The most challenging issue to me as a leader is staffing. Everyday we face staffing shortages and less resources. Low staffing levels lead to disgruntled employees who may see shortages through the lens of budget cut rather then lack of work force. The nurse shortage also leads to burnout as nurses pick up extra shifts to help the team. Focusing on recruitment strategies, retention and hiring is the majority of the work day. It is becoming clear that hospitals would benefit from creating nurse led recruitment & staffing departments that would allow managers to focus on other critical areas of their departments such as quality initiatives and innovation.