By | November 26, 2016

With the national nurse turnover rate rising to nearly 17%, health systems across the country are investing in ways to increase retention. Trinity West Michigan Mercy Health Saint Mary’s has implemented Relias Assessments (formerly Prophecy) as an improvement intervention with the goal of positively influencing new grad nurses entering its nurse residency program.

Understanding that replacing a new nurse can cost up to $88K, leadership is taking significant steps to make sure nurses are hired, onboarded, and developed using the validated, predictive model provided by Relias Assessments.

According to Theresa McGuire, the program coordinator for the RN residency program, who presented her data results on a special webinar for APS, they are using the comprehensive assessments to impact nurses in three ways:

1. Find best candidates

Reducing variation is the key to building high-performing nursing teams. Prophecy assessments are able to identify high performers and predict their success prior to independent practice. After HR identifies candidates with best cultural fit, Prophecy analytics allow nurse managers to identify, in that pool, top performers in 40 different clinical areas with additional insight into their situational awareness and critical thinking skills specific to that specialty. According to Theresa, “Our vision is to recruit and retain top talent. We use Prophecy to help.” The result is reduced nurse turnover.

RN turnover by year

2. Find best fit

While many nurses enter their specialty because it may have been a childhood dream or because there was an immediate vacancy, it’s not always the best fit for the individual. Prophecy assessments are able to identify best matches for a nurse and a specialty based on their behavioral competencies. For example, do they favor the high-energy, changing environment of the emergency department or do they favor the structured, consistency of the ICU? Once these competencies are identified, nurses can be placed into units where it’s statistically predicted that they will be happy. Added Theresa, “Nurses are able to enjoy their job and the literature is very clear that all great patient outcomes are associated with that.” The result is increased nurse satisfaction.

chart showing how prophecy helps place RNs

3. Find best selves

According to Theresa, at her organization they are committed to helping both new and experienced nurses find their best selves; meaning they are good at what they do and they love what they do. In addition to using Prophecy assessments to identify top performers and best fitting specialties for them, they will use the analytics to customize onboarding to make sure the learners are being trained on the practice areas where they need extra education. “Prophecy is an evidence-based tool that allows nurse managers, educators, HR to make smart hiring decisions.” When nurses are positioned for success, the result is increased retention.

nurse resident retention data

Tom De Santes

Tom is the Marketing Director of Advanced Practice Strategies.

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