Lost in motivation? The case of a Norwegian community healthcare project on ethical reflection

Innovations are needed to meet increasing challenges in public healthcare, and type of motivation has been identified as a pivotal factor for the success of an innovation. New public management crowd out the intrinsic motivation of employees which has resulted in a quest for more self-reliant servic...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Heidi Rapp Nilsen, Toril Ringholm
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2019
Materias:	intrinsic motivation extrinsic motivation crowding out program theory innovation Business HF5001-6182 Management. Industrial management HD28-70
Acceso en línea:	https://doaj.org/article/0bdd880d7e594e958ea2648ebe2274d9
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:0bdd880d7e594e958ea2648ebe2274d9
record_format	dspace
spelling	oai:doaj.org-article:0bdd880d7e594e958ea2648ebe2274d92021-12-02T16:07:28ZLost in motivation? The case of a Norwegian community healthcare project on ethical reflection2331-197510.1080/23311975.2019.1632045https://doaj.org/article/0bdd880d7e594e958ea2648ebe2274d92019-01-01T00:00:00Zhttp://dx.doi.org/10.1080/23311975.2019.1632045https://doaj.org/toc/2331-1975Innovations are needed to meet increasing challenges in public healthcare, and type of motivation has been identified as a pivotal factor for the success of an innovation. New public management crowd out the intrinsic motivation of employees which has resulted in a quest for more self-reliant service providers. This paper takes the opposite point of departure asking if intrinsic motivation can be at the cost of the public purpose of innovations. This paper is a case study of 180 municipalities whom chose to participate in the largest healthcare project on ethical reflection in Norway. Thousands of community health-care workers performed innovative activities by establishing ethical reflection on a regular basis. We have investigated if the municipalities’ type of motivation is of importance for the type of results of the project, and how the results correspond with the policy signals on the very purpose of establishing ethical reflection in health care. We find that intrinsic motivation of enhanced competence crowds out the extrinsic motivation and public value of patient satisfaction. The link in the program theory between objective and purpose is too weak to induce a better fulfilment of the purpose.Heidi Rapp NilsenToril RingholmTaylor & Francis Grouparticleintrinsic motivationextrinsic motivationcrowding outprogram theoryinnovationBusinessHF5001-6182Management. Industrial managementHD28-70ENCogent Business & Management, Vol 6, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	intrinsic motivation extrinsic motivation crowding out program theory innovation Business HF5001-6182 Management. Industrial management HD28-70
spellingShingle	intrinsic motivation extrinsic motivation crowding out program theory innovation Business HF5001-6182 Management. Industrial management HD28-70 Heidi Rapp Nilsen Toril Ringholm Lost in motivation? The case of a Norwegian community healthcare project on ethical reflection
description	Innovations are needed to meet increasing challenges in public healthcare, and type of motivation has been identified as a pivotal factor for the success of an innovation. New public management crowd out the intrinsic motivation of employees which has resulted in a quest for more self-reliant service providers. This paper takes the opposite point of departure asking if intrinsic motivation can be at the cost of the public purpose of innovations. This paper is a case study of 180 municipalities whom chose to participate in the largest healthcare project on ethical reflection in Norway. Thousands of community health-care workers performed innovative activities by establishing ethical reflection on a regular basis. We have investigated if the municipalities’ type of motivation is of importance for the type of results of the project, and how the results correspond with the policy signals on the very purpose of establishing ethical reflection in health care. We find that intrinsic motivation of enhanced competence crowds out the extrinsic motivation and public value of patient satisfaction. The link in the program theory between objective and purpose is too weak to induce a better fulfilment of the purpose.
format	article
author	Heidi Rapp Nilsen Toril Ringholm
author_facet	Heidi Rapp Nilsen Toril Ringholm
author_sort	Heidi Rapp Nilsen
title	Lost in motivation? The case of a Norwegian community healthcare project on ethical reflection
title_short	Lost in motivation? The case of a Norwegian community healthcare project on ethical reflection
title_full	Lost in motivation? The case of a Norwegian community healthcare project on ethical reflection
title_fullStr	Lost in motivation? The case of a Norwegian community healthcare project on ethical reflection
title_full_unstemmed	Lost in motivation? The case of a Norwegian community healthcare project on ethical reflection
title_sort	lost in motivation? the case of a norwegian community healthcare project on ethical reflection
publisher	Taylor & Francis Group
publishDate	2019
url	https://doaj.org/article/0bdd880d7e594e958ea2648ebe2274d9
work_keys_str_mv	AT heidirappnilsen lostinmotivationthecaseofanorwegiancommunityhealthcareprojectonethicalreflection AT torilringholm lostinmotivationthecaseofanorwegiancommunityhealthcareprojectonethicalreflection
_version_	1718384698805190656

Lost in motivation? The case of a Norwegian community healthcare project on ethical reflection

Ejemplares similares