Results of Our 2025 Chief Nurse Executive Survey of Action Priorities 

Key Takeaways: 

  • Urgent Action Needed on Several Fronts: A significant number of CNEs continue to signal a sense of urgency around patient safety, workforce challenges, and cost control.

  • Workforce Crisis Demands Attention: The high proportion of CNEs demanding action on “Cultivating a High-Performing Nursing Workforce” and “Securing Top Nursing Talent” continues to paint a stark picture of the workforce crisis. These are not just future concerns; they require immediate, strategic intervention.

  • Premium Labor Costs are Unsustainable: The strong call for action on “Eliminating Premium Labor” indicates that current reliance on contract labor is financially unsustainable and demands immediate attention to optimize workforce management.

  • Leadership Pipeline Requires Investment: While “Developing Nursing Leaders for Tomorrow” shows a concentration in the “thinking about it” stage (level 3), this should be interpreted as a call to move from contemplation to action. Investing in the leadership pipeline is crucial for long-term success.

  • Innovation Needs a Push: The fact that “Innovating Care Delivery Models” sits mostly at levels 1 and 2 suggests a potential blind spot. CNEs may be underestimating the urgency of adapting care processes to meet evolving needs and improve efficiency.

The data reveals some directives for CNEs actions: 

  • Confront the Nursing Shortage with Urgency: Implement concrete strategies to build sustainable recruitment pipelines, strengthen retention efforts, and develop nursing talent. Prioritize competitive compensation, improved work environments, sustainable workloads, and career development opportunities.

  • Take Immediate Action on Premium Labor: Develop and implement strategies to reduce reliance on expensive contract labor. This may involve Economically Sizing patient placement, redesigning staffing models, investing in technology, and most importantly improving workforce planning.

  • Invest in Future Nursing Leaders: Go beyond assessment and actively invest in leadership development programs – an essential element to retention. Prioritize mentorship, leadership training, and succession planning to ensure a strong leadership pipeline. 

  • Drive Innovation in Care Delivery: Embrace innovation in care delivery models. Actively explore new approaches to improve efficiency, enhance patient outcomes, and adapt to the evolving healthcare landscape.

  • Champion a Culture of Safety: Continuously improve patient safety by fostering a culture where quality of care remains at the forefront of all initiatives.