Fall AONL Report: Clinical Ladders

Clinical ladders are evolving. Is your program keeping up?

New research from AONL and Laudio Insights, powered by analysis of 41,500 nurses and 70,500 clinical ladder applications, reveals how leading health systems are transforming clinical ladders from administrative programs into strategic workforce development engines that strengthen retention, accelerate professional growth, and advance organizational priorities.

In this report, you'll learn:
‍
  • Why early clinical ladder advancement is associated with significantly higher nurse retention
  • The biggest participation barriers preventing nurses from engaging with ladder programs
  • How workforce development programs can better support today's nursing workforce, especially Gen Z nurses
  • Practical strategies for aligning clinical ladders with retention, leadership development, quality improvement, Magnet® readiness, and organizational strategy
  • How technology can simplify participation and help scale program impact across a health system
  • Six priorities leading organizations are using to modernize clinical ladders

What's Inside:

Early career ladder advancement is linked to dramatically higher retention

Nurses who achieved ladder advancement in their first year demonstrated a 10-point retention advantage at two years.

Today's workforce needs more flexible and personalized development pathways

The biggest participation gaps occur during nurses' first 12-18 months and disproportionately impact Gen Z nurses.

Modern clinical ladders are becoming strategic workforce development engines

The most successful programs align growth activities to organizational priorities, quality goals, leadership development, and workforce sustainability.
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