Introduction: Nurse turnover is defined as “the number of nurses who change jobs within an organization or who leave an organization over the course of 'a given year' (Baumann 2010). Nurse retention is one of the most important issues in healthcare, as its effects range from human resource planning challenges, high financial and organizational productivity costs (Beecroft et al, 2008), to process and work group morale, patient safety and quality. care (i.e. patient satisfaction, patient length of stay, patient falls and medication errors) (Bae et al, 2010). Nursing Solutions Inc (NSI) reported that the national average hospital turnover rate increased from 13.5% in 2012 to 14.7% last year. Nurses working in med/surg had a higher turnover rate than any other specialty at 16.8%. Other specialties that exceeded the national average were emergency, behavioral health, abatement and telemetry. The cost of this high turnover ranges from $36,000 to $88,000 to lose a staff registered nurse, resulting in an average loss of $3.74 to $6.98 million for a hospital (NSI, 2014). NSI's 2013 National Healthcare Retention Survey found that nearly 90 percent of organizations view retention strategies as imperative to success, but fewer than half have implemented one. retention strategy. With a large population of nurses nearing retirement and a growing economy that historically supports higher turnover rates, hospitals cannot afford not to invest in a nurse retention strategy as high nurse turnover nurses leads to burnout and job dissatisfaction, which in turn leads to higher turnover. , forever fueling the cycle. Literature Review: Extensive research on the impacts and determinants of nursing turnover has been conducted for decades, resulting in numerous causal theories,...... middle of article...... n, D., Barton, D., Davis, C., and G. Rook. 2012. Tripping on the welcome mat: Why new nurses don't stay and what the evidence says we can do about it. American Nurse Today. O'Brien-Pallas, L., Murphy, G., Shamian, J., Li, X., and L. Hayes. 2010. Impact and determinants of nursing turnover: a pan-Canadian study. Journal of Nursing Management. 18:1073-1086. PricewaterhouseCoopers Health Research Institute. 2007. What works: addressing the health workforce shortage. New York: PricewaterhouseCoopers. Smith, J. and L. Crawford. 2003. Medication errors and difficulties in newly licensed nurses' first patient assignments. JONAS health law ethics regulations. 5(3):65-67. Academic Health System Consortium/American Association of Colleges of Nursing. 2009. Nursing Residency Program. http://www.aacn.nche.edu/education-resources/nurse-residency-program.