A recent study predicts that the nursing shortage in the United States will grow to 340,000 by 2020. And, as a story on page 60 of this issue shows, it’s not just baby boomer nurses who are leaving the workforce; first-year nursing school graduates quit at an exceptionally high rate. One way to ease the exodus is to improve work conditions. If nurse statisfaction data from Press Ganey and others is an indicator, there’s plenty of room for improvement. In a survey of more than 33,000 registered nurses in 2005, Press Ganey found that nurses’ satisfaction with work conditions and senior leadership was lower than their satisfaction with co-workers and job security. Not surprisingly, increased staffing level was cited as the top area in need of attention.