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Master Thesis

Evaluation of motivational profile and satisfaction: construction and psychometric validation of the Medical staff motivation inventory (MSMI)

Abstract : Background. Healthcare organizations have been challenged to be more efficient and productive, and at the same time, mental health indicators for medical staff are alarming. Health policy needs to improve the experience of providing care, not only by limiting burnout, but also by enabling medical staff to find meaning and pleasure in their work. The self-determination theory assumes that individuals simultaneously endorse several types of motivation, which constitutes a person's motivational profile. While self-determined motivation is positively related to individual well-being, controlled motivation is more related to indicators of ill-being, such as burnout. Social environments such as hospitals are encouraged to promote self-determined behavior through the satisfaction of psychological needs (competence, autonomy, relatedness). To apply self-determination theory to the field of hospital organization, we developed the Medical Staff Motivation Inventory (MSMI) to assess the degree of importance (motivational profile) and satisfaction of hospital-specific motivators. Methods. An item pool was developed to inventory motivators, reasons for going to work, covering psychological needs, for hospital medical staff. The importance of a motivator represents the personal meaning attributed to an activity, whereas the satisfaction of a motivator (motivational satisfaction) reflects the joy associated with the feeling of success and fulfilment. The survey was administered via email to 1,399 staff at two hospitals from November 2020 to January 2021. A principal component analysis (PCA) of the importance score detailed the dimensions grouping the motivators. A composite satisfaction score overall and for each component was calculated by weighting the satisfaction value of each motivator by the importance value of the motivator. For convergent validity, we correlated the satisfaction scores with the three dimensions of the Maslach Burnout Inventory (MBI). Results. A sample of 367 medical staff from two hospitals completed the online survey. PCA on the importance of the 21 motivators indicated a 4-component structure with 19 motivators, explaining 45% of the variance: quality teamwork, professional autonomy, institutional agility, recognition. Motivational satisfaction composite scores were negatively related to the MBI dimensions of "emotional exhaustion" and "depersonalization", and positively related to the dimension of "personal fulfillment". Each respondent can obtain his/her own motivational profile and motivational satisfaction, with the aim of improving the quality of work life. The graphs and scores at different granularities of an organization offer a diagnosis of motivational profiles and proposals for improving motivational satisfaction for managers of healthcare organizations. Conclusion. The MSMI is a tool for answering "How can we improve the experience of providing care by caregivers?" It could be a measure of the impact of healthcare organizations, policies, and procedures on the stress and quality of work life of hospital medical staff.
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Master Thesis
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Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Tuesday, May 11, 2021 - 9:40:14 AM
Last modification on : Thursday, May 13, 2021 - 3:26:07 AM
Long-term archiving on: : Thursday, August 12, 2021 - 6:20:16 PM


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  • HAL Id : dumas-03223677, version 1
  • PPN : 255297262


Gérald Gandon. Evaluation of motivational profile and satisfaction: construction and psychometric validation of the Medical staff motivation inventory (MSMI). Human health and pathology. 2021. ⟨dumas-03223677⟩



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