{
 "generated_at": "2026-08-18T14:22:55+00:00",
 "headline": {
  "spread_pct_points": 13.8,
  "best": "Psychiatric or mental health (incl. substance use disorder)",
  "best_pct": 84.9,
  "worst": "Orthopedics",
  "worst_pct": 71.1,
  "n_specialties": 21
 },
 "rows": [
  {
   "specialty": "Psychiatric or mental health (incl. substance use disorder)",
   "pct_satisfied": 84.9,
   "turnover_pct": 22.5,
   "turnover_matched_to": "Behavioral Health"
  },
  {
   "specialty": "Occupational health",
   "pct_satisfied": 84.3,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Geriatrics/gerontology",
   "pct_satisfied": 83.9,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Home health or hospice",
   "pct_satisfied": 83.1,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "All other specialties (residual category)",
   "pct_satisfied": 82.9,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Ambulatory care (primary or specialty care)",
   "pct_satisfied": 82.4,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Neurological",
   "pct_satisfied": 81.9,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Renal or dialysis",
   "pct_satisfied": 81.9,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Oncology",
   "pct_satisfied": 81.8,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "School health service",
   "pct_satisfied": 81.5,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Obstetrics and gynecology",
   "pct_satisfied": 80.8,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Chronic care",
   "pct_satisfied": 80.8,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Gastrointestinal",
   "pct_satisfied": 80.2,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Labor and delivery or neonatal care",
   "pct_satisfied": 79.1,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Infectious or communicable disease",
   "pct_satisfied": 78.5,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Cardiac or cardiovascular care",
   "pct_satisfied": 76.9,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Critical care or intensive care",
   "pct_satisfied": 73.1,
   "turnover_pct": 17.6,
   "turnover_matched_to": "Critical Care"
  },
  {
   "specialty": "Emergency or trauma care",
   "pct_satisfied": 72.5,
   "turnover_pct": 20.7,
   "turnover_matched_to": "Emergency"
  },
  {
   "specialty": "Pulmonary or respiratory",
   "pct_satisfied": 72.3,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "General medical surgical",
   "pct_satisfied": 72.2,
   "turnover_pct": 18.1,
   "turnover_matched_to": "Med/Surg"
  },
  {
   "specialty": "Orthopedics",
   "pct_satisfied": 71.1,
   "turnover_pct": null,
   "turnover_matched_to": null
  },
  {
   "specialty": "Telemetry",
   "pct_satisfied": null,
   "turnover_pct": 19.5,
   "turnover_matched_to": "Telemetry"
  },
  {
   "specialty": "Step Down",
   "pct_satisfied": null,
   "turnover_pct": 19.0,
   "turnover_matched_to": "Step Down"
  },
  {
   "specialty": "Burn Center",
   "pct_satisfied": null,
   "turnover_pct": 17.5,
   "turnover_matched_to": "Burn Center"
  },
  {
   "specialty": "Women's Health",
   "pct_satisfied": null,
   "turnover_pct": 15.0,
   "turnover_matched_to": "Women's Health"
  },
  {
   "specialty": "Surgical Services",
   "pct_satisfied": null,
   "turnover_pct": 14.9,
   "turnover_matched_to": "Surgical Services"
  },
  {
   "specialty": "Pediatrics",
   "pct_satisfied": null,
   "turnover_pct": 13.4,
   "turnover_matched_to": "Pediatrics"
  }
 ],
 "settings": {
  "Hospitals": {
   "pct_satisfied": 77.2,
   "pct_considered_leaving": 65.4,
   "pct_retiring_or_retired": 15.1
  },
  "Other inpatient settings": {
   "pct_satisfied": 80.4,
   "pct_considered_leaving": 56.3,
   "pct_retiring_or_retired": 19.8
  },
  "Outpatient, ambulatory and other clinical settings": {
   "pct_satisfied": 88.6,
   "pct_considered_leaving": 52.7,
   "pct_retiring_or_retired": 23.0
  },
  "Non-patient-care settings": {
   "pct_satisfied": 83.5,
   "pct_considered_leaving": 57.7,
   "pct_retiring_or_retired": 19.8
  }
 },
 "first_years": {
  "first_year_rate": 22.7,
  "sep_share_under_1": 29.0,
  "sep_share_1_2": 21.9,
  "sep_share_2_5": 27.7,
  "sep_share_5_10": 10.5,
  "sep_share_10_plus": 10.8,
  "sep_share_under_2": 50.9,
  "vacancy_rate": 8.6,
  "cost_per_rn": "$60,090"
 },
 "first_years_note": "These are two different measurements and must not be mixed. The 22.7% is a RATE: of nurses newly hired in the year, that share left within twelve months. The rest are SHARES OF EVERYONE WHO LEFT, which sum to 100% — so 29.0% means 29 of every 100 departing nurses had under a year of service, not that 29% of new nurses leave. No source publishes a turnover rate by experience band, so the widely repeated claim that first-year turnover runs about triple the five-to-ten-year rate cannot be checked and is not made here.",
 "sources": {
  "satisfaction": {
   "publisher": "HRSA Bureau of Health Workforce, NCHWA",
   "url": "https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/nssrn-job-satisfaction-report.pdf",
   "question": "C36 x C28 (full wording as above)",
   "reference_year": "2021 (reference date 31 December 2021)",
   "sample_type": "probability sample",
   "sample_size": "49,234 responses; weighted to all US licensed RNs",
   "measure": "Share answering Extremely OR Moderately satisfied with the primary nursing position held on 31 December 2021."
  },
  "turnover": {
   "publisher": "NSI Nursing Solutions, Inc.",
   "url": "https://www.nsinursingsolutions.com/documents/library/nsi_national_health_care_retention_report.pdf",
   "reference_year": "CY2025",
   "sample_type": "census of participating hospitals",
   "sample_size": "527 participating hospitals",
   "measure": "Annual RN turnover rate for the specialty, as reported by participating hospitals."
  }
 },
 "join_note": "Satisfaction and turnover come from DIFFERENT sources measuring DIFFERENT populations by different methods — a federal probability sample of nurses, and a survey of 527 hospitals. Only 4 specialties are named closely enough by both to share a row; the rest show no data on one side rather than a guess. Do not read a row as one study.",
 "not_available": "There is no authoritative source for RN PAY by clinical specialty. BLS OEWS publishes pay by industry, not by specialty — its broad code 29-1140 and detailed code 29-1141 carry identical employment, mean and median, which proves no finer split exists beneath it. Any site showing you 'ICU nurse pay' is showing you something it inferred.",
 "claim_not_published": "A widely repeated claim says most nurses would choose nursing again but only about half would choose the same specialty again. The only source for it publishes no sample size, no field dates, no sampling frame and no question wording, and no peer-reviewed study measures it. It is therefore not repeated here."
}