Healthcare Leadership Trends for 2025
4. Leadership - Clinician Engagement Gap Proving Difficult to Narrow
Engagement is a key yardstick of leadership strength and cultural health. Each Trends survey examines how leaders evaluate the current state of engagement of three of their critical groups: physicians, nurses, and the leadership team itself. Results were generally flat from last year and demarcate the persistent engagement gap between the administrators and clinicians (Figure 8) .
PERCEIVED LEVEL OF ENGAGEMENT
63%
30%
53%
33%
29%
8%
55%
12%
17%
LEADERSHIP
PHYSICIANS
NURSING STAFF
High
Medium
Low
Figure 8
Leadership was rated as highly engaged at twice the level of nurses and doctors, with the latter having declined three points from last year. The clinicians fall squarely in the medium category, suggesting ambivalences that need to be overcome. The 17% low engagement for physicians is a concern, as is the 12% of nurses in that category.
© B.E. Smith 2025
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