After being a nurse both at the bedside and as a manager, I can tell you that the leadership at the top..CEO,VP,CNO...have made the greatest impact on my decision to leave the institution where I have been for 25+ years. The focus from that leadership has shifted and though they say the words, their actions clearly dictate otherwise. The moral is at an all-time low, while the benefits and perks are really at an all-time high. But it hasn't helped. Mission, vision, and values are preached but clearly not put into practice. And the staff from the bedside to the management team are opting out. Time and time again, the senior management team have been told to walk the walk and not just talk the talk and they haven't gotten the message. And yes I was a nurse one day, manager the next. And from a first hand perspective, I learned that it was the little things that made the difference...all the money in the world could not keep staff if they were not sure that they were appreciated and that they were not part of the family. And because those little things aren't there for me I am off to what I hope is a great adventure and to get back to why I got in to nursing to start with. I hope as someone else said, that this will prove to be the best thing that has happened to me.