Health Care Leaders' Strategies to Reduce Nursing Turnover

Health Care Leaders’ Strategies to Reduce Nursing Turnover by John Phelps MA, Wayland Baptist University, 2014 BSOE, Wayland Baptist University, 2008 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University August 2019 Abstract Health care leaders who lack effective nurse turnover strategies can negatively affect patient quality of care, productivity, and profitability. The purpose of this single case study was to explore strategies health care leaders used to reduce nursing turnover in a health care organization. The conceptual framework for this study was Herzberg’s 2factor theory. Data were collected from semistructured interviews with 4 health careHealth care leaders who lack effective nurse turnover strategies can negatively affect patient quality of care, productivity, and profitability. The purpose of this single case study was to explore strategies health care leaders used to reduce nursing turnover in a health care organization. The conceptual framework for this study was Herzberg’s 2factor theory. Data were collected from semistructured interviews with 4 health care leaders in the West Texas region who had a history of reducing nurse turnover for a minimum of 5 years from the date of hire, and from review of organizational documents related to the strategies to reduce nurse turnover, including policy handbooks and annual reports. Data were analyzed using word frequency and coding to distinguish patterns. Three key themes emerged: leadership support, job satisfaction, and compensation. The results of this study might contribute to social change through an increased understanding of nurse turnover strategies that would improve productivity and the overall quality of patient care to yield organizational success, decreased mortality rates, and improved community health. Health Care Leaders’ Strategies to Reduce Nursing Turnover by John Phelps MA, Wayland Baptist University, 2014 BSOE, Wayland Baptist University, 2008 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University August 2019 Dedication Glory to God, for those that believe in him, anything is possible. I dedicate this study to my children; you are the future, do not be afraid to take a leap, you can accomplish anything you put your mind to. I also dedicate this study to my wife Jessica for her love, support, and motivation throughout this entire journey. I would also like to dedicate this study to my late mother Janet, thank you for raising me with a drive and passion to reach my goals with whatever obstacle may come my way. Throughout this entire journey, my family and I have faced many obstacles. It is with your love and support throughout your years on earth that gave me the strength and perseverance to accomplish anything I put my mind to. To all my family and friends thank you for the encouragement, motivation, and most importantly believing in me. Acknowledgments This journey would not have been possible without the mentorship and guidance from Walden University faculty and staff. First, I would like to thank my committee chair and mentor Dr. Janie Hall. Your continued support and guidance motivated me that I could reach my goal. Special thanks to my family for believing in me and giving me the encouragement for success. I want to thank all my classmates for the motivation to