However, a new study finds that increasing nurse staffing does not significantly decrease a hospital's profit, even if it increases the hospital's operating costs . A 1% increase in RN full-time equivalents increased operating expenses by approximately 0.25% but had no statistically significant effect on profit margins. Conversely, higher levels of non-nursing staffing caused higher operating expenses and lower profits. (2014, Healthcare 411) Improving nursing staffing is necessary to improve patient satisfaction. When staff is understaffed, these patients are the ones who suffer from the lack of care that should be provided. Patient care is the ultimate goal of nursing, and when units are understaffed, patient care is affected greatly, in a negative way. The Joint Commission on Accreditation of Healthcare Organizations has proposed strengthening the nursing educational infrastructure through team building in nursing education, improving support for nursing orientation, in-service and continuing education in hospitals, and creating nursing career ladders based on education level and experience. (2014, Healthcare 411) The Joint Commission also supports the adoption of “magnet hospital” features, such as setting staffing levels based on nurse competencies and skill mix