The Covid19 pandemic has shown that the ingenuity of care workers has been pivotal in helping keep the health organizations afloat in France. This is not new and we have seen it many times in previous health or social crises, where the ingenuity of care workers has contributed to ensure rapid care. The Covid19 pandemic has merely confirmed it once again. In this paper, we seek to understand what motivates care workers in their jobs to come up with ingenious solutions and get around problems encountered and the factors that smash their motivation and inventiveness to deal with problems. In particular, we seek to understand whether their involvement in strategic decision-making in healthcare organizations could affect their motivation. The aim is to understand how the leadership style of executives in health authorities and healthcare networks can affect the motivation of health workers. To explore this question, we examine the case of health networks in France that have undergone successive restructurings initiated by the health authorities and we are particularly interested in the motivation of care workers working within health networks during these restructurings. We develop a theoretical framework around the leadership style and its impact on the motivation of actors in organizations. We seek to provide recommendations regarding the leadership style that would be most conducive to improving the motivation of care workers in French healthcare organizations.