[Outsourcing of nursing human resources from ethical to management: a survey in a Lazio Region Hospital]. / Outsourcing delle risorse umane infermieristiche tra etica e managements: indagine in una azienda U.S.L. della Regione Lazio.

In 2006, 279 nurses of a Lazio Region Hospital were assessed to verify whether certain Human Resources decisions, such as outsourcing, can negatively influence their working motivation and sense of belonging to a health organization and whether any dissatisfaction can be attributed to poor ethical information within the health service. The research method had a descriptive basis and for data collection a questionnaire with 35 questions was issued. Results showed that nurses felt strongly involved in the study and interesting aspects for management of human resources emerged, depicting an organization lacking in motivation : this confirmed one of the aspects of the study : poor levels of motivation and sense of belonging can be correlated to insufficient ethical information in local health organizations. The main working needs that emerged among the nurses of this hospital regarded economical retribution (90%), security and success (88%) , belonging (86%) and self-satisfaction (77%): the need for power was relatively low (40%). The strong points of the study were : the strong involvement of nurses, the value of the information gathered regarding working motivation, sense of belong to a nursing organization , working needs , ethical information in health environments, organization according to targets. The limits of the study were: limited number of nurses in outsourcing at the time of the study (12%), impossibility of comparing the results with data prior to the outsourcing choices made by the hospital in question.

[Person and motivation: awarding system as a tool for managing health personnel]. / La persona e la motivazione: i sistemi premianti come strumenti di gestione del personale sanitario.

Seeing that nurses are heading towards a new era of responsibility, it follows that it is essential to motivate professional nurses. To this end, one needs must consider the degree to which the assumption of responsibility is closely linked to motivation in one's work. The article suggests close thought on the importance of incentives, which may decisively contribute to both personnel management and organisational procedures. Incentives are a tool for personnel management because they represent a combination of inputs through which the administration seeks to increase the probability that, in this case, nurses behave, and thus act, appropriately to reach company aims, hereby avoiding actions deemed ineffective. Rewarding those who produce valid results favours a good working climate, both reinforcing and boosting the motivation and commitment to being good professionals. With this aim in mind, a questionnaire is suggested, to be given to 75 nurses in a University General Hospital in the Regione Lazio; the research objective is to examine themes, such as the participation, satisfaction and motivation of the nursing staff at work as well as the role that tools of incentive cover in the real professional context. Only by having recourse to a true scenario of the working milieu, can one understand the points of strength and weakness so as to make useful changes involving first the person and then the administration.