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nurse retention, nurse staffing, quality indicators, work environment



  1. Meraviglia, Martha PhD, RN, CNS
  2. Grobe, Susan J. PhD, RN, FAAN
  3. Tabone, Stephanie MSN, RN
  4. Wainwright, Mary MS, RN
  5. Shelton, Steve PA-C
  6. Yu, Lydia MHS
  7. Jordan, Clair MSN, RN


The present shortage of nurses in the United States is expected to continue. Nurse shortage, the nature of the work environment, and employers' expectations and attitudes, among other factors, influence both nurse retention and quality of patient care. The Nurse-Friendly Hospital Project was designed to improve nurses' work environment in rural and small hospitals in Texas. Findings demonstrate improvements in nurse retention, nurse staffing, and quality of care.