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dc.contributor.authorNilsen, Heidi Rapp
dc.contributor.authorRingholm, Toril Merete
dc.date.accessioned2019-10-04T11:42:45Z
dc.date.available2019-10-04T11:42:45Z
dc.date.issued2019-06-16
dc.description.abstractInnovations are needed to meet increasing challenges in public healthcare, and type of motivation has been identified as a pivotal factor for the success of an innovation. New public management crowd out the intrinsic motivation of employees which has resulted in a quest for more self-reliant service providers. This paper takes the opposite point of departure asking if intrinsic motivation can be at the cost of the public purpose of innovations. This paper is a case study of 180 municipalities whom chose to participate in the largest healthcare project on ethical reflection in Norway. Thousands of community health-care workers performed innovative activities by establishing ethical reflection on a regular basis. We have investigated if the municipalities’ type of motivation is of importance for the type of results of the project, and how the results correspond with the policy signals on the very purpose of establishing ethical reflection in health care. We find that intrinsic motivation of enhanced competence crowds out the extrinsic motivation and public value of patient satisfaction. The link in the program theory between objective and purpose is too weak to induce a better fulfilment of the purpose.en_US
dc.description.sponsorshipNorwegian Association of Local and Regional Authorities Publication fund of UiT The Arctic University of Norwayen_US
dc.descriptionSource at <a href=https://doi.org/10.1080/23311975.2019.1632045>https://doi.org/10.1080/23311975.2019.1632045</a>.en_US
dc.identifier.citationNilsen, H.R. & Ringholm, T. (2019). Lost in motivation: The case of a Norwegian community healthcare project on ethical reflection. <i>Cogent Business & Management, 6</i>, 1632045. https://doi.org/10.1080/23311975.2019.1632045en_US
dc.identifier.cristinIDFRIDAID 1714405
dc.identifier.doihttps://doi.org/10.1080/23311975.2019.1632045
dc.identifier.issn2331-1975
dc.identifier.urihttps://hdl.handle.net/10037/16331
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalCogent Business & Management
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.subjectpublic & nonprofit managementen_US
dc.subjectcritical management studiesen_US
dc.subjectorganizational studiesen_US
dc.subjectintrinsic motivationen_US
dc.subjectextrinsic motivationen_US
dc.subjectcrowding outen_US
dc.subjectprogram theoryen_US
dc.subjectinnovationen_US
dc.titleLost in motivation: The case of a Norwegian community healthcare project on ethical reflectionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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