Despite best efforts, several challenges persist: - Burnout: High levels of stress and burnout are common in nursing, contributing to turnover. - Aging Workforce: Many experienced nurses are approaching retirement age, creating gaps that are hard to fill. - Economic Pressures: Budget constraints can limit the ability to offer competitive salaries and benefits. - Generational Differences: Different generations may have varying expectations and needs, making it challenging to implement one-size-fits-all retention strategies.