Professional Documents
Culture Documents
reference to Enas Hybrid Hospital is a case study type which was conducted to
Employee motivation is one of the major issues faced by every organization. It is the
major task of every manager to motivate his subordinates or to create the ‘will to
work’ among the subordinates. A worker may be immensely capable of doing some
work well. Hence this study also evaluates employees’ level of satisfaction of
Both primary and secondary source were used for collection of data for the research.
The data needed for the study was collected from the employees through
questionnaires and direct interviews. Analysis has been presented through tables
and interpreted.
At the end of the study, the researcher was able to come out with some of the
such factors.
The researcher came out with the findings that, 58% of the employees of the hospital
are dissatisfied with the level of motivation they receive at the workplace and 38%
The researcher proposed that, management of the hospital should provide security
for the employees, employee salaries must be increased periodically, recognition and
promotion should be given when due, employees should be given the opportunity to
1
advance their career and also quality working conditions should be provided to
CHAPTER ONE
2
INTRODUCTION OF THE STUDY
1.0 INTRODUCTION
The introduction elaborates on the following; the profile of Enas Hybrid Hospital,
of the study, the scope and limitation of the research and organization of the work.
Enas Hybrid Hospital is sited in Kumasi, the Regional Capital of Ashanti Region
It is a private hospital which aims to provide effective and affordable care in Primary
religious background.
In its ambition to provide high quality healthcare, the hospital has sponsored local
doctors and other healthcare professionals to travel to the U.K. for Postgraduate
training. There are also plans to upgrade the facilities and standard of care to the
With approximately 300 beds, Enas Hybrid is one of the few orthopaedic hospitals in
Ghana with a surprising catchment area encompassing the entire West African Sub-
continent. Patients from the Ivory Coast, Nigeria, Burkina Faso, Liberia and Togo are
In 2004, there were 32,192 new out-patients and 9,881 re- attendees, with 11% from
outside the Ashanti Region and 1% from neighbouring countries. Total admissions
were 1,262 with 53 reported deaths. A total of 1,119 surgical procedures were carried
out, around 60% being related to Orthopaedic Trauma. The Primary Heath Care Unit
3
The Hospital has around 150 employees and the Government of Ghana supports the
MISSION STATEMENT
The mission of the hospital is to provide quality services to meet the needs and
expectations of all its clients. This will be achieved through well-motivated and
VISION STATEMENT
The word motivation is coined from the Latin word "movere", which means to move.
direction. The term motivation theory is concerned with the processes that describe
why and how human behavior is activated and directed. It is regarded as one of the
The job of a manager in the workplace is to get things done through employees. To
do this the manager should be able to motivate employees. But that's easier said than
done!
Human nature can be very simple, yet very complex too. An understanding and
Every person has different reasons for working. The reasons for working are as
individual as the person. But, we all work because we obtain something that we need
from work. The something obtained from work impacts morale, employee
4
employees must be treated as if they matter - because employees matter. These ideas
help fulfill what people want from work and create employee motivation.
The success of any business depends largely on the motivation of the employees.
performance is possible.
The research problem in this study is associated with the motivation of employees of
Enas Hybrid Hospital. There are a variety of factors that can influence a person’s
level of motivation. Some of these factors include; the level of pay and benefits, the
motivation and job satisfaction are clearly linked. It is the mission of Enas Hybrid
Hospital to provide quality services to meet the needs and expectations of all its
clients. This they want to achieve through well-motivated and committed staff
However, the staffs are not motivated which is preventing management of the
organization from achieving their mission. Hence this study is focusing on the
follows:
5
Examine the important factors which will motivate employees using Enas
organizations. Motivation has variety of effects. These effects may be seen in the
turnover.
This study will help the researcher realize the important factors that help to motivate
employees. It will also help to provide insights to support future research regarding
Appropriate data was collected from primary and secondary sources by the
gathered from textbooks, journals, and other related publications. The raw data
6
Some of the data collected were through questionnaire administration and the
The sample taken for the study was only 50 and the results drawn may not be
accurate.
Since the organization has strict control, it was another barrier for getting data.
The case study is made up of three sections namely the introduction, body and
Chapter two takes care of the review of related literature to the study.
Chapter three also talks of the methodology, analysis and presentation of findings.
CHAPTER TWO
LITERATURE REVIEW
2.0 INTRODUCTION
7
Rensis Likerthas called motivation as the core of management. Motivation is an
effective instrument in the hands of the management in inspiring the work force.It is
the major task of every manager to motivate his subordinates or to create the will to
work among the subordinates .It should also be remembered that the worker may be
immensely capable of doing some work; but nothing can be achieved if he is not
willing to work. Creation of a will to work is motivation in simple but true sense of
term.
Motivation is an important function which every manager performs for actuating the
well-conceived instructions and orders does not mean that they will be followed .A
follow them. Effective motivation succeeds not only in having an order accepted but
In order to motivate workers to work for the organizational goals, the managers
must determine the motives or needs of the workers and provide an environment in
which appropriate incentives are available for their satisfaction. If the management is
successful in doing so, it will also be successful in increasing the willingness of the
workers to work. This will increase efficiency and effectiveness of the organization.
There will be better utilization of resources and workers abilities and capacities.
The word motivation has been derived from motive which means any idea, need or
emotion that prompts a man into action. Whatever may be the behavior of man, there
is some stimulus behind it .Stimulus is dependent upon the motive of the person
There is no universal theory that can explain the factors influencing motives which
control man’s behavior at any particular point of time. In general, the different
8
motives operate at different times among different people and influence their
behaviors. The process of motivation studies the motives of individuals which cause
Motivation involves getting employees to pull weight effectively, to give their loyalty
and carry out properly the purpose of the organization. The following results may be
will cooperate voluntarily with the management and will contribute their
and knowledge so that they are able to contribute to the progress of the
The rates of labor’s turnover and absenteeism among the workers will be low.
There will be good human relations in the organization as friction among the
workers themselves and between the workers and the management will
decrease.
the organization. Wastage and scrap will be less. Better quality of products
9
2.3MOTIVATION PROCESS
Identification of need
Tension
Course of action
Feed back
Understanding what motivated employees and how they were motivated was the
focus of many researchers following the publication of the Hawthorne study results
(Terpstra, 1979).
Major approaches that have led to the understanding of motivation are McClelland’s
In all, the theories could be grouped into content and process theory of motivation.
Content theories are sometimes called need theories. They are theories of explaining
the specific things that actually motivate people at work. Such theories focus
attention on identifying the apparent needs, drives and wants of individuals. They
Process theories can concentrate on the processes involved when individuals make
decision about things that they perceive as important to them. They are more
concerned with how behavior is initiated, directed and sustained. Thus, how people
become motivated. Such theories include Vroom’s theory and Adam’s equity theory.
10
McClelland’s Achievement Need Theory
Need for Achievement; this need is the strongest and lasting motivating
factor, particularly in case of persons who satisfy the other needs. They are
constantly pre occupied with a desire for improvement and look for situation
in which successful outcomes are directly correlated with their efforts. They
set more difficult but achievable goals for themselves because success with
Need for Power; it is the desire to control the behavior of other people and to
style.
Need for affiliation; it is the related to social needs and creates friendship.
McGregor’s Theories
X Theory
This theory simply assumes that people dislike work and responsibility.
avoid responsibility, have little ambition and want security above all.
Y Theory
The average human being does not inherently dislike work, because work can be a
source of satisfaction.
The intellectual basis for most motivation thinking has been provided by behavioral
scientists, A.H Maslow and Frederick Herzberg, whose published works are the
“Bible of Motivation”. Although Maslow himself did not apply his theory to industrial
situation, it has wide impact for beyond academic circles. Douglas McGregor has
industrial relations.
12
The crux of Maslow’s theory is that human needs are arranged in hierarchy
composed of five categories. The lowest level needs are physiological and the highest
levels are the self-actualization needs. Maslow starts with the formation that man is a
wanting animal with a hierarchy of needs of which some are lower in scale and
others are in a higher scale or system of values. As the lower needs are satisfied,
higher needs emerge. Higher needs cannot be satisfied unless lower needs are
fulfilled.
A satisfied need is not a motivator. This resembles the standard economic theory of
routine tool of personnel trade and when these needs are active, they act as powerful
In his hierarchy of needs; the main needs of men are five. They are physiological
needs, safety needs, social needs, ego needs and self-actualization needs, as shown in
Self- Actualization
Ego Needs
Social Needs
Safety Needs
Physiological Needs
Physiological or Body Needs: the individual move up the ladder responding first to
the physiological needs for nourishment, clothing and shelter. These physical needs
must be equated with pay rate, pay practices and to an extent with physical
Safety: the next in order of needs is safety needs, the need to be free from danger,
Social needs: going up the scale of needs, the individual feels the desire to work in a
cohesive group and develop a sense of belonging and identification with a group. He
13
feels the need to love and be loved and the need to belong and be identified with a
group.
Ego or Esteem Needs: these needs are reflected in our desire for status and
recognition, respect and prestige in the work group or work place such as is
Self-realization or Actualization needs: this upper level need is one which when
satisfied provide insights to support future research regarding strategic guidance for
organizations that are both providing and using reward or recognition programs. It
becomes growth oriented, self-oriented, directed, detached and creative. This is the
need which totally lies within oneself and there is no demand from any external
situation or person.
Herzberg conducted a research as to what motivates people to work and does not.
He came out with motivators and hygiene factors. Five factors stood out as strong
following:
Achievement
Responsibility
Advancement
14
Supervision
Salary
Interpersonal relations
Working conditions
Herzberg concluded that the two feeling are not the opposite of one another, but
Hygiene factors are purely preventive, if the organization provides them it will
prevent the workers from being dissatisfied with their job, but they will not motivate
conducted his researches among rats and school children. He found that stimulus for
industrial situation, the relevance of this theory may be found in the installation of
More immediate is the reward and stimulation. Withdrawal of reward in case of low
standard work may also produce the desired result. However, researches show that
behavior.
This theory focuses on people’s feeling of how fairly they have been treated in
compares his or her job inputs outcome ratio with that of his colleagues in order to
15
determine how fair the organization has been. If the employee perceives inequity, he
or she will act to correct the inequity: lower productivity, reduced quality, increased
Vroom’s theory is based on the belief that employee effort will lead to performance
and performance will lead to rewards (Vroom, 1964). Reward may be either positive
or negative. The more positive the reward the more likely the employee will be
highly motivated. Conversely, the more negative the reward the less likely the
2.5MOTIVATION CONCEPTS
because it either brings them pleasure, they think it is important, or they feel that
what they are learning is morally significant. Intrinsic motivation has been studied
by social and educational psychologists since the early 1970s. Research has found
students. Intrinsic motivation has been explained by Fritz Heider's attribution theory,
Bandura's work on self-efficacy and Ryan and Deci's cognitive evaluation theory.
motivations are rewards like money and grades, coercion and threat of punishment.
beat others, not to enjoy the intrinsic rewards of the activity. A crowd cheering on the
2.6 INCENTIVES
human needs and creates the desire to work. Thus, an incentive is a means of
16
motivation. In organizations, increase in incentive leads to better performance and
vice versa.
satisfied. If one need is satisfied, the other need arises. In order to motivate
employees, management should try to satisfy their needs. For this purpose, both
workers.
Financial incentives or motivators are those which are associated with money. They
include wages and salaries, fringe benefits, bonus, retirement benefits and medical
reimbursement.
Non-financial motivators are those which are not associated with monetary rewards.
There is an old saying; you can take a horse to the water but you cannot force it to
drink; it will drink only if it's thirsty - so with people. They will do what they want to
the 'ivory tower' they must be motivated or driven to it, either by themselves or
If they are born with the self-motivation or drive, they can be motivated, for
motivation is a skill which can and must be learnt. This is essential for any business
17
Ability in turn depends on education, experience and training and its improvement
is a slow and long process. On the other hand motivation can be improved quickly.
There are many options and an uninitiated manager may not even know where to
start.
Restructuring jobs
Essentially, there is a gap between an individual’s actual state and some desired state
and the manager tries to reduce this gap. Motivation is, in effect, a means to reduce
CHAPTER THREE
3.0 INTRODUCTION
This segment of the study comprises of the methods that were used for the collection
18
The methodology consists of the sampling design, sample size, study population and
The objectives of the study are to; examine the important factors which will motivate
employees using Enas Hybrid Hospital as a case study, evaluate the employees’ level
of the hospital.
The section employed the best means of getting information on the topic.
A sample design is a finite plan for obtaining a sample from a given population.
Number of the sampling units selected from the population is called the size of the
sample. 50 employees were used as the sample size for the research.
The procedure adopted in the study is probability sampling, which is also known as
PRIMARY SOURCES
Primary data are in the form of “raw material” to which statistical methods are
The primary source used for the study was in the form of interaction with the
SECONDARY SOURCES
Secondary data’s are in the form of finished products as they have already been
Secondary data mainly consists of data and information collected from records,
company websites and also discussion with the management of the organization.
Secondary data was also collected from journals, magazines and books.
3.2-1 INTRODUCTION
This part of the study deals with the information obtained in the course of the
research. In the analysis, the researcher presented some of the information obtained
Table (1) depicts the factors that motivate employees the most.
20
Number of
No Motivational Factor Respondents Percentage
1 Security 12 24
2 Salary increase 9 18
3 Recognition 7 14
4 Promotion 6 12
5 Career advancement 5 10
7 Fairness 3 6
8 Job design 2 4
9 Leave 1 2
10 Motivational talk 1 2
TOTAL 50 100
Response from employees was 100%. The table shows that 24% of the respondents
responded that security( job security and payment of social security)motivates them
the most, Salary increase follows with 18%, Recognition 14%, Promotion 12%, Career
21
Table (2) depicts the present level of satisfaction of employee motivation at Enas
Hybrid Hospital.
Number of
NO Level of satisfaction Respondents Percentage
1 Highly satisfied 0 0
2 Satisfied 1 2
3 Neutral 1 2
4 Dissatisfied 29 58
5 Highly dissatisfied 19 38
Total 50 100
The table shows that 58% of the employees are dissatisfied with the present level of
employees were however highly dissatisfied. Out of the 50 employees who filled the
questionnaire, only one was satisfied with the present level of motivation.
About half of the 50 employees interviewed said they receive inadequate recognition
and reward: they reported of receiving little or no credit, and almost two-thirds say
management is much more likely to criticize them for poor performance than praise
them for a good work done. As a result of this they do not view themselves as
therefore decreased.
20% of those interviewed confessed that as a result of this they had lost interest in
working for the organisation and the only reason they are still there was because
they had not found another job yet. Some report to work very late and others pour
out their anger on patients by treating them badly. Its effect is that, the hospital has
CHAPTER FOUR
4.1 INTRODUCTION
22
This chapter looks at the conclusions and recommendations made by the researcher
as the study sought to identify the factors which will motivate employees in hospitals
using Enas Hybrid Hospital as a case study. The researcher made appropriate
4.1 CONCLUSIONS
Workers in any organization need something to keep them working. Most at times
the salary of the employee is enough to keep him or her working for an organization.
However, sometimes just working for salary is not enough for employees to stay at
motivation.
Examine the important factors which will motivate employees using Enas
The study concludes that, the motivation of the employees of Enas Hybrid Hospital
is not effective. The research was conducted among 50 employees and information
From the study, the researcher was able to find some of the important factors which
23
Only if the employees are properly motivated, will they work well and only if they
work well, will the organization benefit. Steps should be taken to improve the
current level of motivation of the employees. The suggestions of this report may help
in this direction.
4.2 RECOMMENDATIONS
Most of the employees agree that the security, which includes their job and
24
hospital should try and make sure the employees are secured by putting up
insurance and pension schemes and renew or extend the contract of contract
Management of the hospital should be fair in all their dealings with the
only when employees feel their good work is being recognized that they will
life.
It is said that “all work and no play makes Jack a dull boy”, employees should
be granted leave occasionally to help them release stress so that they can
when appropriate so that they can satisfy some of their basic needs.
motivational seminars when they want to. The management of the hospital
can organize programs where they can invite motivational speakers to speak
25
26