Date of Conferral

5-27-2025

Date of Award

May 2025

Degree

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

School

Health Services

Advisor

Miriam Ross

Abstract

Clinical research institutions have dealt with the high turnover of their clinical research personnel, and academic medical centers have struggled to retain clinical research coordinators (CRCs). The purpose and review question for this integrative review was to search for programs, solutions, and techniques that will improve the retention of CRCs. This review used the Situational Leadership Theory Model II (SLT II), which focused on the developmental levels of the CRCs and how much support is needed from leadership. In a search of empirical and nonempirical literature for publication years of 2020–2025, 28 articles were determined to be most relevant to answer the review question. To determine the strength of the articles, they were evaluated using the Johns Hopkins assessment process and found to be appropriate for this study. This search resulted in four main themes: display administrative support, improve training programs, enhance CRC recruitment, and provide growth opportunities. From those, seven subthemes evolved: team building, leadership transparency, creating a robust coaching model, developing instructional guides, networking and expanding community outreach, clarifying roles and responsibilities, and completion of developmental courses. Recommendations for fostering positive social change include ensuring that clinical research centers are adequately staffed and using the SLT II framework to encourage and strengthen skills for CRCs who are committed to their careers and dedicated to achieving quality patient care outcomes within a supportive work environment.

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