The national Models of Care Insight Study Survey conducted by Joslin Insight was made possible by Healthcare Plus Solutions Group, in collaboration with the American Nurses Association (ANA) and the American Organization for Nursing Leadership (AONL). Our combined goal is to use the data and ideas generated by the study to improve working conditions for nurses. By creating better places for nurses to work, we believe organizations will help relieve caregiver stress, elevate staff well-being, retain the best talent, and improve patient outcomes.
Below, you will find the Part I and Part II reports available for download as well as an interactive display to further explore the data. We recommend viewing this page on a desktop or laptop – sorting capabilities may be limited on your mobile device.
For more information on how this information applies to your organization or to have Quint Studer, Healthcare Plus Solutions Group Co-Founder & Partner, conduct a webinar for your team, please contact Info@HealthcarePlusSG.com.
Part I
Following 50 in-depth interviews with some of the nation’s top healthcare leaders, the Models of Care Insight Study Survey was launched to probe and validate the current demand for change, the support of various roles and programs, and the gap between leadership and the frontline. The survey was made available between January 25 and February 22, 2023, and garnered 3,387 respondents. The survey questions were catered primarily to direct care nurses, nursing leadership, and other healthcare executives in acute care and ambulatory settings. The survey received responses from all 50 states and has a 99% confidence level and a 2.21% margin of error.
Key findings from the report include:
- The biggest challenge organizations face is a lack of change management expertise among leaders.
- 92% of frontline nurses are interested in career or professional development opportunities but only 38% believe their organization’s offerings are attractive and easily accessible.
- Leaders underestimate the frontline’s support of certain care delivery models, including bringing back retired nurses.
- Leaders overestimate the frontline’s support of certain care delivery models, including LPNs.

Part I Survey Results
Part II
The Models of Care Insight Study Part II survey was available between July 6 and August 6, 2023. The survey collected 1,468 responses with an 80% complete submission rate. The survey focused primarily on direct care nurses, nursing leadership, and other healthcare executives in the acute care and ambulatory settings.
Key findings from the report include:
- Two-out-of three retired nurses are interested in continuing nursing
- Nurses’ weakest leadership traits are change management, positivity, and delegation
- Respondents say 29% of their work can be reasonably delegated
- 63% of respondents say their organization’s CNA workforce is understaffed or very understaffed
- 47% of respondents say CNAs are not treated with the same respect as their RN peers
