ATI National Nurse Educator Summit “What Providers Look for in an Interview”

ATI National Nurse Educator Summit“What Providers Look for in an Interview” April 2014 Christine Szweda, MS, BSN, RN Senior Director, Operations Office of Nursing Education and Professional Development

Objective • Participants can state three criteria on which to evaluate behavioral based interview responses

Cleveland Clinic National Recognition U.S. News & World Report #1 in heart care 19 consecutive years In top 4 hospitals nationally

H H H H H H H H H ClevelandClinic (main campus) Integrated Health System serving 5.1 million patients Euclid Hospital Hillcrest Hospital Lakewood Hospital South PointeHospital Lutheran Hospital Marymount Hospital Fairview Hospital Medina Hospital Weston Hospital, Florida

Total workforce >41,000 Nurses 11,000+ 154 nursing units 4,500 beds 200 operating room settings ER visits (system wide) – 440,000 Cleveland Clinic Nursing

Annual RN Hires 2013 1250 2012 1500 2011 1750

Assumptions • New graduate nurse hiring is increasingly competitive • Behavioral-based interviewing is becoming the norm • Value-based care is driving a shift in qualities desired by providers

Key Concepts • Value based purchasing (care) • HCAHPS • HAC • Residency Program • NDNQI / Benchmarking • Mission/Vision/Value

“I want to be a nurse so that I can sit with patients and talk with them and share stories with them.” “I had no idea nursing was this stressful”

Plan of Care Meaningful Use Report Near Miss Prevent Re-admissions Prevent CLABSI Prevent CAUTI Improve Responsiveness Scores Purposeful Rounding

Behavioral Based Interviews • Position Specific • Standardized Questions • Standardized Measurement • Three Contributors to the Total Score • Recruiter • Nurse Manager • Peers

Screening Phone Interview • Nurse Recruiters • Twenty minutes • Targeted questions to evaluate organizational fit • Determine next steps  Not suitable  Continue to manager

Unit Level Interview • Nurse Manager • 30 – 60 minutes • Targeted questions to evaluate unit fit • Focus is on compassion, quality, teamwork, adaptability to change

Peer Level Interview • Peer (very often preceptor or coach) • 30 minutes • Targeted questions to evaluate team fit and clinical interest • Focus is on communication, managing conflict and flexibility

Behavioral Based Interviews • STAR method to evaluate responses • The Situation or Task • Actions / behaviors (what the candidate said or did in the situation) • Results (the effects of the candidate’s actions  what differences did the actions make?)

Explain to me how you have learned new concepts in school? “I’ve worked really hard as a student in the classroom and in clinicals. I’m not content to wait to be told what needs to be done. I've always taken initiative and sought out new things to learn and I have been complimented by my professors for doing so.” 0

Explain to me how you have learned new concepts in school? “We just completed classes about pediatric diseases. While I learned through both lecture and independent reading, what really helped me understand how I could use this information to help my pediatric patients was my time in the simulation lab. I learned to look for signs that a pediatric patient may be in trouble and that I can use in my clinicals.” STAR

BBI Example (Education, Research, EBP) • Client Recruiter Question: • Can you tell me about one medical aspect you’ve had to learn for your job? • Tell me how you learned it.

BBI Response (Education, Research, EBP) • List of educational accomplishments • Complaining about those who assisted with training • Demonstrates no self-initiative related to learning • Demonstrates enthusiasm, shares how learning was used and what impact it had

BBI Example (Education, Research, EBP) • Nurse Manager Question: • Tell me about a time when you had to learn new information about a changing process or procedure. • Tell me about a time when you had to learn new information about a change in nursing practice and how you were successful in implementing that change

BBI Response (Education, Research, EBP) • List of educational accomplishments • Complaining about those who assisted with training • Complains about all the information there is to learn • Demonstrates enthusiasm about providing patient care and implementing learned knowledge for patient’s benefit

BBI Example (Education, Research, EBP) • Peer Question: • Describe a time when you had difficulty learning something complex

BBI Response (Education, Research, EBP) • Overconfident – “Never” – “I pick up things quickly” • Timid/Unsure – “There are so many difficult things to learn” • Shares example of a challenging concept and how it was finally conquered – describe how it felt to use the skill/concept once mastered

What Providers Look For? A candidate that demonstrates Initiative  Not Overconfidence Interest in Learning  Not Fear Relationships With Patients  Not Timely Task Completion Flexibility  Not Rigidity Commitment to a Career/Organization  Not Job Attainment

ATI National Nurse Educator Summit “What Providers Look for in an Interview”