Document Type

Thesis - Open Access

Award Date


Degree Name

Master of Science (MS)

Department / School


First Advisor

Alper Kayaalp


Employee turnover has significant negative costs to healthcare organizations. While leadership communication styles and quality have been empirically supported to reduce turnover intentions, our understanding of specific modalities of leader intervention is not well understood. This paper sought to understand how the specific act of communication frequency reduces turnover. Through the lens of Leader-Member Exchange (LMX) and role dynamic theories, mediating effects of LMX quality and job satisfaction were investigated to further understand this proposed relationship in a sample of healthcare workers in the Midwest/US. Results indicate that communication frequency was negatively related to turnover intent. Furthermore, while LMX and job satisfaction failed to mediate the relationship individually, they did sequentially mediate the relationship between communication frequency and turnover intent. These findings provide evidence for the need of investigation into specific leadership practices that enact positive employee attitudes and ultimately reduce turnover intent. As the current Covid- 19 pandemic has revealed the need for scalable and effective solutions for retaining staff in healthcare organizations, this study seeks to understand the impact of leaders’ communication frequency.

Library of Congress Subject Headings

Medical personnel -- Job satisfaction.
Communication in management.
Labor turnover.



Number of Pages



South Dakota State University



Rights Statement

In Copyright