1. How do you think the changes Los Rayos made affected nurses' attitudes? What problems to the business may poor nurse attitudes cause in addition to turnover?

2. Which of the job attitudes from the chapter do you feel is the biggest contributor to nurse turnover? The smallest contributor? Why do you think so?

3. How might leadership and personality of managers and administrators be affecting the situation?

4. If you were the director of a hospital and going to do a survey of employee attitudes, which attitudes would you want to know?

This case follows the numerous changes nursing staff have faced during their tenure at Los Rayos del Sol Medical Center. The effects on the nurses and the organization have had far reaching impact, and it is causing some problems for the hospital. It is up to the students to diagnose the problem and its potential causes.