Date of Conferral

7-18-2024

Date of Award

7-18-2024

Degree

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

School

Human Services

Advisor

Sally Willis

Abstract

To mitigate registered nursing turnover, utilize strategies centered on the Job Demands-Resources (JD-R) Model, a theoretical framework that strikes a balance between the demands of the jobs and the resources and support available to nursing employees, which will lead to an increase in employee engagement, dedication, and psychological well-being at work while reducing Acute Care Hospital (ACH) turnover rates in the medical-surgical units (MSUs) in Pennsylvania. The research question examined healthcare administration leadership strategies that could be implemented by hospital administrators within ACHs in Pennsylvania MSUs. The purpose of this literature review was to evaluate the existing literature on registered nurse turnover among nurses within ACHs in Pennsylvania MSUs and to offer actionable strategies for administrators to mitigate these turnover rates. An integrative review of scholarly articles from literature published between 2019 and 2024 was conducted. Thematic analysis identified seven major themes: (1) elimination of mandatory overtime; (2) environmental and operational enhancement; (3) evaluation and improvement; (4) implementation of policies against workplace violence; (5) implementation of safety and conflict resolution protocols; (6) organizational support and engagement; and (7) personal development and empowerment. Conclusions: The theoretical framework, the JD-R Model, assists healthcare administrators in ACHs in Pennsylvania in devising healthcare administration strategies that empower MSU nurses to successfully deal with stressors, increase job satisfaction, and decrease turnover rates.

Download

Share

 
COinS