Date of Conferral

8-5-2024

Date of Award

August 2024

Degree

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

School

Management

Advisor

Isabel Wan

Abstract

The reduction of high turnover rates presents a significant obstacle to nursing care leaders who are responsible for performance and proper function of nursing care facilities. Grounded in Herzberg’s two-factor theory of motivation and hygiene, the purpose of this multiple case study was to explore strategies used by five nursing care leaders to reduce voluntary employee turnover. Data were collected from participant interviews and relevant organizational documents, and governmental public resources. Thematic analysis included data coding and theme identification. Four themes emerged: (a) employee recognition and benefits, (b) management and administrative goals, (c) relationship building, and (d) staffing alternatives and adjustments. Three key recommendations is that nursing care leaders should: (1) make more of an investment into their employees, (2) develop regular feedback techniques, and (3) develop an employee prescreen and job shadowing program. Nursing home residents and community citizens of local nursing homes may benefit from improved stability in employment, which may result in improved residents’ access to stable, quality care, and improved community trust.

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