Measuring health workers' motivation composition: validation of a scale based on Self-Determination Theory in Burkina Faso

Human Resources for Health
Julia LohmannManuela De Allegri

Abstract

Although motivation of health workers in low- and middle-income countries (LMICs) has become a topic of increasing interest by policy makers and researchers in recent years, many aspects are not well understood to date. This is partly due to a lack of appropriate measurement instruments. This article presents evidence on the construct validity of a psychometric scale developed to measure motivation composition, i.e., the extent to which motivation of different origin within and outside of a person contributes to their overall work motivation. It is theoretically grounded in Self-Determination Theory (SDT). We conducted a cross-sectional survey of 1142 nurses in 522 government health facilities in 24 districts of Burkina Faso. We assessed the scale's validity in a confirmatory factor analysis framework, investigating whether the scale measures what it was intended to measure (content, structural, and convergent/discriminant validity) and whether it does so equally well across health worker subgroups (measurement invariance). Our results show that the scale measures a slightly modified version of the SDT continuum of motivation well. Measurements were overall comparable between subgroups, but results indicate that caution is warr...Continue Reading

References

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Citations

Aug 17, 2018·The International Journal of Health Planning and Management·Zawora Rita ZizienVincent De Brouwere
Jul 8, 2020·Liver International : Official Journal of the International Association for the Study of the Liver·Alice N GuinganéEdouard Tuaillon

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Software Mentioned

Mplus
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ESEM

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