The Medical Office Manager website offers tips for motivating staff when budgets do not allow dangling the carrot of a raise. It really comes down to effective management—and understanding the people who work for you.
Try to match people with work that really interests them, the article advises, and, while a top-down approach is best when trying to keep higher-level staff motivated (focus on them rather than those under them), be sure to engage in collaboration where possible.
Different types of employees are motivated differently. “Commanders” like to feel in control of what they do; “Organizers” like to work on the small details and appreciate when you notice this; “Relaters” enjoy consistency and reassurance; while “Entertainers” want to be popular and express themselves.