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.

Write a four to six (4-6) page paper in which you:
1. Investigate the major demotivational 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 demotivational 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.

Deliverables
1. Describe the healthy meal that you have created from the fast food restaurant using the nutritional value of menu items.
a. Name the restaurant and then, write a nutritional analysis of the meal you have created (explain all of the nutrients found in the meal like carbs, protein, fat, and some essential vitamins and minerals)
b. Discuss your reaction to the analysis-Make sure to explain why you feel the way you do about this meal. For example, if your meal is composed primarily of fat, discuss that point; if you meal supplies a lot of sugar per serving, discuss that as well. Please also remember to link excess or limited amounts of nutrients with diseases or the potential for disease (too much fat may put you at risk for heart disease, not enough calcium may not support bone health, etc. Please make sure this section is as detailed as possible.
c. How will this information affect your future food choices? Make sure to explain why/why not you will eat this meal again and support your answer with the information found in the above sections.

2. Describe the unhealthiest meal that you have created from the fast food restaurant using the nutritional value of menu items.
a. Name the restaurant and then, write a nutritional analysis of the meal you have created (explain all of the nutrients found in the meal like carbs, protein, fat, and some essential vitamins and minerals)
b. Discuss your reaction to the analysis Make sure to explain why you feel the way you do about this meal. For example, if your meal is composed primarily of fat, discuss that point; if you meal supplies a lot of sugar per serving, discuss that as well. Please also remember to link excess or limited amounts of nutrients with diseases or the potential for disease (too much fat may put you at risk for heart disease, not enough calcium may not support bone health, etc. Please make sure this section is as detailed as possible.
c. How will this information affect your future food choices? Make sure to explain why/why not you will eat this meal again and support your answer with the information found in the above sections.