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  1. Gess, Ericka MS, RN, PCCN
  2. Manojlovich, Milisa PhD, RN, CCRN
  3. Warner, Sharon BSN, RN


Registered nurse turnover can drastically affect the quality of patient care while costing more than 1 billion dollars. The ongoing nursing shortage makes it hard to replace nurses, necessitating a novel approach to reduce nurse turnover. The authors discuss an evidence-based protocol that improves organizational commitment among nurses as a way to retain nurses through facilitating autonomy, improving communication, and offering recognition and rewards to nursing staff.