REPORT | Laudio Insights & AONL 

Innovations in Clinical Ladder Programs:
Trends and Strategies

The newest AONL–Laudio Insights report, based on national data from 41,500 RNs and 70,500 ladder applications, reveals how Clinical Ladder Programs (CLPs) vary widely in design, participation, and impact, — and what nurse leaders can do to modernize them for stronger engagement, retention, and career growth. 

The report explores key insights such as: 

Wide variation in CLP design: Activity types, ladder levels, and advancement criteria differ significantly across organizations, often reinforcing tenure‑based progression.
Early‑career participation gaps: Eligibility restrictions and onboarding demands limit participation during the first 12–18 months — the period with the highest turnover risk.
Strong but time‑bound retention impact: Ladder achievement boosts retention most in the year following award, underscoring the importance of ongoing engagement.

Download the report to understand how modernized CLPs can strengthen retention, support professional growth, and build sustainable nursing careers.

Access the Full Report

“The implications of the analysis are clear that when nurses are able to participate in work that benefits their department and organization, they are more likely to stay and continue to contribute.” 

Tim Darling, Co-founder & President, of Laudio Insights