Academic Journal
Motivation in Nursing: A Concept Analysis.
| Τίτλος: | Motivation in Nursing: A Concept Analysis. |
|---|---|
| Συγγραφείς: | Amoah EO; SDA Nursing and Midwifery Training College, Kwadaso, Kumasi, Ghana.; School of Nursing, Johnson Hall of Nursing, Purdue University, West Lafayette, Indiana, USA., Adeola MT; School of Nursing, Johnson Hall of Nursing, Purdue University, West Lafayette, Indiana, USA. |
| Πηγή: | Nursing open [Nurs Open] 2026 Aug; Vol. 13 (8), pp. e70717. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: John Wiley & Sons, Inc Country of Publication: United States NLM ID: 101675107 Publication Model: Print Cited Medium: Internet ISSN: 2054-1058 (Electronic) Linking ISSN: 20541058 NLM ISO Abbreviation: Nurs Open Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [Hoboken, NJ] : John Wiley & Sons, Inc., [2014]- |
| Ιατρικοί όροι (MeSH): | Nurses*/psychology , Motivation* , Concept Formation* , Nursing*, Humans ; Job Satisfaction ; Personnel Turnover |
| Περίληψη: | Aim: To clarify and report an analysis of the concept of motivation in nursing. Background: Motivation shapes nurses' career decisions, job satisfaction and long-term retention. Persistent workforce challenges, particularly high turnover among newly licensed registered nurses, demand a clear, context-specific understanding of nursing motivation. This concept analysis aimed to clarify motivation within nursing practice, identify its defining attributes, antecedents and consequences, and propose a nursing-specific definition to guide workforce development, recruitment and retention strategies. Design: A concept analysis. Data Sources: A targeted literature review spanning nursing, psychology and organizational behaviour was conducted using PsycINFO, PubMed, CINAHL, Scopus and Google Scholar. Articles published between 2015 and 2026 were screened and selected to refine the conceptualization of motivation in nursing. Methods: Walker and Avant's method for analyzing concepts in eight steps was used. Results: Five defining attributes emerged: intrinsic drivers rooted in altruism and personal identification with the profession, extrinsic reinforcement from the work environment, goal-directed professional actions, persistence and resilience in navigating challenges, and sustained commitment to both the profession and patient care. Motivation in nursing is a dynamic, multifaceted construct shaped by internal values, external conditions and fulfilment of basic psychological needs. It initiates, guides and maintains behaviours that support professional growth, high-quality care and long-term engagement. Conclusion: These findings underscore the need for practice environments that nurture intrinsic motivation while providing adequate extrinsic support through effective leadership, safe staffing, recognition, career pathways, wellness initiatives and mentorship, particularly for newly licensed registered nurses. The identified attributes and related elements offer a framework for designing motivation-enhancing interventions and guiding future research in diverse nursing contexts. Implications for Nursing Practice: Nurse leaders and educators can apply these findings by implementing structured mentorship, recognition programmes and professional development pathways that strengthen intrinsic motivation while ensuring adequate staffing and organizational support, particularly during the transition to practice for newly licensed registered nurses. Patient or Public Contribution: No Patient or Public Contribution. This is a concept analysis based on a literature review; it does not involve primary data collection from patients or members of the public, and therefore, patient or public involvement was not applicable. (© 2026 The Author(s). Nursing Open published by John Wiley & Sons Ltd.) |
| References: | Ait Ali, D., O. Ncila, S. Ouhhamou, A. Rizzo, F. Chirico, and H. Khabbache. 2024. “Motivations Driving Career Choices: Insights From a Study Among Nursing Students.” SAGE Open Nursing 10: 23779608241255876. https://doi.org/10.1177/23779608241255876. Alansari, A. N., A. E. Omri, and K. Singh. 2025. “Staff Shortages Linked to Burnout, Depression, and Anxiety Among Outpatient Nurses: A Cross‐Sectional Analysis at Hamad General Hospital, Qatar.” BMC Nursing 24, no. 1: 1118. https://doi.org/10.1186/s12912‐025‐03758‐7. Alshammari, M. H., and A. Alenezi. 2023. “Nursing Workforce Competencies and Job Satisfaction: The Role of Technology Integration, Self‐Efficacy, Social Support, and Prior Experience.” BMC Nursing 22: 308. https://doi.org/10.1186/s12912‐023‐01474‐8. American Association of Critical‐Care Nurses. 2016. AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. 2nd ed. AACN. https://www.aacn.org/nursing‐excellence/standards/aacn‐standards‐for‐establishing‐and‐sustaining‐healthy‐work‐environments. American Nurses Association. 2023a. “How Can Nurses Be Motivated to Improve Their Performance ?” ANA Nursing Resource Center. https://www.nursingworld.org. American Nurses Association. 2023b. “The Nursing Shortage: Causes, Impacts, and Solutions.” https://www.nursingworld.org/practice‐policy/workforce/. Ang, S. Y., S. S. Dhaliwal, T. C. Ayre, et al. 2016. “Demographics and Personality Factors Associated With Burnout Among Nurses in a Singapore Tertiary Hospital.” BioMed Research International 2016: 6960184. https://doi.org/10.1155/2016/6960184. Bailey, R. R. 2019. “Goal Setting and Action Planning for Health Behavior Change.” American Journal of Lifestyle Medicine 13, no. 6: 615–618. https://doi.org/10.1177/1559827617729634. Bakker, A. B., and M. P. Leiter, eds. 2010. Work Engagement: A Handbook of Essential Theory and Research. 1st ed. Psychology Press. https://doi.org/10.4324/9780203853047. Bandhu, D., M. M. Mohan, N. A. P. Nittala, P. Jadhav, A. Bhadauria, and K. K. Saxena. 2024. “Theories of Motivation: A Comprehensive Analysis of Human Behavior Drivers.” Acta Psychologica 244: 104177. https://doi.org/10.1016/j.actpsy.2024.104177. Duran, S., S. Albayrak, S. Ok, I. Celik, and B. Ertugrul. 2021. “Factors Affecting Nurses' Professional Commitment During the COVID‐19 Pandemic: A Cross‐Sectional Study.” Journal of Nursing Management 29, no. 7: 1906–1915. https://doi.org/10.1111/jonm.13327. Gagné, M., J. Forest, M. Vansteenkiste, et al. 2015. “The Multidimensional Work Motivation Scale: Validation Evidence in Seven Languages and Nine Countries.” European Journal of Work and Organizational Psychology 24, no. 2: 178–196. https://doi.org/10.1080/1359432X.2013.877892. Guerrero, S., S. Kilroy, and D. Chênevert. 2017. “New Graduate Nurses' Professional Commitment: Antecedents and Outcomes.” Journal of Nursing Scholarship 49, no. 5: 572–579. https://doi.org/10.1111/jnu.12323. Halcomb, E., A. Williams, C. Ashley, et al. 2020. “The Support Needs of Australian Primary Health Care Nurses During the COVID‐19 Pandemic.” Journal of Nursing Management 28, no. 7: 1553–1560. https://doi.org/10.1111/jonm.13108. Herzberg, F., B. Mausner, and B. B. Snyderman. 1959. The Motivation to Work. 2nd ed. John Wiley & Sons. Hooper, G. L., and S. A. Quallich. 2016. “Health‐Seeking Behavior in Men: A Concept Analysis.” Urologic Nursing 36, no. 4: 163–172. https://doi.org/10.7257/1053‐816X.2016.36.4.163. Khomkham, P., and P. Kaewmanee. 2024. “Patient Motivation: A Concept Analysis.” Belitung Nursing Journal 10, no. 5: 490–497. https://doi.org/10.33546/bnj.3529. Kohnen, D., H. De Witte, W. B. Schaufeli, S. Dello, D. Krokosz, and A. Van den Broeck. 2023. “What Makes Nurses Flourish at Work? How the Perceived Clinical Work Environment Relates to Work Engagement, Burnout, and the Mediating Role of Intrinsic Motivation.” International Journal of Nursing Studies 148: 104567. https://doi.org/10.1016/j.ijnurstu.2023.104567. Mahmoud, A. B., W. D. Reisel, N. Grigoriou, L. Fuxman, and I. Mohr. 2020. “The Reincarnation of Work Motivation: Millennials vs Older Generations.” International Sociology 35, no. 4: 393–414. https://doi.org/10.1177/0268580920912970. McCoach, D. B., and J. K. Flake. 2018. “The Role of Motivation.” In APA Handbook of Giftedness and Talent, edited by S. I. Pfeiffer, E. Shaunessy‐Dedrick, and M. Foley‐Nicpon, 201–213. American Psychological Association. https://doi.org/10.1037/0000038‐013. Mohammad, H., E. Hashish, and N. Elliethey. 2023. “The Relationship Between Authentic Leadership and Nurses' Resilience: The Mediating Role of Self‐Efficacy.” SAGE Open Nursing 9: 23779608231214213. https://doi.org/10.1177/23779608231214213. Mohammed, S. A., A. Al Jaffane, and M. Al Qahtani. 2024. “Motivating Factors Influencing the Career Advancement of Nurses Into Nursing Management Positions.” International Journal of Africa Nursing Sciences 20: 100751. https://doi.org/10.1016/j.ijans.2024.100751. Omoregie, D. T., and Z. O. Yusuf. 2025. “Strategies for Mitigating Nurse Burnout: A Comprehensive Survey and Analysis.” International Journal of Science and Research Archive 14, no. 2: 193–199. https://doi.org/10.30574/ijsra.2025.14.2.0069. Pinder, C. C. 2008. Work Motivation in Organizational Behavior. 2nd ed. Psychology Press. https://doi.org/10.4324/9781315734606. Poortaghi, S., A. Raiesifar, P. Bozorgzad, S. E. J. Golzari, S. Parvizy, and F. Rafii. 2015. “Evolutionary Concept Analysis of Health‐Seeking Behavior in Nursing: A Systematic Review.” BMC Health Services Research 15: 523. https://doi.org/10.1186/s12913‐015‐1181‐9. Price, S. L., and L. McGillis Hall. 2014. “The History of Nursing Imagery and Its Implications for Recruitment: A Discussion Paper.” Journal of Advanced Nursing 70, no. 7: 1502–1509. https://doi.org/10.1111/jan.12289. Ryan, R. M., and E. L. Deci. 2000. “Self‐Determination Theory and the Facilitation of Intrinsic Motivation, Social Development and Well‐Being.” American Psychologist 55, no. 1: 68–78. https://doi.org/10.1037/0003‐066x.55.1.68. Ryan, R. M., and E. L. Deci. 2017. Self‐Determination Theory: Basic Psychological Needs in Motivation, Development and Wellness. Guilford Press. https://doi.org/10.1521/978.14625/28806. Silva, A., and C. Menino. 2022. “How Job Characteristics Influence Healthcare Workers' Happiness: A Serial Mediation Path Based on Autonomous Motivation and Adaptive Performance.” Sustainability 14, no. 21: 14251. https://doi.org/10.3390/su142114251. Sutanto, M., W. Purwati, and R. Pamungkas. 2023. “Increasing the Retention of Nurses in Hospitals Through Compensation Strategies.” International Journal of Nursing and Health Services (IJNHS) 6, no. 3: 191–196. https://doi.org/10.35654/ijnhs.v6i3.727. Ten Hoeve, Y., S. Castelein, W. S. Jansen, G. J. Jansen, and P. F. Roodbol. 2017. “Nursing Students' Changing Orientation and Attitudes Towards Nursing During Education: A Two‐Year Longitudinal Study.” Nurse Education Today 48: 19–24. https://doi.org/10.1016/j.nedt.2016.09.009. Tremblay, M. A., C. M. Blanchard, S. Taylor, and M. Villeneuve. 2009. “Work Extrinsic and Intrinsic Motivation Scale: Its Value for Organizational Psychology Research.” Canadian Journal of Behavioural Science 41, no. 4: 213–226. https://doi.org/10.1037/a0018176. Vázquez‐Calatayud, M., and M. C. Eseverri‐Azcoiti. 2023. “Retention of Newly Graduated Registered Nurses in Hospital Settings: A Systematic Review.” Journal of Clinical Nursing 32, no. 19–20: 6849–6862. https://doi.org/10.1111/jocn.16778. Walker, L. O., and K. C. Avant. 2019. Strategies for Theory Construction in Nursing. 6th ed. Pearson. World Health Organization (WHO). 2020. “State of the World's Nursing 2020: Investing in Education, Jobs, and Leadership.” https://www.who.int/publications/i/item/9789240003279. Zakaria, Z., W. Rahman, and Y. Aditama. 2024. “Nurse Motivation in Improving Career Level: A Concept Analysis.” In Proceedings of the 2nd Lawang Sewu International Symposium on Health Sciences: Nursing (LSISHS‐N 2023), 138–146. Atlantis Press. https://doi.org/10.2991/978‐94‐6463‐467‐9_13. |
| Contributed Indexing: | Keywords: Walker and Avant; concept analysis; extrinsic motivation; intrinsic motivation; motivation; newly licensed registered nurses; nursing retention; nursing workforce; professional commitment; work motivation |
| Entry Date(s): | Date Created: 20260729 Date Completed: 20260729 Latest Revision: 20260731 |
| Update Code: | 20260731 |
| PubMed Central ID: | PMC13415745 |
| DOI: | 10.1002/nop2.70717 |
| PMID: | 42522095 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2054-1058 |
|---|---|
| DOI: | 10.1002/nop2.70717 |