Influence of Work Motivation, Work Environment and Job Satisfaction on Turnover Intention of Croatian Nurses: A Qualitative Study

Aim: The purpose of this study was to examine, identify and describe the factors that influence the turnover intention of nurses in Croatia. Methods: A qualitative descriptive phenomenological study was conducted in June 2018. The participants were 20 registered nurses working full time who were employed in different cities in the Republic of Croatia, working in different healthcare institutions and in different medical fields. The data were obtained from interviews and were analysed and interpreted using the content analysis method. Results: During data analysis, four main ideas emerged as follows: job satisfaction, work motivation, psychological factors (individual) and structural factors – work environment. Job satisfaction has been identified as a key factor with direct impact in nurses\u27 turnover intention. Work motivation, psychological factors (individual) and structural factors – work environment does not have a direct influence on the nurses\u27 intention to leave their job, but they have a significant indirect impact through job satisfaction. Conclusion: Recognizing nursing challenges in the healthcare system and the factors which influence the intention of nurses to leave their workplace can help with the development of a clear strategy and retention measures based on the factors that influence the nurses’ turnover intention. (Smokrović E, Gusar I, Hnatešen D, Bačkov K, Bajan A, Grozdanović Z, Placento H, Žvanut B. Influence of Work Motivation, Work Environment and Job Satisfaction on Turnover Intention of Croatian Nurses: A Qualitative Study. SEEMEDJ 2019; 3(2); 33-44

Translation and validation of the Croatian version of the Multidimensional Work Motivation Scale

In the contemporary working environment, it is important to have a referential instrument for assessing and comparing employee work motivation. Multidimensional Work Motivation Scale (MWMS) is a reliable and valid instrument for operationalising the Self-determination theory in practice (SDT). MWMS was previously translated into seven languages, and its validity and reliability were proved in nine different countries. The goal of this study was to translate it in Croatian and test its content and construct validity and reliability (internal consistency, item-total/inter-item correlations and test-retest reliability) in practice. The data was collected through a web survey. The final sample consisted of 141 participants. Our results confirm that the translated instrument is reliable and valid. The items of the translated instrumented loaded on the six factors as expected and showed a good fit to the basic factor structure. The translated version of MWMS could help the management in identifying potential problems related to motivation in Croatian companies. In the contemporary working environment, it is important to have a referential instrument for assessing and comparing employee work motivation. Multidimensional Work Motivation Scale (MWMS) is a reliable and valid instrument for operationalising the Self-determination theory in practice (SDT). MWMS was previously translated into seven languages, and its validity and reliability were proved in nine different countries. The goal of this study was to translate it in Croatian and test its content and construct validity and reliability (internal consistency, item-total/inter-item correlations and test-retest reliability) in practice. The data was collected through a web survey. The final sample consisted of 141 participants. Our results confirm that the translated instrument is reliable and valid. The items of the translated instrumented loaded on the six factors as expected and showed a good fit to the basic factor structure. The translated version of MWMS could help the management in identifying potential problems related to motivation in Croatian companies

Translation and validation of the Croatian version of the Multidimensional Work Motivation Scale

In the contemporary working environment, it is important to have a referential instrument for assessing and comparing employee work motivation. Multidimensional Work Motivation Scale (MWMS) is a reliable and valid instrument for operationalising the Self-determination theory in practice (SDT). MWMS was previously translated into seven languages, and its validity and reliability were proved in nine different countries. The goal of this study was to translate it in Croatian and test its content and construct validity and reliability (internal consistency, item-total/inter-item correlations and test-retest reliability) in practice. The data was collected through a web survey. The final sample consisted of 141 participants. Our results confirm that the translated instrument is reliable and valid. The items of the translated instrumented loaded on the six factors as expected and showed a good fit to the basic factor structure. The translated version of MWMS could help the management in identifying potential problems related to motivation in Croatian companies. In the contemporary working environment, it is important to have a referential instrument for assessing and comparing employee work motivation. Multidimensional Work Motivation Scale (MWMS) is a reliable and valid instrument for operationalising the Self-determination theory in practice (SDT). MWMS was previously translated into seven languages, and its validity and reliability were proved in nine different countries. The goal of this study was to translate it in Croatian and test its content and construct validity and reliability (internal consistency, item-total/inter-item correlations and test-retest reliability) in practice. The data was collected through a web survey. The final sample consisted of 141 participants. Our results confirm that the translated instrument is reliable and valid. The items of the translated instrumented loaded on the six factors as expected and showed a good fit to the basic factor structure. The translated version of MWMS could help the management in identifying potential problems related to motivation in Croatian companies

A Conceptual Model of Nurses’ Turnover Intention

The World Health Organisation predicts a lack of 15 million health professionals by 2030. The lack of licenced professionals is a problem that keeps emerging and is carefully studied on a global level. Strategic objectives aimed at stimulating employment, improving working conditions, and keeping the nurses on board greatly depends on identifying factors that contribute to their turnover. The aim of this study was to present a conceptual model based on predictors of nurses’ turnover intention. Methods: A quantitative, non-experimental research design was used. A total of 308 registered nurses (RNs) took part in the study. The Multidimensional Work Motivation Scale (MWMS) and Practice Environment Scale of the Nursing Work Index (PES-NWI) were used. Results: The conceptual model, based on the binary regression models, relies on two direct significant predictors and four indirect significant predictors of turnover intention. The direct predictors are job satisfaction (OR = 0.23) and absenteeism (OR = 2.5). Indirect predictors that affect turnover intention via job satisfaction are: amotivation (OR = 0.59), identified regulation (OR = 0.54), intrinsic motivation (OR = 1.67), and nurse manager ability, leadership and support of nurses (OR = 1.51). Conclusions: The results of the study indicate strategic issues that need to be addressed to retain the nursing workforce. There is a need to ensure positive perceptions and support from managers, maintain intrinsic motivation, and promote even higher levels of motivation to achieve satisfactory levels of job satisfaction

The Level of Empathy and Psychological Distress in Nurses and Health Technicians

The aim of the study was to examine the overall level of empathy, its affective and cognitive aspects, the level of psychological stress, and to determine the relationship between empathy, emotions and psychological stress in nurses and health technicians employed at the Clinical Hospital Center Osijek. A cross-sectional study was conducted from March to June 2019 among 152 nurses and health technicians using the authors personally prepared questionnaire, and standard questionnaires BES, PANAS and K10 to evaluate empathy, positive and negative emotions and psychological distress of respondents. Respondents exhibited a middle – a higher degree of total empathy (median 50 and interquartile range of 43–56), with more emphasized affective than cognitive component. Psychological distress was confirmed in 65% of respondents. There was a correlation between affective and cognitive empathy (p<0.001, r = 0.355). People with a higher degree of distress also had more negative emotions that tended to increase with increasing distress (p <0.001, r = 0.426). Healthcare workers are mostly empathic and in a great deal exhibit psychological distress. It is necessary to carry out systematic surveys among health personnel to determine the empathy and distress levels to detect the risk groups who need help with stress prevention