re: If nurses across the US simply got paid more then we wouldn’t have a nursing shortage

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You aren’t getting it. If you give the top performers a 20% raise, they will be more likely to stay in their job rather than leave for another role or a higher paying job. Then, when the low performers leave or you fire them if you are allowed, you hire new ones. If they are good workers, you up their pay so they stay.

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The work environment goes all the way back to how the administrators/management employees orchestrate what goes on. If any of the higher-ups are incompetent, it trickles down to the staff RNs and creates a dysfunctional environment. The result is that the quality of care is lower and everyone is pissed at each other.