Table 5 Comparing qualitative and quantitative motivation data
From: Validating a tool to measure auxiliary nurse midwife and nurse motivation in rural Nepal
Auxiliary nurse midwife/staff nurse identification code | Motivation score (5 = highly motivated) | Qualitative interpretation | Auxiliary nurse midwife/staff nurse | HFMC, women’s group, in-charge |
|---|---|---|---|---|
1023 | 5 | Not motivated | “I am from the local area so I cannot say no whether it is night or day or it is festival. Also sometimes I don’t feel appreciated.” | “She does the work but I think she is not interested in it, or she may not be interested in this occupation” (in-charge) |
“I am fed up with everybody (in management)…I don’ t have anyone who is in a high post…I know that everywhere opportunity is grabbed by the help of nepotism and favouritism so I know nobody does anything” | “She is always in hurry to leave the office at 2 pm after completing her work” (in-charge) | |||
“I cannot (go to training) as I have to give time for home. That’s why I don’t care about that” | ||||
1009 | 5 | Motivated | “Last year the volunteer and I were rewarded (by HFMC)…it feels really good to such respect in front of everyone” | “She really gives proper facility to all the women there. She loves the patients” (women’s group) |
“I always feel like wanting to go to training and learn things” | “She only goes to her house once in a year for the annual festival. She is the one who works the most” (in-charge) | |||
“During delivery cases people look for me to do the delivery…because of this admiration from the community and the connection with them it is very difficult for me to leave this place.” | “She really does work hard.” (HFMC) | |||
1027 | 5 | Motivated | “you enjoy and feel good when your work and reports are good” | “The other nurse does more work than nurse 1027” (in-charge) |
“I have a habit of doing work, I enjoy and talk with other staff” | “The other nurse is inspired to work” (HFMC) | |||
2028 | 5 | Motivated | “Women usually meet me before getting out of the health facility, so I like the fact that they want me to help them, and I feel about that” | “Their attitude towards the short term nurse is terrible…I suggested for rotation and asked for help (to prevent her from working 24 hours a day seven days a week)…and they didn’t speak and didn’t show up for duty.” (in-charge) |
“Whenever there is a case, the whole responsibility falls on your shoulders and won’t even feel like going to sleep until it is finished” | “The other nurse is working harder. She is working at night time as well as helps everywhere even during the day time” (HFMC) | |||
1036 | 5 | Motivated | “Everyone here is positive towards me and everyone wants me to work over here, everyone asks me not to leave this place” | “She goes everywhere. She never says no if we ask her to do something” (in-charge) |
“The nurses seem motivated, they are eager to work. They are also doing a good job. They are doing work with interest” (women’s group) | ||||
1037 | 5 | Motivated | “I have been able to provide services like I wanted. People come for the delivery after calling us or informing us, so we counsel them and do the deliveries.” | ”Both nurses are good, its not good to compare.” (HFMC) |
“I believe I am in the best team ever….everyone is supportive here.” | “The attendance of the nurses is equal. They come regularly” (HFMC) | |||
1028 | 4.91 | Motivated | “Whenever the patients arrive here, they immediately come asking for me. Even if I am in the middle of my meal, I rush here. I am really curious towards the patients and provide services with immense care and love.” | “Nurse 1028 has lots of work to do. (The other health worker) signs her attendance…and then (she leaves)…Her home is far away. Nurse 1028 has more work to do” (women’s group) |
“I have been providing services from deep within my heart and soul.” | “Nurse 1028 stays in the health institution any time, whenever the patient comes. She doesn’t even know when day and night has passed.” (HFMC) | |||
“I like doing everything here, like checking up ANC, checking the condition of delivery, and doing deliveries. There is nothing that I don’t enjoy here.” | ||||
2035 | 4.9 | Motivated | “It’s easier to work here, its not difficult working here…all the staff seem co-operative.” | “The nurses behave well, they speak politely, and they also handle the cases properly” (women’s group) |
“The nurses are always happy and pleased to be working here” (women’s group) | ||||
2034 | 4.82 | Motivated | “I feel happy because after I came here the situation improved. I did all the work, including out patients department, because no staff used to come here.” | “We see nurse 2034 all the time in the health post whether it is night or day. We like that” (women’s group) |
“(The other staff) give all the work to me. They are skilled, but they don’t want to do the work.” | “Nurse 2034 has won the hearts of the local people” (in-charge) | |||
“Nurse 2034 works very hard. She even sweeps the floor.” (HFMC) | ||||
2003 | 4.8 | Motivated | “Some fulfil their duty very well, but some do it only to a minimum level… contracted nurses (like me) do well…and permanent nurses…are a bit careless.” | “One who has come more recently (like nurse 2003) respects the senior nurses, so there is some difference in work.” (in-charge) |
“Every person has a different nature. Some behave very well and speak politely but some are very strict and speak rudely.” (women’s group) | ||||
2036 | 4.7 | Motivated | “During the night there isn’t anyone to help. I have to do everything. Its difficult.” | “There is one nurse (2036) who has been here for a long time, so she is the one whom we are involved with so even while check up with her we feel very comfortable and we find her behaviour very well. The way she treats and speaks to us is good.” (women’s group) |
“I haven’t been able to see any differences (between nurses)…they are all satisfied.” (in-charge) | ||||
1011 | 4.7 | Motivated | “I am excited to gain more practical knowledge” | “The nursing staff are good. They are from a new generation and they are behaving well because they are trained” (women’s group) |
“Permanent nurses attend a lot less than the contracted nurses (like 1011)” (in-charge) | ||||
2020 | 4.27 | Motivated | “Women talk about all their problems with me…everyone knows me. They all respect me.” | “While I come here I see both the nurses” (women’s group) |
“Staff teach me things I don’t know, and …they praise me for my work.” | “The behaviour of the nurses is good” (women’s group) | |||
“They are both motivated, as far as I can tell.” (in-charge) | ||||
1005 | 4.18 | Less motivated | “The work is split between us, but I have to work harder than the other nurse” | “There are no differences in the work (between the nurses)…The (other) permanent nurses are more motivated…their grade is increasing (for the years that they work). The services and facilities for government staff are good.” (in-charge) |
“I feel that people here take advantage of (me). They think we should work 24 hours a day, and there are delays in getting our salary…” | ||||
“The possibility of getting a job elsewhere is low. I must give services after office time, and I feel I am working effectively.” | “When nurse 1005 was not recruited, there was no service. It is good now.” (HFMC) | |||
2006 | 3.18 | Less motivated | “I cannot apply whatever I learned while studying to be a staff nurse…the community do not allow us to work according to our system.” | “In relation to the work, it has been really good. The nurses have done their work at 12 midnight, and in the morning also. So they are really sincere in their work.” (in-charge) |
“If there is post partum haemorrhage and the woman died, the people here won’t understand that it was because they didn’t allow me to work, and they will come to hit us.” | “(Nurses) are okay.” (HFMC) |