Date of Conferral

3-13-2025

Degree

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

School

Business Administration

Advisor

Inez Black

Abstract

Ineffective strategies for retaining registered nurses (RNs) can lead to negative business and patient care outcomes. High RN turnover rates pose a challenge for nurse managers, as they can reduce the quality of patient care and strain healthcare resources. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies nurse managers use to successfully retain RNs. The participants were 11 nurse managers in the Southeastern United States who had retained their full-time RNs for 2 years. Data were collected using semistructured interviews and a review of Health Resources and Services Administration data. Through thematic analysis, four themes were identified: (a) professional development, (b) staff morale, (c) competitive pay and (d) staff acuity. A key recommendation is for nurse managers to support and offer developmental opportunities to grow and enhance RNs’ skills within the organization. The implications for positive social change include the potential to inform nurse managers about effective retention strategies, ultimately improving patient care quality, reducing mortality rates, and minimizing medical errors within healthcare organizations.

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