Abstract
Purpose: The general objective of the study was to establish the human resource practices affecting employee retention in selected private hospitals in Kiambu County, Kenya. The specific objectives were: to examine the influence of career development, work life balance, work environment and compensation strategies on retention of employees in selected private hospitals in Kiambu.
 Methodology: Descriptive survey was employed. The study focused on the level 3 and 4 private hospitals, which are 7 within the County. This study targeted 340 employees of level 3 and 4 private hospitals in Kiambu County. The study used purposive sampling and sampled medical workers of the private hospitals in Kiambu County who were 120. The medical workers who included the doctors, nurses and clinical officers were sampled since they have knowledge on human resource practices and employee retention at the private hospitals.
 Findings: Findings displayed that 89 of the questionnaires we filled properly and returned. The results showed that career development, work life balance, compensation strategies and work environment had a positive and significant effect on employee retention in private hospitals.
 Unique Contribution to Practice and Policy: Private hospitals that do not have a coaching and mentorship programs for their employees should ensure they introduce them since they enhance employee retention. The investigation also endorses that the private hospitals should inspire active cooperation across different parts of the organization. They should also ensure that there is a career path of staffs in their firm. Since career growth and development are an integral part of every individual's career; more opportunities should be created for employees of private hospitals. In addition, private hospitals should have a clear work schedule for their employees. In addition, private hospitals should ensure they have enough leave days for their workers.
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