The use of humanoid robots in inpatient care facilities is increasingly being discussed - both in principle as a technical innovation and regarding structural challenges of elderly care and the acceptance of the people involved. The aim of this research is to investigate the reasons that guide the decisions of german institution managers, as representatives of middle management,  regarding the acquisition and use of humanoid robots. Based on 23 qualitatively evaluated media articles, possible motives were identified using content analysis and integrated into an interview guide. With the help of this guide and in order to take into account the missing scientific basis of the articles, semi-structured interviews were conducted with three managers of facilities that already work with humanoid robots in their inpatient care facilities. This was followed by another qualitative evaluation using a content analysis approach. The resulting category system distinguishes between three superordinate categories — strategic-organizational, practical-functional, and symbolic motives — which comprise four, six, and two subcategories, respectively. Overall, the results show that the decisions of institution managers as representatives of middle management are shaped by various framework conditions, including both active strategic objectives and structural requirements. The functions of the robot play just as much a role as hoped-for reduction in workload or symbolic effects. The research contributes to a better understanding of the introduction of humanoid robots in the inpatient care sector and the underlying decisions. It also illustrates the central role of middle management and structural framework conditions for the implication of new technologies in inpatient care facilities in Germany. (This work is based on the author's master's thesis, which was submitted to Koblenz University of Applied Sciences in 2025.)