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engagement, intervention, meaning, research paper, retention, turnover



  1. Tullar, Jessica M.
  2. Amick, Benjamin C. III
  3. Brewer, Shelley
  4. Diamond, Pamela M.
  5. Kelder, Steven H.
  6. Mikhail, Osama


Background: Turnover hurts patient care quality and is expensive to hospitals. Improved employee engagement could encourage employees to stay at their organization.


Purpose: The aim of the study was to test whether participants in an employee engagement program were less likely than nonparticipants to leave their job.


Methods: Health care workers (primarily patient care technicians and assistants, n = 216) were recruited to participate in an engagement program that helps employees find meaning and connection in their work. Using human resources data, we created a longitudinal study to compare participating versus nonparticipating employees in the same job titles on retention time (i.e., termination risk).


Findings: Participants were less likely to leave the hospital compared to nonparticipating employees (hazard ratio = 0.22, 95% CI [0.11, 0.84]). This finding remained significant after adjusting for covariates (hazard ratio = 0.37, 95% CI [0.17, 0.57]).


Practice Implications: Improving employee engagement resulted in employees staying longer at the hospital.