Imagine that you have been appointed the Director of Health at the Kaluyu Memorial Hospital in Nairobi, Kenya – a for-profit
hospital. The facility is also a referral hospital and receives severe cases of accidents, chronicle / communicable diseases
and houses an HIV / AIDS ward. As you settle into your position, you realize that the employees always act scared as they
approach their superiors. Some of the employees even deliver files and leave your office in a hurry.
As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a
sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You
realize that the employees are always looking forward to the end of their shifts to go home. Some employees even come back
to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give
weak reasons for their tardiness.
There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference
calls some employees are always quiet and never participate. You notice that people with families tend to gather and talk
quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants and
the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital
expenses are higher than the industry standard, and it makes losses year after year.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four page paper in which you:
1. Investigate the major de-motivational factors at Kaluyu Memorial Hospital. Assess the level of impact that the identified
factors could have on specific areas of service and business if the administration does not address the situation. Support
your response with at least two (2) examples of the potential negative impact of the identified de-motivational factors on
the hospital.
2. Choose Maslow’s, Herzberg’s, or McClelland’s model of motivation, and argue the primary reasons why it is applicable to
the Kaluyu Memorial Hospital scenario.
3. Formulate a communication system that will have the greatest impact on improving the situation, and specify the major
reasons why your system will influence the employee behaviors for the better. Justify your response.
Use four recent (within the last five year) quality academic resources in this assignment.