni, Manuel & Maroto, Andres & Rubalcaba, Luis, 2007. "Innovation and motivation in public health professionals," Health Policy, Elsevier, vol. 84(2-3), pages 344-358, December.
    2. Gouws, Eleanor & Bryce, Jennifer & Pariyo, George & Armstrong Schellenberg, Joanna & Amaral, João & Habicht, Jean-Pierre, 2005. "Measuring the quality of child health care at first-level facilities," Social Science & Medicine, Elsevier, vol. 61(3), pages 613-625, August.
    3. Gilson, Lucy & Palmer, Natasha & Schneider, Helen, 2005. "Trust and health worker performance: exploring a conceptual framework using South African evidence," Social Science & Medicine, Elsevier, vol. 61(7), pages 1418-1429, October.
    4. Anne K. Sebert Kuhlmann & Sara Gullo & Christine Galavotti & Carolyn Grant & Maria Cavatore & Samuel Posnock, 2017. "Women's and Health Workers’ Voices in Open, Inclusive Communities and Effective Spaces (VOICES): Measuring Governance Outcomes in Reproductive and Maternal Health Programmes," Development Policy Review, Overseas Development Institute, vol. 35(2), pages 289-311, January.
    5. Diedong Gladys & Abdulai Adams & Eliasu Alhassan, 2019. "Attitude and Perception of Academic and Administrative Staff towards Progression in Higher Institutions of Learning in Ghana," Asian Journal of Contemporary Education, Asian Economic and Social Society, vol. 3(1), pages 15-27, March.
    6. Razee, Husna & Whittaker, Maxine & Jayasuriya, Rohan & Yap, Lorraine & Brentnall, Lee, 2012. "Listening to the rural health workers in Papua New Guinea – The social factors that influence their motivation to work," Social Science & Medicine, Elsevier, vol. 75(5), pages 828-835.
    7. Adriana Anamaria Davidescu & Marji Tania Issa Eid & Cristina Sacala, 2016. "Analyzing the Determinants of Job Satisfaction among Jordanian Hospital Employees Using The Warr-Cook-Wall Scale," Romanian Statistical Review, Romanian Statistical Review, vol. 64(3), pages 81-94, September.
    8. Lewis, Maureen & Pettersson, Gunilla, 2009. "Governance in health care delivery : raising performance," Policy Research Working Paper Series 5074, The World Bank.
    9. Sergey Shishkin & Aleksandr Temnitsky, 2017. "From Salary to the Performance-Based Remuneration of Russian Physicians: How Motivation at Work is Changing," HSE Working papers WP BRP 08/PSP/2017, National Research University Higher School of Economics.
    10. Carolyn Grant & Dipty Nawal & Sai Mala Guntur & Manish Kumar & Indrajit Chaudhuri & Christine Galavotti & Tanmay Mahapatra & Kunal Ranjan & Gangesh Kumar & Sunil Mohanty & Mohammed Aftab Alam & Aritra, 2018. "'We pledge to improve the health of our entire community': Improving health worker motivation and performance in Bihar, India through teamwork, recognition, and non-financial incentives," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-19, August.
    11. Adriana AnaMaria DAVIDESCU & Cristian BUSU & Alexandra Catalina NEDELCU & Marji Tania Issa EID, 2016. "Highlighting the Socio-Demographic Differences of the Key Determinants of Staff’s Satisfaction in Jordanian Hospitals. An Empirical Analysis Based on Warr-Cool-Wall Scales," Management and Economics Review, Faculty of Management, Academy of Economic Studies, Bucharest, Romania, vol. 1(2), pages 252-261, December.
    12. Jayasuriya, Rohan & Jayasinghe, Upali W. & Wang, Qian, 2014. "Health worker performance in rural health organizations in low- and middle-income countries: Do organizational factors predict non-task performance?," Social Science & Medicine, Elsevier, vol. 113(C), pages 1-4.
    13. Dodor, Emmanuel Atsu & Kelly, Shona J., 2010. "Manifestations of tuberculosis stigma within the healthcare system: The case of Sekondi-Takoradi Metropolitan district in Ghana," Health Policy, Elsevier, vol. 98(2-3), pages 195-202, December.
    14. Alfred Anthony Bueno & Angel May M. Buhisan & Kayle Erika Shayne P. Nayal & ason O. Manaois, 2024. "A Qualitative Study into the Experiences and Motivation of Filipino Healthcare Professionals in Pre- and Post-COVID-19 Pandemic," International Journal of Research and Scientific Innovation, International Journal of Research and Scientific Innovation (IJRSI), vol. 10(12), pages 552-575, January.
    15. Zubia Mumtaz & Adrienne V Levay & Afshan Bhatti, 2015. "Successful Community Midwives in Pakistan: An Asset-Based Approach," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-12, September.
    16. Ahmad Azam Malik & Shelby Suzanne Yamamoto & Aminul Haque & Nadeem Shafique Butt & Mukhtiar Baig & Rainer Sauerborn, 2018. "Developing and assessing a tool to measure motivation among physicians in Lahore, Pakistan," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-17, December.
    17. Alam, Khurshid & Tasneem, Sakiba & Oliveras, Elizabeth, 2012. "Performance of female volunteer community health workers in Dhaka urban slums," Social Science & Medicine, Elsevier, vol. 75(3), pages 511-515.
    18. Ion DOBRE & Adriana Anamaria DAVIDESCU & Marji Tania ISSA EID, 2017. "Key Factors of Health Employee Motivation in Jordan. Evidence from Dual-Factor Theory Based on Structural Equation Models," ECONOMIC COMPUTATION AND ECONOMIC CYBERNETICS STUDIES AND RESEARCH, Faculty of Economic Cybernetics, Statistics and Informatics, vol. 51(2), pages 39-54.

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