Motivation in work is a process which implies a willingness to work hard, to direct and sustain on a long term basis one's efforts towards the achievement of goals and to transform this into obtaining the best performance from the staff. This process, supported by the personal and professional values of the individual could, as far as the caring staff are concerned, be a matter of attitude: more the individual is the author, more he is motivated. To direct the carer towards becoming an author, three elements would appear to be particularly influential: the desire to increase or at least to maintain the perceived level of prestige attached to the job, the variety within the job which enables initiative to be used as a matter of routine, the fullfilment of one's professional self, this fullfilment being inextricably bound to the notion of project.