Posted: Apr 26, 2023
The contemporary healthcare landscape faces a critical challenge in nurse retention, with turnover rates reaching concerning levels across numerous healthcare institutions. This persistent issue not only impacts organizational stability and financial performance but also compromises patient care quality and staff morale. While numerous factors contribute to nurse turnover, including workload, compensation, and work environment, the role of leadership development programs represents an underexplored dimension with significant potential for intervention. This research addresses a substantial gap in the existing literature by systematically examining how specific characteristics of leadership development initiatives correlate with nurse retention outcomes. Traditional approaches to nurse retention have often focused on extrinsic factors such as salary increases, scheduling flexibility, and workplace amenities. However, emerging evidence suggests that leadership quality and professional development opportunities may exert equally powerful influences on nurses' decisions to remain within an organization. The psychological contract between healthcare institutions and nursing staff extends beyond transactional employment terms to include expectations of professional growth, supportive supervision, and meaningful career pathways. Leadership development programs represent a strategic mechanism for reinforcing this psychological contract while simultaneously building the organizational capacity necessary for sustainable healthcare delivery. Our research questions center on identifying which components of leadership development programs demonstrate the strongest association with nurse retention, understanding the mechanisms through which these programs influence retention decisions, and determining optimal program structures for maximizing retention outcomes.
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