Turnover among acute care RNs climbed for the fifth year in a row, and not just because clinicians are “burned out.” The deeper story is workload compression, staffing ratios, and support gaps that make 12-hour shifts feel like 16. We’re also seeing seasoned RNs exit hospitals for ambulatory settings, home health, infusion, and virtual care—roles that deliver clinical impact without the constant triage stress.   The implication for hospitals entering 2026: retention is no lon