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The 'big dip': decrements in RN satisfaction at mid-career.

In response to nurse turnover, hospitals have taken steps to ensure that their nurses are satisfied with their jobs. On-boarding may not be the most pressing retention issue facing health care organizations as the loss of mid-career nurses may be the larger problem. There are some areas of work satisfaction for nurses which may be more responsive to organizational efforts to reach higher aggregate levels of satisfaction. Health care organizations may due well to focus on the relative satisfaction of their mid-career nurses. Opportunities to increase nurse job satisfaction across different facets of work may be an effective strategy to address retention.