Wolters Kluwer survey: Chief Nursing Officers rank patient outcomes and nurse competency as top care model success KPIs
Nearly nine in 10 CNOs note positive impacts from the care models in place at their healthcare organizations
“As hospitals and health systems move beyond experimentation with nursing care models, nurse leaders are increasingly focused on how those models are measured, sustained, and scaled. Rather than short-term pilots or stopgap solutions, care models are now being evaluated through hard outcomes, workforce indicators, and operational performance,” said
A focus on care model quality, not quantity
"As nurse executives, we're responsible for choosing care models that hold up under real-world pressure," said
Last year’s FutureCare Nursing 2025report highlighted that nursing leaders were still exploring which care models would best support their organization, their patient population and staffing structures. The 2026 data shows a few distinct models taking the lead as executives streamline the programs in place and look to build on early success – versus finding new areas in which to invest. Year-over-year responses show a gap between the care models nurse leaders expected to advance and those that have gained traction – highlighting which initiatives have made the most progress and where plans remain in development:
|
|
2025 planned launch |
Currently in action |
2026 planned launch |
|
Home healthcare |
71% |
41% |
42% |
|
Float pools |
68% |
45% |
38% |
|
Virtual nursing |
66% |
53% |
34% |
|
Telehealth |
66% |
69% |
24% |
|
Multidisciplinary care |
61% |
84% |
17% |
|
Collaborative care |
81% |
81% |
10% |
|
Team-based care |
74% |
75% |
7% |
Measuring what matters the most
With the right mix of care models already in place or currently being rolled out, nursing leaders are now assessing the outcomes of these various programs. Nurse leaders surveyed consistently pointed to improvements in nurses’ capabilities, readiness, and confidence as evidence that care models were working. They noted the following areas where care models have had measurable, positive impacts:
- Patient outcomes: 87%, with nearly half (47%) saying the impact on patient outcomes has been very positive
- Nurse competencies: 87%
- Interdisciplinary collaboration: 83%
- Recruitment and retention: 83%
- Operational efficiency: 82%
- Culture change: 82%
- Workflow streamlining: 81%
- Financial management: 81%
- Nurse burnout and well-being: 75%
What are the top four nursing roles most needed by CNOs?
While the nursing workforce shortage is not a new problem facing the industry, there is a clear shift in how nurse leaders build their teams to meet patient care demands. Nearly 90% of respondents plan to use their care models as part of their efforts to attract new talent and boost their appeal to the future workforce.
Many of the roles CNOs are currently looking to fill are aimed at supporting and diversifying their staff. Interestingly, the survey revealed that the top two most sought-after roles are focused on providing patient care outside the four walls of the hospital. Telehealth nurses who typically provide clinical and real-time audio/video consultations with 68% of responses. The broader category of virtual nurses, encompassing any healthcare services via remote technology, followed at 52%.
The top four nursing roles that CNO leaders are looking to hire in 2026 are:
- Telehealth nurses: 68%
- Virtual nurses: 52%
- Internal float pool nurses: 44%
- Home health nurse coordinators: 40%
To see more data and hear from CNOs on the current care landscape, download the full FutureCare Nursing 2026 report.
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