Constructing Human Resource Management for Sustainable Small and Medium-Sized Hospital Management:

This study was a single-facility investigation conducted in a small and medium-sized hospital located in a rural area of Japan and aimed to explore factors associated with work motivation among hospital staff.A total of 165 hospital employees participated in the study, and data were collected using the general version of the SWITCH scale.After confirming the reliability and validity of the scale, descriptive statistics, occupational group comparisons, one-way analysis of variance (ANOVA), and occupation-specific verification using structural equation modeling (SEM) were conducted.The results indicated that the model of "human relationships → motivation → concept formation" demonstrated acceptable model fit among nursing staff and rehabilitation staff.In addition, the model of "environment → physical and mental health → successful experiences" demonstrated acceptable fit among nursing staff and administrative staff.Among nursing staff, the findings suggested the importance of human resource maintenances (Hu) in the workplace environment.Among rehabilitation staff, interdisciplinary collaboration and relationship-building with patients were associated with motivation formation.Furthermore, among administrative staff, materials resource maintenances (Ma) and work efficiency were suggested to be related to physical and mental health (PM) and feelings of achievement (Ac).These findings suggest that, in small and medium-sized hospitals, human resource management strategies should consider occupation-specific motivation structures.