[Medical professionals on the subject of their core values: the importance of practice-based stories and intrinsic motivation]
SourceNederlands Tijdschrift voor Geneeskunde, 157, 11, (2013), pp. A5698
Article / Letter to editor
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Nederlands Tijdschrift voor Geneeskunde
SubjectN4i 4: Auto-immunity, transplantation and immunotherapy NCEBP 2: Evaluation of complex medical interventions; NCEBP 12: Human Reproduction
In the current system for guaranteeing quality of care, emphasis is placed firmly on external control of professionals. We looked for a way to appeal to the intrinsic motivation of medical professionals and to discover what they mean by 'good work'. This was achieved with the aid of reflective sessions using the toolkit 'Good Work': in four sessions three different groups of medical professionals (medical department chairs, residents and interns) from a Dutch university hospital reflected on the topics 'excellence', 'moral responsibility' and 'personal engagement'. The participants exchanged practice-based stories during the sessions. The most important theme was moral responsibility, with its accompanying dilemmas. The sessions gave rise to feelings of mutual acknowledgement, recognition, inspiration and motivation. Sharing meaningful practice-based stories can be considered as a 'moment of learning', strengthening professional identity and stimulating intrinsic motivation. More space for this form of reflection might restore the balance with external control systems.
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