Date of Conferral

5-3-2024

Date of Award

May 2024

Degree

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

School

Business Administration

Advisor

Jorge Gaytan

Abstract

Registered nurse (RN) turnover remains a problem for many healthcare organizations. Hospital nurse leaders are concerned with RN turnover because of its negative effect on the profitability of hospitals. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore the strategies that hospital nurse leaders use to reduce RN turnover. The participants were four hospital nurse leaders who reduced RN turnover in two hospitals in Texas. Data were collected using semistructured interviews and a review of organizational documentation. Thematic analysis of the data resulted in three themes: turnover reduction strategies, barriers or challenges to implementing retention strategies, and benefits of implementing retention strategies. A key recommendation is for hospital nurse leaders to reduce RN turnover by maintaining competitive nurse wages. The implications for positive social change include the potential to provide safe and quality health care to community residents. The money saved from reducing turnover could also allow hospital nurse leaders to give back to the community by donating more money and resources.

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