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Well‐paid nurses are good nurses
Author(s) -
Fedele Alessandro
Publication year - 2018
Publication title -
health economics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.55
H-Index - 109
eISSN - 1099-1050
pISSN - 1057-9230
DOI - 10.1002/hec.3623
Subject(s) - economic shortage , odds , quality (philosophy) , wage , intrinsic motivation , psychology , orientation (vector space) , economics , nursing , social psychology , actuarial science , medicine , labour economics , logistic regression , mathematics , linguistics , philosophy , epistemology , government (linguistics) , geometry
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.