After a slight rebound in 2024 (3.99), healthcare employee engagement declined so far in 2025 (3.97), dropping 0.02 points on a five-point scale according to a Press Ganey report published April 23. Millennials and Gen Z report the lowest levels of engagement, with scores of 3.85 and 3.81, respectively—well below the national average of 3.97.
Generation Z workers are leaving healthcare at a 38% turnover rate, followed by a 22% rate among millennials, 14% among Generation X, and 19% among baby boomers.
Turnover rates across 11 healthcare positions between 2023 and 2024 are as follows:
- Nursing (other): 24%
- Service: 21%
- Security: 19%
- Licensed technical: 18%
- Clerical: 17%
- Registered nurse: 17%
- Clinical professional: 17%
- Skilled maintenance: 17%
- Senior management: 14%
- Management: 14%
- Nonclinical professional: 13%
With turnover highest among newer employees, it’s critical to build engagement from day one. Some of the tactics shared in the report include:
- Segment engagement data by employee attributes, such as role, unit, tenure, and demographics, to spot where targeted support is necessary to address needs and gaps. Tailored solutions drive better outcomes, reduce turnover, and help teams thrive across every corner of your organization.
- Build engagement by ensuring employees feel respected, supported, and valued every day — one-off initiatives have a fleeting impact on engagement. Adopt high-reliability practices focused on safety culture, behavior standards, huddles, and rounding.
- Strengthen front-line leadership by ensuring managers possess the competencies and skills to earn and sustain the trust of their teams. Coaching and developing leaders and leaders rounding and coaching staff can cut turnover and increase profit margins.
The full report can be accessed at: Healthcare employee experience 2025.
