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The main purpose of this study was to investigate the relationship among pay satisfaction, job satisfaction and turnover intent. Using a multidimensional approach to pay satisfaction, data from 200 registered nurses (RNs) in a unionized hospital were analyzed. The regression results show that while pay satisfaction affects turnover intent job satisfaction may be a more crucial variable in terms of nurses' turnover. Recommendations for health care managers and human resources professionals are made with respect to systematic approaches that can reduce turnover among RNs and other employee groups.