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November 4, 2025 31 mins

Nurse turnover rates have improved since the pandemic peak, but that doesn’t mean we’re out of the woods: 40% of nurses report that they intend to leave their job within five years. As nurse leaders turn their attention from fighting fires to finding strategic levers for nurse retention, they may be missing a surprising opportunity: career pathing.

Nurse career pathing has traditionally aimed at a core goal: to keep nurses at the bedside for as long as possible. But our research found that, to build a sustainable nursing workforce, nurse leaders need to focus on nurse engagement—not just retention.

This week, host Abby Burns sits down with Advisory Board nursing experts Miles Cottier and Allyson Paiewonsky. They break down the state of the nursing workforce and what it looks like to do career pathing in a way that better balances nurses’ needs with those of the organizations. Hint: the path may look less like a ladder, and more like a branching river.

We’re here to help:


Explore how Advisory Board resources can support your organization's journey


A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

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