You are an external OD practitioner. The HR director of a hospital, Lee, calls on you for your consultation services. Lee tells you that they need help because morale amongst nurses is at an all-time low. They also mention that the hospital has been trying to change its culture to become more patient and profit-centric. Upon entering and contracting, you've asked to speak with the key stakeholders to get a better idea of what is going on.

The first person you speak with is Alex, the Chief HR Officer (CHRO). Alex tells you they are concerned about the poor relationships between the nurses, their unit managers, and the doctors. The unit managers are upset with the way the doctors bypass them and shout at their nurses, and both the nurses and their managers think the doctors are arrogant and to blame for the poor morale in the hospital.

Next, you speak with Cam, the president and CEO. Cam tells you that senior leadership views the doctors as clients and partners of the hospital, and there is great concern about them not being pleased. The doctors chose to locate their independent practices at the hospital and have the freedom to take their business to another hospital, anytime they wanted. Cam explains further that it is important to keep the doctors happy because losing specialists to competing hospitals would affect the hospital's brand and offering - as well as its profitability. Cam also mentions how tiring it is to be the only leader that actually trying to lead the organization and wishes that those in leadership positions would begin to take responsibility and act as leaders.

When you meet with Lee to follow up, Lee tells you that senior leadership would like you to facilitate a one-day workshop for all internal managers in the hospital. They want the workshop objective to be: "To help the managers develop a common focus regarding what they need as a united team, over the next 18 months to improve morale."

From a process consultation perspective:

1. What is your preliminary diagnosis of what is happening?
2. Who are your clients? Specifically, who are your primary client, intermediate clients, and ultimate clients? (you can put this answer in bullet points)
3. What would you do to intervene (i.e., how would you respond to this request)? Would you facilitate the workshop? Why or why not?