In order to enhance team functioning and to prevent the development of back wards, an institution must have a climate that motivates both staff and patients. The author summarizes the current technology for developing a motivating organizational climate, and describes the introduction of motivation factors into the climate of a hospital. Subsequent changes in morale, motivation, and innovation affected every segment of the hospital population—administrators, lineworkers, and patients—as well as departments and wards. On a 50-bed custodial back ward of chronic scbizopbrenics, motivation factors promoted more effective team functioning, improved discharge rates, and conveyed a sense of the ward as no longer backward.
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