This master thesis takes its starting point in an issue, where the challenge is to retain the specialized competences the nurses have in the Radiation Therapy at University Hospital Sjælland (SUH), where I am the head nurse, through the fusion process in 2024, where the Radiation Therapy moves from Næstved Hospital to SUH in Køge. There is a shortage of nurses in Denmark, and unfortunately, patterns of loss of nurses and the resulting loss of specialized compentences have been registrered in other departments in the organization, that have been merged. I will therefore investigate, what have influenced the retainment of the specialized professional comptences through af change process by investigating how nurses in other merged departements have experienced the merging proces, which experiences they have attained during the process and what have impacted their decision to stay in there job in the merged departement. I'm especially interested in whether the concepts "Motivation" and "Sensemaking" have been changed in the merging process. I have interviewed six nurses on three different departments and different specialities from a semistructured interview guide. My theoretical starting point is Karl E. Weicks teori on "Sensemaking", Richard M. Ryan and Edward L. Deci's "Self Determinations Theory" (SDT), combined with the theory about "Public service motivation" (PSM) by Lotte Bøgh Andersen and Lene Pedersen.
The thesis finds that nurses' sensemaking and motivation have been greatly influenced during the mergers, resulting in loss of meaning, motivation and specialized skills. The experience has been a lack of joint overall purpose for the mergers, a lack of involvement in the merger process and a lack of respect for their expertise, the professional knowledge and norms, that have also negatively affected identity formation. The loss of identity and competence has resulted in basic needs not being met and the degree of autonomous motivation reduced. A strong working community and the experience of feeling connected to an environment that is known and safe, are of great importance to the nurses. The nurses' PSM has only been strengthened in the mergers, and the patients are a major factor in their decision to continue work on the newly merged departments. Last, the thesis also shows that leadership can play a major role in structural changes, such as mergers, where leadership can be perceived as both controlling or supportive of the experience of motivation and sensemaking.
|Educations||Master of Public Governance, (Executive Master Programme) Final Thesis|
|Number of pages||46|