“CASE STUDY: A STUDY OF THE INTRINSIC AND EXTRINSIC MOTIVATIONAL DIMENTIONS OF THE NURSING SYSTEM AT PIMS HOSPITAL”

Abstract

The purpose of this study is to explore the intrinsic and the extrinsic motivational dimensions of the nursing system at PIMS hospital. Motivation of the health personnel plays a significant role in the quality of health care provided. The intrinsic dimensions that the study focused on are the elements included in the Work Design Theory of Hackman and Oldham (Task Significance, Task Identity, Skill Variety, Feedback and Autonomy). Other than these variables, motivators like “a sense of achievement” and “opportunity” to learn and grow were also considered. These variables were to be used to determine whether the nursing profession and the work design at PIMS hospital was intrinsically motivating. The extrinsic variables or hygiene factors as Herzberg would call them were also considered, because there cannot be true motivation unless these factors are catered to. The variables included in this study were salary, job security and the reward system, work load, hospital supplies and equipment, supervisor and management support and appreciation and lack of recognition. The expectancy theory was used to study that whether the employees felt nepotism or networking or hard work were instrumental in advancing at PIMS hospital. While the equity theory was used to see if the employees felt a certain sense of inequity and what steps do they take to remove that inequity and whether these steps are affecting the efficiency of work at the hospital. Also the level of involvement and identification the staff has with PIMS hospital was used to study the commitment of the employees. The findings revealed a lack of recognition, lack of proper feedback, heavy workload and nepotism the main causes for concern.