Abstract In this research I discuss managerial issue , which is employee motivation , and its include different methods of motivation also motivation process , ways to motivate employee. The role of managers and supervisor in motivation their employee and how react with different employee behavior . The distinguish between motivation problem and others work problem , and how deal with motivation problem. Introduction As employee is one component of input on any organizations system , employees resource is not as any other resource , because we deals with human being which have psychological factors for examples; emotion , feeling , and psychological status . All these factors required appropriate understanding to react with them. The way to understanding psychological factors through determine the employees need , this is help us perceive employee Motivation. There is no specific definition for motivation many authors have also defined the concept of motivation. Motivation has been defined as: the psychological process that gives behavior purpose and direction (Kreitner, 1995); a predisposition to behave in a purposive manner to achieve specific, unmet needs (Buford, Bedeian, & Lindner, 1995); an internal drive to satisfy an unsatisfied need (Higgins, 1994); and the will to achieve (Bedeian, 1993). For this study, motivation is defined as the inner force that drives employee to accomplish organizational goals. Objectives :The first purpose of this study was to explain the importance of motivating employees: (1) job security, (2) personal loyalty to employees, (3) interesting work, (4) good working conditions, (5) good wages, (6)promotions and growth in the organization, (7) feeling of being in on things, and (8) full appreciation of work done, (9) self-actualizing factor. A secondary purpose of the study was determine the best methods to motivate organizations employees. This study do not cover specific population , it is discuss employee motivation in general , but I use such study that applied in specific population country to support my results and discus . The shortage of this study is dealing with human being behavior and characteristic which is difficult understanding and determine. Literature Review (Maslow, 1943) said about this issue , employees have five levels of needs: physiological, safety, social, ego, and self- actualizing. Maslow argued that lower level needs had to be satisfied before the next higher level need would motivate employees. On the other hand (Herzberg, Mausner, & Snyderman, 1959) make categorized motivation into two factors: motivators and hygienes. Motivator or intrinsic factors, such as achievement and recognition, produce job satisfaction. Hygiene or extrinsic factors, such as pay and job security, produce job dissatisfaction. However , (Vroom, 1964) theory is based on the belief that employee effort will lead to performance and performance will lead to rewards. Rewards 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 employee will be motivated. But (Adams, 1965) theory states that employees strive for equity between themselves and other workers. Equity is achieved when the ratio of employee outcomes over inputs is equal to other employee outcomes over inputs. Finally,(Skinner, 1953) theory simply states those employees' behaviors that lead to positive outcomes will be repeated and behaviors that lead to negative outcomes will not be repeated. Managers should positively reinforce employee behaviors that lead to positive outcomes. Managers should negatively reinforce employee behavior that leads to negative outcomes. All these theories defer in determine the needs that required to motivate employee , some of it mentioned as basic needs , however , some of them extent to other need. The employee need vary from organization to other , also from country to country , but the importance is how determine these needs to satisfy your employee. Methods I use in this study the document analysis to discuss and report results. In my search I use two libraries , first; prince Salman which is located at KSU , the second one ; was the Institute of Public Administration libraries. I depend on two books , one regarding to managerial skill and other related to health care management , also I use four studies main one was applied on The Ohio State University's. Results and Discussion comparison of our objectives the importance of motivation with Maslow's needhierarchy we notice that the number one ranked motivator, interesting work, is a selfactualizing factor. The number two ranked motivator, good wages, is a physiological factor. The number three ranked motivator, full appreciation of work done, is an esteem factor. The number four ranked motivator, job security, is a safety factor. Therefore, according to Maslow (1943), if managers want the most important motivational factor of employees, interesting work, physiological, safety, social, and esteem factors must first be satisfied. If managers want the second most important motivational factor of employees good pay increased pay would suffice. Then I compares the highest ranked motivational factor interesting work to Vroom's theory, employee just attended a staff meeting where he learned a major emphasis would be placed on seeking additional external program funds. Additionally, employees who are successful in securing funds will be given more opportunities to explore their own research and extension interests (interesting work). Next I compares the third highest ranked motivational factor full appreciation of work done to Adams's equity theory. If an employee at the feels that there is lack of appreciation for work done, as being too low relative to another employee, inequity may exist and the employee will be dis-motivated. Further, if all the employees at the organization feel that there is a lack of appreciation for work done, inequity may exist. Adams (1965) stated employees will attempt to restore equity through various means, some of which may be counter- productive to organizational goals and objectives. For instance, employees who feel their work is not being appreciated may work less or undervalue the work of other employees. Finally I compares the two highest motivational factors to Herzberg's two-factor theory. The highest ranked motivator, interesting work, is a motivator factor. The second ranked motivator, good wages is a hygiene factor. Herzberg, Mausner, & Snyderman (1959) stated that to the degree that motivators are present in a job, motivation will occur. The absence of motivators does not lead to dissatisfaction. Further, they stated that to the degree that hygiene are absent from a job, dissatisfaction will occur. When present, hygiene prevent dissatisfaction, but do not lead to satisfaction. In our example, the lack of interesting work motivator for the centers' employees would not lead to dissatisfaction. Paying centers' employees lower wages (hygiene) than what they believe to be fair may lead to job dissatisfaction. Conversely, employees will be motivated when they are doing interesting work and but will not necessarily be motivated by higher pay. In the study that applied on The Ohio State University's they found that the interesting work ranked as the most important motivational factor. Pay was not ranked as one of the most important motivational factors by Kovach (1987), but was ranked second in this research and by Harpaz (1990). Full appreciation of work done was not ranked as one of the most important motivational factors by Harpaz (1990), but was ranked second in this research and by Kovach (1987). The discrepancies in these research findings supports the idea that what motivates employees differs given the context in which the employee works. What is clear, however, is that employees rank interesting work as the most important motivational factor. Conclusion Motivation is defined as the inner force that drives employee to accomplish organizational goals. Why do we need motivated employees? because Motivated employees help organizations survive. Motivated employees are more productive. Recommendation Managers need to understand what motivates their employees . The linked between employee needs and the motivational factor help to understand what is appropriate and work with your employee . Reference - Health care management 5th Edition ( by Stephen M. Shortell , Arnold D. Kaluzny) - Management skills for the new health care supervisor Third Edition ( by William Umiker) - James R. Lindner Research and Extension Associate The Ohio State University Piketon Research and Extension Center Piketon, Ohio By : Hamad AL –Masad م2009 Academic Advisor: Dr. Saad Al-Ganim