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NSI 2026 · Joyce University 2025 · Workhuman + Gallup

Healthcare Employee
Recognition Statistics

Turnover, vacancy, burnout, and recognition data for hospitals and health systems -- pulled from the NSI National Health Care Retention Report, Joyce University, and Workhuman + Gallup research. Every stat linked to its primary source.

Section 1

Nurse turnover & the cost of replacement

Hospital turnover stayed elevated in 2025. The dollars per nurse replaced are now large enough to fund a recognition program many times over.

18.5%

national hospital turnover rate in 2025 -- a nominal increase from the prior year.

Source: NSI Nursing Solutions, 2026 National Health Care Retention & RN Staffing Report

17.6%

RN turnover rate in 2025 -- up 1.2 percentage points year-over-year.

Source: NSI Nursing Solutions, 2026 Report

$60,090

average cost of turnover for a single bedside RN, resulting in an average hospital loss of $4.2M to $6.2M annually.

Source: NSI Nursing Solutions, 2026 Report

$295,000

cost (or savings) per year, per hospital, for every 1% change in RN turnover.

Source: NSI Nursing Solutions, 2026 Report

8.6%

national RN vacancy rate. A third of hospitals (33.1%) still report a vacancy rate of 10% or higher.

Source: NSI Nursing Solutions, 2026 Report

324,090

acute-care registered nurses exited their position last year. Over the past five years, the average hospital has turned 102% of its RN workforce.

Source: NSI Nursing Solutions, 2026 Report

Section 2

Burnout & emotional exhaustion

The underlying condition driving turnover. Recognition isn't a cure for burnout, but it's one of the few protective factors that scales.

74%

of nurses say they feel emotionally exhausted multiple times a week.

Source: Nurse.org coverage of Joyce University 2025 nurse-burnout study (1,000 RNs polled, U.S.)

28%

of Gen Z nurses report feeling burned out every single day.

Source: Nurse.org / Joyce University 2025

74%

of nurses reported being required to work mandatory overtime three or more times in the past month.

Source: Nurse.org / Joyce University 2025

40%

of women nurses say they're uncomfortable talking to their supervisor about burnout or mental health (compared to 26% of men).

Source: Nurse.org / Joyce University 2025

Section 3

What recognition does in healthcare environments

The retention numbers that justify a recognition program against the dollars on the previous section.

45%

less likely to have turned over after two years -- well-recognized employees vs. those receiving lower-quality recognition.

Source: Gallup, "Employee Retention Depends on Getting Recognition Right" (2024)

2.9x

as likely to be engaged -- employees receiving recognition fulfilling even one of the five quality pillars, vs. none.

Source: Workhuman & Gallup, "Recognition and Retention" (2024)

7.3%

RN vacancy rate at hospitals with ANCC Magnet Recognition status -- meaningfully below the 8.6% national average.

Source: NSI Nursing Solutions, 2026 Report

~78 days

RN Recruitment Difficulty Index -- it takes more than 2.5 months on average to recruit an experienced RN. Retention is faster than recruitment.

Source: NSI Nursing Solutions, 2026 Report

The math, simply

A 1% drop in RN turnover ≈ $295,000 back to the hospital

That's NSI's number, not ours. Combine it with Gallup's finding that well-recognized employees are 45% less likely to leave, and the case for a structured recognition program in a healthcare environment becomes a financial one, not just a culture one.

A program that costs five figures a year can plausibly return six or seven figures in avoided turnover -- if it actually changes the experience of being recognized at work.

FAQ

Frequently asked questions

What's the average cost of replacing a registered nurse?

NSI's 2026 National Health Care Retention & RN Staffing Report puts the average cost of turnover for a bedside RN at $60,090. Across an average hospital, that totals $4.2M to $6.2M annually depending on size and RN turnover rate.

How much can a hospital save by reducing RN turnover?

Each 1% change in RN turnover -- up or down -- moves an average hospital by $295,000 per year, per NSI 2026. A program that meaningfully reduces nurse turnover by even one or two percentage points pays for itself many times over.

How does employee recognition reduce nurse turnover?

Gallup & Workhuman tracked 3,400+ employees from 2022 to 2024 and found that those who received high-quality recognition in 2022 were 45% less likely to have left their job by 2024. The pattern holds across industries, including healthcare environments where burnout and exhaustion are already elevated.

What's the current RN burnout rate?

A 2025 Joyce University study of 1,000 U.S. registered nurses found that 74% feel emotionally exhausted multiple times a week, and 28% of Gen Z nurses report feeling burned out every single day. Burnout is a multi-cause phenomenon, but recognition is one of the few protective factors a hospital can scale operationally.

Build a recognition program your nurses actually feel

Branded, automated, and embedded into your existing tools. Same approach Modivcare and St. Joseph's Healthcare use.

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Last Updated: May 2026