Registered Nurse turnover and turnover intention are primarily based on intrinsic motivation factors. Job satisfaction variables are considered by a person before quitting their job. The impact of intrinsic and extrinsic factors on the decision to stay or leave a job is well documented in the literature. The Intention to Leave Scale (TISCALE) by Dr. Dwivedi is a validated instrument (Cronbach Alpha=0.98) to predict an employee's desire to quit. Research proves that a high TISCALE (strong desire to leave) among RNs is unrelated to pay. A study found that despite high pay satisfaction among respondents, nurses still strongly desired to quit the job. The components of the TISCAL help create specific questions that nurse leaders and healthcare executives can use to predict and prevent turnover. Here are the TISCALE questions (modified from the original work by Dwivedi, 2015). The percentage of nurses from recent research indicated agree or strongly agree in parenthesis.