Assessing the Impact of Pay-For-Performance Compensation on Nursing Retention in Acute Care Settings

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A cross-sectional analysis of current research was performed to determine the impact of pay-for-performance compensation models on nursing retention rates in acute care settings. Factors contributing to low nursing retention rates in acute care settings include low wages, a lack of proper benefits, increased workloads, burnout, and poor job satisfaction. Through this analysis, pay-for-performance compensation models are evaluated to determine their impact on nursing retention rates in acute care departments to improve current nursing retention strategies. Specifically, merit-based pay was assessed as a potential pay-for-performance compensation model that could be used as a nursing retention strategy. Patient satisfaction scores were suggested as a performance indicator for merit-based pay. A brief analysis of current nursing retention strategies has also been discussed. Alternative nursing retention strategies must be explored to improve the stability of the current nursing workforce in acute care departments and improve the organizational commitment of nurses in acute care settings. Keywords: healthcare, retention rates, registered nurses, acute care, nursing staff, pay-for-performance, compensation, merit-based pay

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Spring 2025 Graduate Project/Thesis/Capstone in Healthcare Administration. Student ID redacted.

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A copyright review process in August 2025 has determined that this item is in copyright, held by the author, Thomas Cunningham. The written permission of the copyright holder is required for distribution, reproduction, or other use that extends beyond what is authorized by fair use and other statutory exemptions. Responsibility for making an independent legal assessment of an item and securing any necessary permissions rests with person(s) desiring to use the item. http://rightsstatements.org/vocab/InC-EDU/1.0/

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