Date

11-13-2025

Department

Graduate School of Business

Degree

Doctor of Business Administration (DBA)

Chair

Ken Roberts

Keywords

Employee Motivation, Retention, Healthcare, Nursing

Disciplines

Business

Abstract

This qualitative single-case study examined how a decline in nursing motivation affects nurse retention and organizational performance in a large urban hospital in Cincinnati, Ohio. The data were collected through in-depth interviews with nurse managers and anonymous surveys administered to registered nurses, resulting in a total of 20 participants. There were three emergent themes discovered from the findings from the interview transcripts and survey responses. Supportive leadership, intrinsic and extrinsic factors, safe staffing and workplace management were the primary emergent themes for this research. This research revealed that open communication, fair compensation, and proactive support from leadership are imperative. Additionally, these factors were correlated to an increased nurse satisfaction, reduced burnout, and reduced turnover rates. According to the findings, a balanced approach to personal drive and external rewards enhances patient care outcomes and overall organizational efficiency withing a hospital. The implications of this qualitative research suggest that structured leadership development along with refined staffing practices can be instrumental in building a more resilient workforce. These insights can contribute to empirical evidence along with existing literature on nurse retention strategies. Moreover, this case study research also suggests avenues for policy development both within healthcare and in wider organizational contexts.

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