Institutional Contradictions in the Management of the Labor Motivation System in the Context of Socio-Economic Transformations

In modern healthcare organizations, there is often a gap between formal rules and actual practice, which leads to ineffective motivational strategies. The system of motivation for the work of nursing staff is faced with institutional contradictions that make effective management difficult. These contradictions can manifest themselves in various aspects of management, such as the distribution of rewards, the promotion of performance and the creation of fair working conditions.