In addition to the negative impact missed nursing care has on the quality and cost of health care, we have found that missed care leads to job dissatisfaction, which probably results in greater turnover and nursing shortages (Kalisch, Tschanen, & Lee). The vast majority of nurses want to do a “good” job. Nurses report that they feel distressed when they don’t complete all of the care they feel a patient needs, and this lowers their self-image and causes them to regard themselves as less competent.