Cultivating Retention: Exploring Transformational Leadership Dynamics in Military Nursing through Qualitative Inquiry.

Bibliographic Details
Title: Cultivating Retention: Exploring Transformational Leadership Dynamics in Military Nursing through Qualitative Inquiry.
Authors: Korbut, Nickalous1 korbutni@hotmail.com, Miller, Melissa2, Cartwright, Joel1, Agazio, Janice3, AmadorGarcia, Lidilia1
Source: Journal of Character & Leadership Development (JCLD). Summer2024, Vol. 11 Issue 2, p28-37. 10p.
Subject Terms: *TRANSFORMATIONAL leadership, NURSING leadership, NURSE retention, MILITARY nurses, NURSE supply & demand, CUSTOMER retention
Company/Entity: MILITARY Health System (U.S.)
Abstract: Background: The shortage of nurses heightened the need to retain nurses in the workforce, particularly within military treatment facilities (MTFs). Despite quantitative analyses on factors affecting nurse retention, qualitative aspects of nurses' free-text responses in routine surveys remain unexplored. Objective: This study explored the impact of leadership, using qualitative data from the 2016 and 2018 Military Nursing Practice Environment Surveys, through the lens of the transformational leadership theory on preventable nurse attrition within the military health system (MHS). Methods: Free-text responses from 1372 nurses in MTFs were analyzed using thematic content analysis methodology. Results: Leadership emerged as the most prevalent concern, with 647 comments referencing leadership's impact on preventable loss. Analysis revealed 25 leadership subcodes, highlighting negative sentiments about manager and executive leader presence and engagement, lack of acknowledgment, and ineffective communication, constituting 61.3% of negative comments. Conclusions: This study highlighted the importance of leadership in nurse retention within the MHS. The findings align with Bass's transformational leadership theory, emphasizing the need for idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration. Dissatisfaction with leadership trends resonates with the four pillars, suggesting that adopting a transformational leadership culture could positively impact MHS nurse retention. The recommendations include enhancing leadership visibility, improving communication channels, and fostering a supportive environment to address nurse dissatisfaction and prevent turnover. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Character & Leadership Development (JCLD) is the property of Center For Character & Leadership Development and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Political Science Complete
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  Data: Cultivating Retention: Exploring Transformational Leadership Dynamics in Military Nursing through Qualitative Inquiry.
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  Data: *<searchLink fieldCode="DE" term="%22TRANSFORMATIONAL+leadership%22">TRANSFORMATIONAL leadership</searchLink><br /><searchLink fieldCode="DE" term="%22NURSING+leadership%22">NURSING leadership</searchLink><br /><searchLink fieldCode="DE" term="%22NURSE+retention%22">NURSE retention</searchLink><br /><searchLink fieldCode="DE" term="%22MILITARY+nurses%22">MILITARY nurses</searchLink><br /><searchLink fieldCode="DE" term="%22NURSE+supply+%26+demand%22">NURSE supply & demand</searchLink><br /><searchLink fieldCode="DE" term="%22CUSTOMER+retention%22">CUSTOMER retention</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22MILITARY+Health+System+%28U%2ES%2E%29%22">MILITARY Health System (U.S.)</searchLink>
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  Label: Abstract
  Group: Ab
  Data: Background: The shortage of nurses heightened the need to retain nurses in the workforce, particularly within military treatment facilities (MTFs). Despite quantitative analyses on factors affecting nurse retention, qualitative aspects of nurses' free-text responses in routine surveys remain unexplored. Objective: This study explored the impact of leadership, using qualitative data from the 2016 and 2018 Military Nursing Practice Environment Surveys, through the lens of the transformational leadership theory on preventable nurse attrition within the military health system (MHS). Methods: Free-text responses from 1372 nurses in MTFs were analyzed using thematic content analysis methodology. Results: Leadership emerged as the most prevalent concern, with 647 comments referencing leadership's impact on preventable loss. Analysis revealed 25 leadership subcodes, highlighting negative sentiments about manager and executive leader presence and engagement, lack of acknowledgment, and ineffective communication, constituting 61.3% of negative comments. Conclusions: This study highlighted the importance of leadership in nurse retention within the MHS. The findings align with Bass's transformational leadership theory, emphasizing the need for idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration. Dissatisfaction with leadership trends resonates with the four pillars, suggesting that adopting a transformational leadership culture could positively impact MHS nurse retention. The recommendations include enhancing leadership visibility, improving communication channels, and fostering a supportive environment to address nurse dissatisfaction and prevent turnover. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Journal of Character & Leadership Development (JCLD) is the property of Center For Character & Leadership Development and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: English
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              Text: Summer2024
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