“The apparent change in the nature of ED admission gradually leads to increased stress on staff.” Increased stress at work spills over into other aspects of emergency room nurses' lives, severely impacting their overall health and well-being. Because the nursing profession is so altruistic and compassionate, nurses may tend to give their patients everything they have, without recognizing their own needs. Eventually, the sheer amount of environmental factors, such as overcrowding and increased demands on nursing staff, becomes too much to handle and burnout occurs. This causes the nurse to no longer feel able to carry out their job or associated tasks effectively. “Nurses who are experiencing burnout are too exhausted to provide levels of care that help patients feel satisfied.” With reduced patient satisfaction, the hospital misses out on potential Medicare reimbursement opportunities. If the facility continues to lose funding and the administration ultimately must cut costs, resources and staff will be further negatively impacted, increasing stress and burnout rates. “Healthy, happy work environments that include manager support, shared decision making, and recognition of nurses' contributions to practice are uniquely associated with greater nurse retention, reduced staff turnover, and increased nurse retention. 'employment.