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Key Findings

Innovative nursing care models are here to stay

Care delivery models have matured from pilot programs to sustainable strategies. Leaders are prioritizing outcomes, redesigning the workforce, and adopting new technology to improve patient care and operational performance.

Nurse leaders have adopted new care models in a significant way. Nearly 90% report implementation, with a strong impact on patient outcomes and nurse competencies, recruitment, and retention. Ninety percent also say these models are working well. Meanwhile, four in five respondents say they haven’t moved away from current care models. Taken together, these findings show nurse leaders are focused on models that deliver — whether they’re new or existed previously.

1. New nursing models are widely adopted, but challenges remain

While leaders are increasingly implementing new care models, roadblocks remain in the form of staffing shortages, financial pressure, and staff readiness. More than half say they deeply worry funding cuts could be detrimental and risk reducing patient outcomes in the very same models.

Adjusting to these challenges, expectations haven’t always lined up with execution. Nurse leaders are now planning model launches in areas with clearer operational and financial rationale, such as home health care and float pools.

Care models and programs Forecast for 2026 launch Nursing roles most in demand 2026
Home health care 42% 40% home health nurse coordinators
Float pools 38% 44% internal-float-pool nurses
Virtual nursing 34% 52% virtual nurses
Telehealth 24% 68% telehealth nurses

2. The positive impact from new nursing care models

Nursing leaders are singing the praises of new models, saying they’ve had positive impacts on patient outcomes (87%), nurse competencies (87%), and nurse recruitment and retention (83%). Their confidence in these models goes up the clearer their outcomes are, with staff retention emerging as a leading indicator.

They’re also up on technology. Most respondents said technology is already helping them implement new models, and nearly 70% say generative AI specifically is having a positive impact on them.

  • About This Graphic
    The graphic shows three areas where new models are reported to have positive impacts, with all results indicating strong agreement among respondents. Two areas—outcomes and nurse competencies—each report 87%, meaning nearly nine out of ten respondents see improvements in these areas. Nurse recruitment and retention is slightly lower at 83%, but still represents a large majority. Overall, the data suggests that new models are widely viewed as beneficial across all three areas, with outcomes and competencies rated equally highest and recruitment and retention close behind, indicating consistently positive perceptions across different aspects of impact.
  • About This Graphic
    The graphic highlights two closely related findings about technology use in model implementation. It shows that 75% of respondents say technology has already played a role in implementing their models, indicating that a clear majority are actively using technology today. It also shows that nearly 70% of respondents report that generative AI is having a positive impact on those models. While both figures are high, the percentage for general technology use is slightly higher than the percentage reporting positive impact from generative AI, suggesting that adoption of technology is widespread and that most, though slightly fewer, respondents see clear benefits specifically from generative AI. Overall, the data suggests strong uptake of technology alongside broadly positive perceptions of generative AI’s value.

3. What Nurse Leaders Are Investing In

  • About This Graphic
    The graphic is a horizontal bar chart comparing “Expectation” (blue bars) and “Execution” (green bars) across four care delivery areas: multidisciplinary care, home health care, float pools, and virtual nursing. In multidisciplinary care, execution (84%) is notably higher than expectation (61%), showing the largest positive gap where performance exceeds expectations. In contrast, home health care shows a significant shortfall, with expectation at 71% and execution much lower at 41%, indicating the largest negative gap. Float pools also show lower execution (45%) compared to expectation (68%), and virtual nursing follows a similar pattern, with execution at 53% versus expectation at 66%. Overall, the chart shows that multidisciplinary care is the only area where execution surpasses expectations, while all other areas fall short, especially home health care, highlighting gaps between what organizations expect and what they are currently achieving.

Given that the nursing landscape is changing rapidly, nurse leaders have shifted investments accordingly. Leaders say they’ve made the most progress in multidisciplinary care (84%).

By contrast, only 41% of leaders are managing home health care models—a far departure from their own expectations last year that 71% would be. But, of nurse leaders who are using this model, it seems to be working well. So, to advance new model adoption, nurse leaders want more investment in technological onboarding.

  • About This Graphic
    The graphic shows that nine in ten respondents, or 90%, believe that faster and more effective technology onboarding is essential for workforce readiness. This indicates a very strong consensus, with only a small minority holding a different view. The high percentage highlights that improving how quickly and efficiently staff are introduced to new technology is seen as a critical factor in preparing the workforce. Overall, the key takeaway is that most respondents view streamlined technology onboarding as a top priority for ensuring staff are ready to use new tools effectively.

Access the full FutureCare 2026 Survey

The Lippincott® FutureCare Nursing 2026 Survey reveals how nurse-led innovation is strengthening new care models, redesigning staffing, and protecting patient outcomes despite mounting financial pressure and workforce strain.

Compare the 2025 Survey

Nurse leaders transform care delivery to address workforce and patient needs

The 2025 Lippincott® FutureCare Nursing survey reveals leaders are looking beyond traditional nursing care models. Facing rising patient acuity and persistent workforce shortages, they want to drive meaningful change with newer models. While value-based care continues to reshape their priorities, nurse leaders believe organizations must balance cost pressures with improving patient outcomes and staff sustainability.

Leaders said they’re actively experimenting with new care delivery models, from team-based and virtual nursing to home health and telehealth expansion. In fact, 70% of nurse leaders report they’re planning to launch home health nursing models, followed by internal float pools and virtual nursing. They expect these new models to reduce medical errors, optimize nurse staffing, and improve clinical outcomes.

It’s not just about improving patient outcomes. More than half have noted positive nurse reinforcement, more supportive collaborative environments, and greater professional freedom as notable advantages of new models. As the nursing shortage remains top of mind, our inaugural survey showed nurse leaders are thinking of innovative ways to attract and retain nurses — with implementing new models emerging as a key way to improve nurse satisfaction.

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  • Workforce shortages are breaking traditional care models

    Chronic staffing shortages and rising patient acuity are pushing traditional nursing models beyond their limits, forcing leaders to rethink how care is delivered and how nursing resources are deployed. As part of this push, leaders are increasingly prioritizing their workforce’s well-being so they can recruit and retain more nurses.

  • Value-based care accelerates need for innovation

    With 65% of nurse leaders citing value-based care pressures, organizations are redesigning care models to reduce readmissions, improve outcomes, and balance cost efficiency with high-quality patient care.

  • New care models expand roles and flexibility

    Leaders are adopting team-based, virtual, and home health models that help reduce nurse workloads while enabling staff to better focus on their patients while expanding their roles and improving retention efforts.

  • Technology and training drive workforce transformation

    Investments in technology and training are helping reduce administrative burden while supporting decision-making and giving nurses the skills they need to succeed in evolving care environments. The survey showed 52% of respondents cited nurse informaticists as a staffing priority.

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