ah yes, retention. this issue is directly related to management according to gallup (the polling folks). nurses leave primarily because of poor management. it is no surprise that institutions with low turnover are also institutions that hold their management accountable for turnover. it all makes sense. so, to answer your question, having good management is the single most important factor in reducing turnover. so good luck! grimmy understands this concept. when you have weak, scared, non-risk takers as leaders everyone suffers. nurses need to be proactive in this area by seeking management education and experience. if we don't, the void will be filled by non-nursing people.