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Fra Akutafdeling til Akutsygehus - et socialpsykologisk og motivationspsykologisk indblik i, hvad der driver akutsygeplejerskerne

By Elmelund Sophie Pedersen and Sarah Alexia Thorkilsen Skafte


This project deals with how, seen from the perspectives of Etienne Wenger's social psychology and Frederick Herzberg's motivational psychology, to understand what drives the nurses in their work during the restructuring from an emergency department to an emergency hospital in Slagelse. The restructuring is part of a big political efficiency improving process of the hospitals, which has brought with it a lot of changes in the emergency department. Even though the implementation of the emergency hospital is first expected to be finalised in 2020 some of the changes that the restructuring has caused have already been widely disputed. The visions behind the new emergency hospital are centered around increasing the quality of patient care, which among other things is equated with decreasing the wait. Nevertheless, the nurses at Slagelse emergency hospital experience that they have less time for care, and by that the quality of the treatment decreases. The restructuring therefore elicits to the nurses a doubt whether or not they are doing a satisfying job. The issues of the project are investigated on the basis of five qualitative interviews. With the experiences of five of the emergency nurses, the project seeks to form a basis for understanding a series of tendencies in the nurses’ work. As basis for this we are using, as stated above, the perspectives of Wenger's social psychology and Herzberg's motivational psychology. By applying these two theoretical perspectives it can be concluded that there are multiple elements to what drives the nurses in their work. While with Wenger's perspectives it is the collective communities of practice and the situated sensemaking that is central in understanding what drives the nurses, it is with Herzberg instead the individual self-implementation and the universal need that forms the driving force. Through a theoretical discussion of the philosophy of science the project opens up to interaction between the theories which, amongst other discoveries, leads to the final conclusion that the nurses’ primary driving force are the close relations where understanding and meaning is modified to the actual working conditions the nurses meet during the restructuring

Topics: Akutsygehus, Akytafdeling, Wenger, Herzberg, Drivkraft, Motivation, Meningsdannelse, Praksisfællesskab
Year: 2015
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