Medical specialists' basic psychological needs, and motivation for work and lifelong learning: a two-step factor score path analysis

Stephanie M. E. van der Burgt*, Rashmi A. Kusurkar, Janneke A. Wilschut, Sharon L. N. M. Tjin A. Tsoi, Gerda Croiset, Saskia M. Peerdeman

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

16 Citations (Scopus)
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Background Continuing professional development and lifelong learning are crucial to secure safe and good quality healthcare. Lack of motivation has been found to be among the most important barriers for participation in lifelong learning. This study was conducted to investigate the relationships between medical specialists' work motivation, lifelong learning motivation, autonomy, competence and relatedness satisfaction. Methods Self-Determination Theory was used as a theoretical framework for this study. Data were collected through an online survey, that was sent to all (N = 1591) medical specialists in four Dutch hospitals. The survey measured background characteristics, autonomy, competence, and relatedness satisfaction, autonomous and controlled work motivation, and lifelong learning motivation. Two step factor path analysis with the method of Croon was used to analyze the data from 193 cases. Results Autonomy need satisfaction was positively associated with autonomous work motivation which in turn was positively associated with lifelong learning motivation. Competence need satisfaction and age were negatively associated with controlled work motivation. Competence need satisfaction was also positively related with lifelong learning motivation. No significant nor any hypothesized associations were found for relatedness. Conclusions Our findings, in line with Self-determination Theory literature, show that autonomy and competence need satisfaction are the important factors as they were positively associated with medical specialists' motivation for work and for lifelong learning.

Original languageEnglish
Article number339
Number of pages11
JournalBMC Medical Education
Issue number1
Publication statusPublished - 5-Sept-2019
Externally publishedYes


  • Medical specialists
  • Motivation
  • Self determination theory
  • Two step factor path analysis

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