Effects of traits, self-motivation and managerial skills on nursing intrapreneurship

  • Carla S. Marques
  • Carlos P. Marques
  • João J. M. FerreiraEmail author
  • Fernando A. F. Ferreira


Following the introduction of quasi-markets into publicly funded healthcare systems, nurse intrapreneurs who create innovations within these systems have become increasingly important to improving healthcare outputs. This study sought to examine how self-motivation and managerial skills mediate the influence of entrepreneurial traits on nurses’ intrapreneurial intentions in the Portuguese National Health Service. A structural equation model was assessed using primary data collected from a sample of 536 nurses working at seven public hospitals in Portugal. The results suggest that nurses who are more determined to become intrapreneurs are more likely to take risks, more self-confident about their managerial skills and slightly more self-motivated. In addition, while innovativeness has no significant effect, proactivity contributes to increasing nurses’ self-confidence in their own skills.


Individual entrepreneurial orientation intrapreneurial intention nursing intrapreneurship entrepreneurial skills self-motivation 



This work is partially funded by the FEDER component of European Structural and Investment Funds, through the Operational Competitiveness and Internationalisation Programme’s (COMPETE 2020) Project No. 006971 (UID/SOC/04011); as well as national funds through the FCT – Portuguese Foundation for Science and Technology under Project UID/SOC/04011/2013 and Project UID/GES/04630/2013.


  1. Adeyemo, S. (2009). Understanding and acquisition of entrepreneurial skills: A pedagogical re-orientation for classroom teacher in science education. Journal of Turkish Science Education, 6(3), 57–65.Google Scholar
  2. Amo, B. (2006). What motivates knowledge workers to involve themselves in employee innovation behavior? International Journal of Knowledge Management Studies, 1(1/2), 160–177.Google Scholar
  3. Antoncic, B., & Hisrich, R. (2003). Clarifying the intrapreneurship concept. Journal of Small Business and Enterprise Development, 10(1), 7–24.Google Scholar
  4. Arowomole, K. (2000). Modern Business Management (Theory and Practice). Sango-Ota: Ade-Oluyinka Commercial Press.Google Scholar
  5. Ascalon, M., & Moriano, J. (2008). Corporate Entrepreneurship. In J. Léon, M. Gorgievski, & M. Lukes (Eds.), Teaching Psychology of Entrepreneurship: Perspective from Six European Countries (pp. 233–253). Madrid: Universidad Nacional de Educación a Distancia.Google Scholar
  6. Bae, T., Qian, S., Miao, C., & Fiet, J. (2014). The relationship between entrepreneurship education and entrepreneurial intentions: A meta-analytic review. Entrepreneurship Theory and Practice, 38(2), 217–254.Google Scholar
  7. Bager, T., Ottoson, H., & Schott, T. (2010). Intrapreneurs, entrepreneurs and spinoff entrepreneurs: similarities and diferences. International Journal of Entrepreneurship and Small Business, 10(3), 339–358.Google Scholar
  8. Baum, J., & Locke, E. (2004). The relationship of entrepreneurial traits, skill, and motivation to subsequent venture growth. Journal of Applied Psychology, 89(4), 587–598.Google Scholar
  9. Bjornali, E., & Støren, L. (2012). Examining competence factors that encourage innovative behavior by European higher education graduate professionals. Journal of Small Business and Enterprise Development, 19(3), 402–423.Google Scholar
  10. Bolton, D., & Lane, M. (2012). Individual entrepreneurial orientation: Development of a measurement instrument. Education + Training, 54(2/3), 219–233.Google Scholar
  11. Boore, J., & Porter, S. (2011). Education for entrepreneurship in nursing. Nurse Education Today, 31(2), 184–191.Google Scholar
  12. Bosma, N., Stam, E., & Wennekers, S. (2010). Intrapreneurship: An international study. Scientific analysis of entrepreneurship and SMEs. Zoetermeer, 9(1), 1–29.Google Scholar
  13. Burgess, C. (2013). Factors influencing middle managers’ ability to contribute to corporate entrepreneurship. International Journal of Hospitality Management, 32, 193–201.Google Scholar
  14. Chan, K., Ho, M., Kennedy, J., Uy, M., Kang, B., Chernyshenko, O., & Yu, K. (2017). Who wants to be an intrapreneur? Relations between employees’ entrepreneurial, professional, and leadership career motivations and intrapreneurial motivation in organizations. Frontiers in Psychology, 8, 1–11. Scholar
  15. Chen, C., Green, P., & Crick, A. (1998). Does entrepreneurial self-efficacy distinguish entrepreneurs from managers? Journal of Business Venturing, 13(4), 295–316.Google Scholar
  16. Colombo, M., & Grilli, L. (2005). Founders’ human capital and the growth of new technology-based firms: A competence-based view. Research Policy, 34(6), 795–816.Google Scholar
  17. Cools, E., & Van den Broeck, H. (2007). The hunt for the Heffalump continues: Can trait and cognitive characteristics predict entrepreneurial orientation. Journal of Small Business Strategy, 18(2), 23–41.Google Scholar
  18. Cornell, D. (1987). Intrapreneurship in Nursing. Nursing Management, 18(8), 20-23.Google Scholar
  19. Covin, J., & Wales, W. (2012). The measurement of entrepreneurial orientation. Entrepreneurship Theory and Practice, 36(4), 677–702.Google Scholar
  20. Csíkszentmihályi, M. (1990). Flow: The Psychology of Optimal Experience. New York: Harper & Row.Google Scholar
  21. Dabić, M., Ortiz-De-Urbina-Criado, M., & Romero-Martínez, A. (2011). Human resource management in entrepreneurial firms: A literature review. International Journal of Manpower, 32(1), 14–33.Google Scholar
  22. Darbyshire, P. (2014). An idea whose time has come: Nursing entrepreneurialism. Whitireia Nursing & Health Journal, 21, 9-14.Google Scholar
  23. Díaz-García, C., Sáez-Martínez, F., & Jiménez-Moreno, J. (2015). Assessing the impact of the “Entrepreneurs” education programme on participants’ entrepreneurial intentions. RUSC Universities and Knowledge Society Journal, 12(3), 17–31.Google Scholar
  24. Douglas, E., & Fitzsimmons, J. (2013). Intrapreneurial intentions versus entrepreneurial intentions: Distinct constructs with different antecedents. Small Business Economics, 41(1), 115–132.Google Scholar
  25. Edelman, L., Brush, C., Manolova, T., & Greene, P. (2010). Start-up motivations and growth intentions of minority nascent entrepreneurs. Journal of Small Business Management, 48(2), 174–196.Google Scholar
  26. Ennew, C., Whynes, D., Jolleys, J., & Robinson, P. (1998). Entrepreneurship and innovation among GP fundholders. Public Money & Management, 18(1), 59–64.Google Scholar
  27. Farashah, A. (2013). The process of impact of entrepreneurship education and training on entrepreneurship perception and intention: Study of educational system of Iran. Education Training, 55(8/9), 868–885.Google Scholar
  28. Fayolle, A., & Gailly, B. (2015). The impact of entrepreneurship education on entrepreneurial attitudes and intention: Hysteresis and persistence. Journal of Small Business Management, 53(1), 75–93.Google Scholar
  29. Fayolle, A., & Klandt, H. (2006). International Entrepreneurship Education: Issues and Newness. Cheltenham: Edward Elgar Publishing.Google Scholar
  30. Fayolle, A., Liñán, F., & Moriano, J. (2014). Beyond entrepreneurial intentions: Values and motivations in entrepreneurship. International Entrepreneurship and Management Journal, 10(4), 679–689.Google Scholar
  31. Ferreira, J. (2010). Corporate entrepreneurship and small firms growth. International Journal of Entrepreneurship and Small Business, 10(3), 386–409.Google Scholar
  32. Flynn, L., & Goldsmith, R. (1999). A short, reliable measure of subjective knowledge. Journal of Business Research, 46(1), 57–66.Google Scholar
  33. Fornell, C., & Larcker, D. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39–50.Google Scholar
  34. Franco, M., & Pinto, J. (2017). Intrapreneurship practices in municipal archives: A practice-oriented study. Journal of Librarianship and Information Science, 49(2), 165–179.Google Scholar
  35. García-Morales, V., Bolívar-Ramos, M., & Martín-Rojas, R. (2014). Technological variables and absorptive capacity’s influence on performance through corporate entrepreneurship. Journal of Business Research, 67(7), 1468–1477.Google Scholar
  36. Gartner, W. (1989). “Who is an entrepreneur?” is the wrong question. Entrepreneurship Theory and Practice, 13(4), 47–68.Google Scholar
  37. Gündoğdu, M. (2012). Re-thinking entrepreneurship, intrapreneurship, and innovation: A multi-concept perspective. Procedia – Social and Behavioral Sciences, 41, 296–303.Google Scholar
  38. Hewison, A., & Badger, F. (2006). Taking the initiative: nurse intrapreneurs in the NHS. Nursing Management, 13(3), 14-19Google Scholar
  39. Huse, M. (2007). Boards, Governance and Value Creation: The Human Side of Corporate Governance. Cambridge: Cambridge University Press.Google Scholar
  40. Jaén, I., & Liñan, F. (2013). Work values in a changing economic environment: The role of entrepreneurial capital. International Journal of Manpower, 34(8), 939–960.Google Scholar
  41. Kearney, C., Hisrich, R., & Roche, F. (2008). A conceptual model of public sector corporate entrepreneurship. International Entrepreneurship and Management Journal, 4(3), 295–313.Google Scholar
  42. Koe, W. (2016). The relationship between Individual Entrepreneurial Orientation (IEO) and entrepreneurial intention. Journal of Global Entrepreneurship Research, 6(3).
  43. Kollmann, T., Christofor, J., & Kuckertz, A. (2007). Explaining individual entrepreneurial orientation: Conceptualisation of a cross-cultural research framework. International Journal of Entrepreneurship and Small Business, 4(3), 325–340.Google Scholar
  44. Lages, M., Marques, C. S., Ferreira, J., & Ferreira, F. (2017). Intrapreneurship and firm entrepreneurial orientation: Insights from the health care service industry. International Entrepreneurship and Management Journal, 13(3), 837–854.Google Scholar
  45. Liñán, F. (2008). Skill and value perceptions: How do they affect entrepreneurial intentions? International Entrepreneurship and Management Journal, 4(3), 257–272.Google Scholar
  46. Liñán, F., & Chen, Y.W. (2009). Development and cross-cultural application of a specific instrument to measure entrepreneurial intentions. Entrepreneurship Theory and Practice, 33(3), 593–617.Google Scholar
  47. Liñán, F., & Fayolle, A. (2015). A systematic literature review on entrepreneurial intentions: Citation, thematic analyses, and research agenda. International Entrepreneurship and Management Journal, 11(4), 907–933.Google Scholar
  48. Liñán, F., Cohard, J., & Cantuche, J. (2011). Factors affecting entrepreneurial intention levels: A role for education. Entrepreneurial Management Journal, 7(2), 195–218.Google Scholar
  49. Lindh, I., & Thorgren, S. (2016). Entrepreneurship education: The role of local business. Entrepreneurship & Regional Development, 28(5/6), 313–336.Google Scholar
  50. Lumpkin, G. & Dess, G. (1996). Clarifying the entrepreneurial orientation construct and linking it to performance. Academy of Management Review, 2181, 135-172.Google Scholar
  51. Mackenzie, S., Podsakoff, P., & Podsakoff, N. (2011). Construct measurement and validation procedures in MIS and behavioral research: Integrating new and existing techniques. MIS Quarterly, 35(2), 293–334.Google Scholar
  52. Malik, N., Dhar, R., & Handa, S. (2016). Authentic leadership and its impact on creativity of nursing staff: A cross sectional questionnaire survey of Indian nurses and their supervisors. International Journal of Nursing Studies, 63(1), 28–36.Google Scholar
  53. Manion, J. (1990). Change From Within: Nurse Intrapreneurs as Health Care Innovators. Kansas City: American Nurses Association.Google Scholar
  54. Marques, C., Ferreira, J., Ferreira, F., & Lages, M. (2013). Entrepreneurial orientation and motivation to start up a business: Evidence from the health service industry. International Entrepreneurship and Management Journal, 9(1), 77–94.Google Scholar
  55. Marques, C. S., Valente, S., & Lages, M. (2018). The influence of personal and organisational factors on entrepreneurship intention: An application in the health care sector. Journal of Nursing Management.
  56. Parker, S. (2011). Intrapreneurship or entrepreneurship? Journal of Business Venturing, 26(1), 19–34.Google Scholar
  57. Pearce, J., Fritz, D., & Davis, P. (2010). Entrepreneurial orientation and the performance of religious congregations as predicted by rational choice theory. Entrepreneurship Theory and Practice, 34(1), 219–248.Google Scholar
  58. Pinchot, G. (1985). Intrapreneuring: Why You Don’t Have to Leave the Corporation to Become an Entrepreneur. New York: Harper & Row.Google Scholar
  59. Piperopoulos, P., & Dimov, D. (2016). Burst bubbles or build steam? Entrepreneurship education, entrepreneurial self-efficacy, and entrepreneurial intentions. Journal of Small Business Management, 53(4), 970–985.Google Scholar
  60. Rauch, A., & Frese, M. (2007). Born to be an entrepreneur? Revisiting the personality approach to entrepreneurship. In J. Baum, M. Frese, & R. Baron (Eds.), The Psychology of Entrepreneurship (pp. 41–65). Mahwah: Erlbaum.Google Scholar
  61. Rodrigues, G. (2010). Intrapreneurship in a fast growing economy: A study of the Emirates of Dubai. The Business Review, 2(15), 144–151.Google Scholar
  62. Rojas, R., Morales, V., & Ramos, M. (2013). Influence of technological support, skills and competencies, and learning on corporate entrepreneurship in European technology firms. Technovation, 33(12), 417–430.Google Scholar
  63. Sánchez, J. (2013). The impact of an entrepreneurship education program on entrepreneurial competencies and intention. Journal of Small Business Management, 51(3), 447–465.Google Scholar
  64. Sayeed, O., & Gazdar, M. (2003). Intrapreneurship: Assessing and defining attributes of intrapreneurs. Journal of Entrepreneurship, 12(1), 75–89.Google Scholar
  65. Shrout, P., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445.Google Scholar
  66. Sinha, N., & Srivastava, K. (2013). Association of personality, work values and socio-cultural factors with intrapreneurial orientation. The Journal of Entrepreneurship, 22(1), 97–113.Google Scholar
  67. Solesvik, M. (2013). Entrepreneurial motivations and intentions: Investigating the role of education major. Education Training, 55(3), 253–271.Google Scholar
  68. Teng, B. (2007). Corporate entrepreneurship activities through strategic alliances: A resource-based approach toward competitive advantage. Journal of Management Studies, 44(1), 119–142.Google Scholar
  69. Urbano, D., Alvarez, C., & Turró, A. (2013). Organizational resources and intrapreneurial activities: An international study. Management Decision, 51(4), 854–870.Google Scholar
  70. Vantilborgh, T., Joly, J., & Pepermans, R. (2015). Explaining entrepreneurial status and success from personality: An individual-level application of the entrepreneurial orientation framework. Psychologica Belgica, 55(1), 32–56.Google Scholar
  71. Watchravesringkan, K., Hodges, N., Yurchisin, J., Hegland, J., Karpova, E., Marcketti, S., & Yan, R. (2013). Modeling entrepreneurial career intentions among undergraduates: An examination of the moderating role of entrepreneurial knowledge and skills. Family and Consumer Sciences Research Journal, 41(3), 325–342.Google Scholar
  72. Wiklund, J. (1998). Entrepreneurial orientation as predictor of performance and entrepreneurial behavior in small firms. In P. Reynolds, W. Bygrave, N. Carter, S. Manigart, C. Mason, G. Meyer, & K. Shaver (Eds.), Frontiers of Entrepreneurship Research (pp. 281–296). Babson: Babson College.Google Scholar
  73. Wilson, F., Kickul, J., & Marlino, D. (2007). Gender, entrepreneurial self-efficacy, and entrepreneurial career intentions: Implications for entrepreneurship education. Entrepreneurship Theory and Practice, 30(1), 387–406.Google Scholar
  74. Wilson, A., Whitaker, N., & Whitford, D. (2012). Rising to the challenge of health care reform with entrepreneurial and intrapreneurial nursing initiatives. Online Journal of Issues in Nursing.
  75. Wunderer, R. (2001). Employees as “co-intrapreneurs”: A transformation concept. Leadership & Organization Development Journal, 22(5), 193–211.Google Scholar
  76. Zahra, S., & Hayton, J. (2008). The effect of international venturing on firm performance: The moderating influence of absorptive capacity. Journal of Business Venturing, 23(2), 195–220.Google Scholar
  77. Zahra, S., & Neubaum, D. (1998). Environmental diversity and the entrepreneurial activities of new ventures. Journal of Developmental Entrepreneurship, 3(2), 123–140.Google Scholar
  78. Zahra, S., Filatotchev, I., & Wright, M. (2009). How do threshold firms sustain corporate entrepreneurship? The role of boards and absorptive capacity. Journal of Business Venturing, 24(3), 248–260.Google Scholar
  79. Zhang, Z., Wan, D., & Jia, M. (2008). Do high-performance human resource practices help corporate entrepreneurship? The mediating role of organizational citizenship behavior. The Journal of High Technology Management Research, 19(2), 128–138.Google Scholar
  80. Zhao, H., Seibert, S., & Lumpkin, G. (2010). The relationship of personality to entrepreneurial intentions and performance: A meta-analytic review. Journal of Management, 36(2), 381–404.Google Scholar

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Authors and Affiliations

  1. 1.Department of Economics, Sociology and Management & CETRAD Research UnitUniversity of Trás-os-Montes and Alto DouroVila RealPortugal
  2. 2.Department of Business and Economics & NECE Research UnitUniversity of Beira InteriorCovilhãPortugal
  3. 3.ISCTE Business School, BRU-IUL, University Institute of Lisbon, Portugal & Fogelman College of Business and EconomicsUniversity of MemphisMemphisUSA

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