Health Management

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Chapter 3

MANAGEMENT AND MOTIVATION

Introduction

Motivation

  • According to Webster’s New Collegiate Dictionary ….
  • Motive
  • “something (a need or desire) that causes a person to act.”
  • Motivate
  • “to provide with a motive.”
  • Motivation
  • “the act or process of motivating.”

Motivated versus Engaged

  • The concepts go hand-in-hand
  • Engaged healthcare employees display the following characteristics:
  • Are more productive
  • Are more focused on patient care and treatment
  • Are safer
  • Are loyal to their employers
  • Model positive behaviors of engagement
  • Witness greater profitability for a provider than a disengaged employer

Why Motivation Matters

  • Motivated employees…
  • Are fully engaged in their work
  • Contribute at a much higher level
  • Are invested, happier, and loyal
  • Motivated employees motivate others
  • Influence better organizational outcomes resulting in a better competitive advantage for the organization

History of Motivation

  • Not a new concept
  • Athens and the Grecian empire
  • 1809, William James
  • 1943, Clark Hull
  • 1940, human behavior in the workplace

Theories of Motivation

  • Psychologists study motivation from the perspectives of:
  • Needs at different levels
  • Extrinsic factors
  • Intrinsic factors
  • Integration of needs, extrinsic and intrinsic factors

Maslow’s Hierarchy of Needs

  • Physiological needs – food, water, sexual drive, etc.
  • Safety needs – shelter, jobs, pay, etc.
  • Belonging needs – social interactions, etc.
  • Esteem needs – status, recognition, etc.
  • Self-actualization needs – achievement, personal development and growth, etc.

Other Need-based
Motivation Theories

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Extrinsic Factor Theory of Motivation

  • Skinner’s Reinforcement Theory
  • Positive Reinforcement
  • Avoidance Learning = Negative Reinforcement
  • Punishment
  • Extinction

Intrinsic Factor Theories of Motivation

  • Adam’s Equity Theory
  • Vroom’s Expectancy Theory
  • Locke’s Goal Setting Theory

Management Theories of Motivation

  • Taylor’s Scientific Management
  • McGregor’s Theory X and Theory Y
  • Ouchi’s Theory Z
  • Integrative Model of Motivation

Extrinsic Rewards: Tangibles

Intrinsic Rewards: Intangibles

  • Healthy relationships – feeling a sense of connection
  • Meaningful vs. meaningless work
  • Competence
  • Choice and participation in decision-making
  • Progress – accountability, meeting milestones

Myths about Motivation and Satisfaction

  • “Although I’m not motivated by extrinsic rewards, others are”
  • All motivation is intrinsic
  • Some people just are not motivated
  • People are motivated by money
  • Motivation is manipulation
  • One-size-fits-all reward programs
  • Motivational people are born, not made
  • There’s only one kind of employee satisfaction

Motivational Strategies

Motivating Across Generations

  • Traditionalist (b. before 1945)
  • Baby Boomer (b. between 1946-1964)
  • Generation X (b. between 1965-1978)
  • Millennials (b. between 1979-present)
  • NB. Refer to Table 3-1 for comparisons of characteristics and motivational preferences across generations.

Whether you think you can
or
you think you can’t,
you’re right!

Henry Ford

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