Date of Conferral

2-23-2024

Date of Award

2-23-2024

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Eboni Green

Abstract

Nurse understaffing relates to reduced quality and safety of care in the healthcare sector, which substantially risks the nation's future health. With issues such as faculty shortage, burnout, increased workload, retirement, and increased turnover, the nursing sector has been unable to sustainably have adequate staffing to satisfy patients' needs. Nurse leaders, directly and indirectly, influence the rate of nurse retention and turnover mainly by affecting the work environment, workload, and staff motivation. Based on the leader-member exchange model, this research stipulates that an amicable and supportive relationship between leaders and followers promotes staff retention and increased productivity. The study aims to define how nurse leaders influence nurse turnover and retention rates in the workplace. To achieve this, the research questions explore the leaders' influence on nurses' burnout, turnover, and retention rates. The research design employed in this study is a quantitative method to obtain statistical evidence on the rating of leadership quality and changes in staffing. A correlational design was used to compare nurse leaders' ratings on leadership quality to the staff retention and turnover rate to determine how leadership impacts understaffing. T-tests and thematic analysis were used for quantitative data analysis. The results define the influence of nurse leaders on burnout levels, turnover, and retention rates among nurses. In addition, they provide recommendations on how leaders can play active roles in minimizing burnout and turnover to sustain quality and safe patient care.

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