The role of the psychological contract in the motivation of nurses
ISSN: 1751-1879
Article publication date: 5 December 2017
Issue publication date: 7 February 2018
Abstract
Purpose
Although private health care is regarded as providing a premium quality experience for both patients and staff alike, it is not without its daily challenges for health professionals. This study aims to explore the psychological contract of nurses to develop a greater understanding of how employee–employer interaction impacts motivation levels.
Design/methodology/approach
Data were gathered through semi-structured interviews with thirteen nurses at a private hospital in South Africa. Five nursing managers were interviewed to provide a management perspective. Thematic analysis was used to identify the salient elements of the psychological contract and to establish connections with motivational features.
Findings
The psychological contract of nurses was balanced in nature, contained predominantly relational elements and was characterized by the need for manager support, leadership and autonomy. Motivation was a by-product of fulfilment and was enhanced by a combination of tangible and intangible rewards.
Practical implications
Nursing managers should recognize their role in caring for the wellbeing of their staff and should be trained accordingly. Equipping nurses with the necessary tools to work autonomously, as well as acknowledging their skills, will stimulate confidence and improve motivation.
Originality/value
This study makes an important contribution to the existing literature on the psychological contract of nurses within the health-care system. It provides insight into relationship-based mechanisms that can be used to improve the motivation of nurses and thus impact the overall quality of patient care.
Keywords
Citation
Corder, E. and Ronnie, L. (2018), "The role of the psychological contract in the motivation of nurses", Leadership in Health Services, Vol. 31 No. 1, pp. 62-76. https://doi.org/10.1108/LHS-02-2017-0008
Publisher
:Emerald Publishing Limited
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