Date of Conferral



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


Business Administration


Christopher Beehner


Employee turnover is a critical problem in the healthcare industry. Employee turnover negatively impacts an organization's profits and replacement costs, such as training, onboarding, and developing new healthcare employees. Guided in the concept of transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies assisted living facility managers use to reduce employee turnover. Using semistructured interviews to collect data, the targeted population encompassed 6 organizational managers from 3 southeastern Pennsylvania assisted living facilities who successfully reduced employee turnover. Data were analyzed using thematic analysis. Four central themes emerged: effective communication and feedback, onboarding and employee training, culture and work environment, and monetary and nonmonetary benefits. Recommendations for action include educating assisted living facility managers of the essential role of employee retention in providing quality patient care and providing training in proper onboarding and communication practice that may improve employee retention. The implications for positive social change include the potential to provide assisted living managers with information on successful strategies for retaining employees. In turn, organizational managers may realize an improved quality of care for the residents, reduced employee turnover costs, and enhance employees' work-life balance.

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Business Commons