HealthLeaders Media January 26, 2026
G Hatfield

Clinical ladder programs have great potential for reducing turnover and increasing engagement, says this CNE.

KEY TAKEAWAYS

– AdventHealth’s clinical ladder program was launched electronically over 57 health systems with the goal of creating a structure for nurses to continue to advance without needing to leave the bedside.

– The program reduced the organization’s turnover from 31.5% to 14.8% for RNs, 12.4% for full- and part-time RNs, and less than 6% for nurses who are part of the clinical ladder.

The impact of nurse turnover is no secret to CNOs.

When health systems lose nurses, it has sweeping effects on the organization’s culture and budget. The average cost of turnover for a single bedside RN is $61,110, which stacks with...

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