Nurses make up the majority of health care providers in most hospitals. However, it often seems that there is a shortage of nursing staff. “Issues in the literature on nurse staffing levels and workforce were identified as vacancies, recruitment, hiring, and retention” (Budden, 2011, p. 17). Increased workloads for nurses related to inadequate staffing can lead to medication errors, patient falls, and other patient safety issues. It can also lead to burnout which can then turn into a revolving door of decreased staffing which leads again to increased workloads for the remaining nurses. According to Budden (2011), nurse retention for both new and experienced RNs in their current positions averaged approximately 4 years. Staffing issues including burnout and lack of retention play an important role in patient safety. Relevance to Nursing There are so many places to work as a nurse such as hospitals, nursing homes, home health, and hospice. Additionally, within any given hospital there are several very unique and different fields to specialize in. RN retention is important but so is RN satisfaction. Both of these factors play a role in the bigger picture of patient, regardless of where the RN is providing care. “As a result of lack of staff, nurses frequently reported that a number of nursing tasks that were relevant to patient safety and good nursing care were left undone” (Zhu et al., 2012, p. 271). One of the ways to prevent burnout is to provide adequate numbers of staffing to manage the patient workload. Teamwork is also relevant among nurses, techs, physicians, and axillary staff and according to Kalisch and Lee (2011), “a higher proportion (skill mix) of nurse staffing (i.e., more RNs in the mix of staff) also results in better teamwork (p. 86). This directly effects patient care by creating a more comfortable environment for all of the staff involved. One of the reasons an RN may chose to leave their current