高薪护士是好护士

Well‐paid nurses are good nurses

Health Economics · 2017
被引 10
人大 A-ABS 3

中文导读

针对提高护士工资会降低护理质量的争议,本文基于自我决定理论和人-环境匹配理论,区分内在与外在动机,推导出高工资吸引高能力、高动机人才的条件,从而最大化护理质量。

Abstract

Some recent articles suggest that increasing wage in the nursing market with the aim of reducing shortage can negatively impact on the average ability and motivation of applicants attracted and, in turn, on the average quality of care. This finding is at odds with empirical evidence and has been criticized on the grounds that nurses' motivation is modeled in an overly simplistic way. This paper provides a novel theoretical framework where the orientation of nurses' motivation-intrinsic versus extrinsic-is taken into account, and the precise distinction between intrinsic and extrinsic motivation is delineated on the basis of self-determination and person-environment fit theories. Conditions are derived under which high wages attract able and motivated individuals, thus maximizing the average quality of care.

护士薪酬内在动机外在动机护理质量