Date of Conferral

9-11-2026

Date of Award

September 2026

Degree

Doctor of Business Administration (D.B.A.)

School

Management

Advisor

Theresa Neal

Abstract

Employee turnover and declining workplace productivity remain persistent challenges for healthcare organizations operating in a rapidly evolving industry environment. Healthcare leaders are concerned about employees’ intent to leave, as it is the strongest predictor of rising turnover, directly threatening both productivity and organizational stability. Grounded in equity theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies healthcare leaders use to retain employees and increase workplace productivity in a changing healthcare environment. The participants were seven healthcare leaders who had implemented effective strategies to retain employees and increase workplace productivity in a changing healthcare environment. Data were collected using semistructured interviews, a review of public organizational documents, and related artifacts. Through thematic analysis, four themes were identified: (a) transparent multichannel communication and employee voice; (b) training and supportive relational leadership; (c) flexibility, work life balance, and well being; and (d) managing change, resistance, and technology adoption. A key recommendation is for healthcare leaders to adopt equity centered leadership practices that integrate transparent communication, personalized support, and flexible work policies to strengthen retention and enhance productivity. The implications for positive social change include the potential to strengthen workforce stability, reduce employee turnover, and improve the quality of care across diverse healthcare settings, benefiting healthcare employees, patients, and the communities they serve.

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