With the constant changes in the healthcare field, nursing workforce retention presents itself as one of the biggest challenges facing healthcare systems today. According to the American Nursing Association, nurse turnover is a multi-faceted issue that impacts the financial stability of the facility, the quality of patient care, and has a direct effect on other members of the nursing staff (ANA, 2014). The cost to replace a nurse in a healthcare facility ranges between $62,100 and $67,100 (ANA, 2014). The growing nurse retention problem will intensify the nursing shortage, which is projected to affect the entire nation, not just isolated areas of the country, gradually increasing in scope from 2009 to 2030 (Rosseter, 2014). The nursing shortage is directly related to increasing population growth rates, decreasing enrollments of new nursing students, an aging population, and nurse retention issues (STTI, 2014). In order to determine the interventions necessary to retain nursing staff, it is necessary to review the evidence-based research to understand the strategies needed to alleviate this problem. The literature reviewed shows a direct relationship between nursing retention and nurses' satisfaction with the environment in which they work. The healthcare environment, viewed from the nursing perspective, is influenced by many factors such as nurses' autonomy, leadership support, professional development opportunities, and the quality of relationships between nurses and other disciplines. These factors should be analyzed and then interventions should be undertaken to improve these aspects of the nursing environment and minimize the elements that leave...... middle of paper ......, M. (2001). Factors influencing satisfaction and expected turnover for nurses in an academic medical center (abstract). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11324334Sigma Theta Tau International (2014). Facts about the nursing shortage. Retrieved from http://www.nursingsociety.org/Media/Pages/shortage.aspxTwiggs, D., & McCullough, K. (2014). Nurse retention: A review of strategies for creating and improving positive practice environments in clinical settings. International Journal of Nursing Studies, 51(1), 85-92. doi:10.1016/j.ijnurstu.2013.05.015Van den Heede, K. V., Florquin, M., Bruyneel, L., Aiken, L., Diya, L., Lesaffre, E., &Sermeus, W. (2013). Effective nurse retention strategies in acute care hospitals: A mixed-method study. International Journal of Nursing Studies, 50(2), 185-194. doi: 10.1016/j.inurstu.2011.12.001