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acuity additional American Hospital Association American Nurses benefits budget candidates career census create Dartmouth-Hitchcock Medical Center decreased delivery system demand department of nursing develop employees enhance environment evaluation feel fessional Figure flexibility goals Hiring Costs identify implementation increased individual inpatient institution interviews issues job satisfaction Journal of Nursing licensed practical nurses Medical Center meet ment nurs Nurse managers need nurse recruiter nurses need Nursing Administration Nursing Administration Quarterly Nursing Outlook nursing personnel nursing practice Nursing Research nursing shortage nursing staff nursing unit nursing's opportunities organization overtime patient physicians policies positive practical nurses problem professional nurses recruitment activities recruitment and retention recruitment team registered nurses responsibility retaining nurses role salary self-scheduling share shift skills specialty staff nurse staffing and scheduling team nursing tion Total turnover vacancies Vanderbilt University VUH registry