NR446 Collaborative Healthcare
Exam 3 Review
Unit 5
1. Staffing Functions
A. Assessment of staffing needs
Factor affecting staffing needs
o Source of nursing pools
o Number of students enrolled in local nursing school
o Usual length of employment of newly hired staff
o Peek staff resignation periods
o Times when patient census is highest
o Patient care delivery system in place
o Knowledge level/education level of needed staff
o Budget constraints
o Historical staffing needs and availability
o Diversity of the patient population to be served
B. Recruitment – the process of actively seeking out or attracting applicants for existing positions and should be an
ongoing process
The nurse-recruiter – interviewing and selecting personnel depending on
o The size of the institution
o The existence of a separate personnel department
o The presence of a nurse-recruiter within the organization
o The use of centralized or decentralized nursing management
Recruitment and retention (managers need to acknowledge the correlation between recruitment and
retention)
o The best way to maintain an adequate employee pool is by word of mouth
o Recruitment is not the key to adequate staffing in the long term
o Retention is and it only occurs when the organization is able to create a work environment that
makes staff want to stay
o Turnover provides the organization with new ideas, and reduces the probability of groupthink
o Excessive turnover is expensive, and inhibits the organization’s ability to produce and end product
(advertising, interviewing, training cost, temporary replacement)
Recruitment methods
o Advertisements (word of mouth)
o Career days
o Literature
o Informal use of members of the organization as examples of satisfied employee
Factors affecting recruitment
o Financial resources
o Adequate nursing pool
o Competitive salaries
o The organization’s reputation
o The location’s desirability
o The status of the national and local economy
C. Interviewing –
Seeking if enough information in order to determine if the applicant’s suitable for the position
Conducts the interview with manner regardless of outcome, applicant continues to respect the organization
Applicant obtains adequate information to make decision to accept job
i. Interview limitations
Structured interview is a better predictor of job performance
Unstructured interview continues to be the most common selection tool in use today
The major defect of hiring
Mixed reliability and validity:
o Intra-rater reliability high
o Inter-rater reliability low in unstructured interviews
Note: Exam 3 cover Units 5 & 6. You are encouraged not to limit your studies to the listed items above. The
list represents ‘Review’ after studying the chapters. Exam questions will include understanding and
application types of question with multiple choice & multiple answers. Wishing you success!
, NR446 Collaborative Healthcare
Exam 3 Review
o Inter-rater reliability is better if interview is structured and same interview format is used by
all interviewers
Subjectivity can never be totally eliminated
High interview assessments do not necessarily correlate with high-level performance on the job
Negative information about the applicant is weighed more heavily than positive information, and the
earlier in the interview, the greater the negative effect
Most decisions about the applicant are made in the first 30 to 60 seconds
In unstructured interviews, the interviewer generally does 80% to 90% of the talking. In structured
interviews, the interviewer does only 50% to 60% of the talking
The environment is artificial and it is difficult for many interviewees to relax and be natural
The interviewer may have poor communication skills and be unable to generate a discussion
Physical appearance often contributes substantially to an interviewer’s opinion about an applicant
Interviewers frequently ask questions that demonstrate a self-fulfilling prophecy regarding their first
impression of the applicant
Overcoming interview limitations
- Use a team approach
- Develop a structured interview format for each job classification
- Use scenarios to determine decision making ability
- Conduct multiple interviews
- Provide training in effective interviewing techniques
ii. Legal issues of interviewing
Illegal interview Inquiries
o Age
o Marital status
o Religion
o Children
o Race
o Credit status or financial status
o National origin
Legal interview inquiries
o Are you over the age of 18? Are you between 18 and 70?
o Languages applicant speaks, reads, or writes, proof of citizenship can be asked
o May ask if family status could hinder ability to attend or do job
iii. Planning the interview
Suggested interviewer format
o Introduce yourself and greet the applicant
o Make a brief statement about the organization and position and clarify the position for which
the person is applying
o Discuss the information on the application and seek clarification or amplification as necessary
o Discuss employee qualifications and proceed with structured interview format
o If applicant is qualified, discuss the position further
o Explain hiring procedures
o Terminate the interview
iv. Implementation of the interview
Interviewing Tips for Applicants
o Do your homework about the organization you are applying to
o Practice the interview and rehearse answers to foreseeable questions about your education and
experience
o Be prompt on the day of the interview
o Look your best for the interview. Dress conservatively and make sure you are neatly groomed
o Be on time
o Smile, shake hands, and maintain eye contact
o Stand until the interviewer invites you to sit
o Place personal belongings beside you on the floor
o Do not slouch or fidget
Note: Exam 3 cover Units 5 & 6. You are encouraged not to limit your studies to the listed items above. The
list represents ‘Review’ after studying the chapters. Exam questions will include understanding and
application types of question with multiple choice & multiple answers. Wishing you success!
, NR446 Collaborative Healthcare
Exam 3 Review
o Do not chew gum or smoke cigarettes
o Bring a paper and pencil to make notes
o Answer the questions with confidence and watch the interviewer for nonverbal cues
*The goal is to make a good first impression!
Common job interviews mistakes of applicants
o Arriving so early you appear overanxious
o Saying too much
o Wearing a coat/hat during the interview
o Wearing psychologically intimidating colors or patterns
o Sitting down before the interviewer does or addressing the interviewer by his or her first name
o Asking about salary, vacation, or promotions too early in the interview
o Bad-mouthing or revealing confidential information about a former or current employer
o Not having any questions
o Overstating your accomplishments
o Having a “what can you do for me?” attitude
o Being vague, rambling, or evasive, all of which show poor communication skills
o Lacking clear direction regarding what you want in your career
o Showing apathy or lack of motivation
Practice interview questions
o Why do you want this job?
o What is your philosophy of nursing?
o What strengths and weaknesses do you bring to this job?
o Why should we hire you? Why us?
o What is your 20-year career plan?
o Can you define professionalism in nursing practice?
o What do you know about our organization?
After the interview
o Send a thank-you note to the interviewer
o If offered the job, send a formal letter accepting or rejecting the job
o Personally critique the interview experience. Review in your mind what you did well and
what you would do differently the next time.
v. Evaluation of interview outcomes
Two aspects carrying most weight when recommending for or against hiring
o The requirement of the job
Qualified vs overqualified
o Personal bias
Examine any negative feelings occurring in the interview for personal bias
D. Selection
Adequate applicant pool
Preemployment screening (education and credential)
Completion of application
o Reference checks
o Preemployment testing
o Physical examination
o Employment interview
Employer decision
Finalizing the selection/Notification of applicants
E. Placement
New comers suffer feelings of failure because of inappropriate placement within the organization (novice
nurse)
Appropriate placement is as important to the organization’s functioning as it is to the new employee’s
success
Faulty placement can result in reduced organizational efficiency, increased attrition, threats to
organizational integrity, and frustration of personal and professional ambitions
Note: Exam 3 cover Units 5 & 6. You are encouraged not to limit your studies to the listed items above. The
list represents ‘Review’ after studying the chapters. Exam questions will include understanding and
application types of question with multiple choice & multiple answers. Wishing you success!
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