For the first time in 3 years, the downward trend in hospital and bedside registered nurse (RN) turnover has been reversed and is expected to climb, according to NSI Nursing Solutions, Inc. The past few years, hospitals have enjoyed an artificially higher retention rate as a direct result of the sluggish economy. This increase in turnover is indicative of the strengthening economy, as evidenced by the decrease in the unemployment rate and the expansion of the housing and stock markets.