{"id":11276,"date":"2024-04-24T08:00:00","date_gmt":"2024-04-24T12:00:00","guid":{"rendered":"http:\/\/nursemk.wpengine.com\/how-effective-are-exit-interviews-when-nurses-resign\/"},"modified":"2025-08-12T12:03:53","modified_gmt":"2025-08-12T16:03:53","slug":"how-effective-are-exit-interviews-when-nurses-resign","status":"publish","type":"post","link":"https:\/\/www.nurse.com\/solutions\/blog\/how-effective-are-exit-interviews-when-nurses-resign","title":{"rendered":"How Effective Are Exit Interviews?"},"content":{"rendered":"<p><strong>When nurses decide to transition from one role to another, it not only causes disruptions to scheduling but also costs employers money.<\/strong><\/p>\n<p>Exit interviews are a practice some organizations use in their quest to reduce turnover and discern why nursing staff resigns.<\/p>\n<p>However, recruiters and other human resources (HR) professionals might wonder how effective exit interviews are in providing useful information. Do they help reduce turnover?<\/p>\n<p>The answer is no, according to John J. Sullivan, PhD, Professor of Management at San Francisco State University.<\/p>\n<blockquote><p>\u201cExit interviews are not helpful when done in their usual manner,\u201d said Sullivan, a well-known HR thought-leader from Silicon Valley. \u201cWhat are the odds of someone being completely honest on their last day on the job as to why they\u2019re leaving, especially if they still need a reference.\u201d<\/p><\/blockquote>\n<p>To be more effective, Sullivan recommended conducting the exit interview post exit and at a minimum, at least two weeks after someone has left. \u00a0\u201cThe key is waiting,\u201d he said.<\/p>\n<h2>Stay interviews<\/h2>\n<p>Once someone makes the decision to leave his or her job, it\u2019s too late, Sullivan said. \u201cIt\u2019s better to talk to people before they leave, when something can be done to change their minds.\u201d<\/p>\n<p>A more ideal approach in retaining nursing staff is to conduct \u201cpre-exit interviews,\u201d also called <a href=\"https:\/\/www.forbes.com\/sites\/johnhall\/2024\/02\/04\/how-to-replace-exit-interviews-with-stay-interviews-and-increase-employee-retention\/?sh=6a9325c016f3\" target=\"_blank\" rel=\"noopener\">stay interviews<\/a>, Sullivan said.<\/p>\n<p>\u201cPreexit interviews are done quarterly in the Silicon Valley,\u201d he said.<\/p>\n<p>And according to Sullivan, there are key questions to ask:<\/p>\n<ul>\n<li>Why do you stay?<\/li>\n<li>Is there anything that makes you want to leave?<\/li>\n<li>Are there any deal breakers?\u201d<\/li>\n<\/ul>\n<p>Sullivan advises not to wait too long for pre-exit interviews.<\/p>\n<p>You want to speak with your staff before they become too frustrated with their job, whether it\u2019s the work, salary, lack of support, limited opportunities for growth, or their manager, he said.<\/p>\n<p>Scripps Health in San Diego, California discovered exit interviews provided little useful information.<\/p>\n<p>\u201cThe information gleaned from exit interviews was redundant info we already had,\u201d said John \u201cJack\u201d Blake, Assistant Vice President of Human Resources at Scripps Health. \u201cThere were no surprises, so the value was not there.\u201d<\/p>\n<h2>Engagement surveys<\/h2>\n<p>Because of the lack of helpful data collected from exit interviews, Scripps Health began using an annual engagement survey for each employee about 15 years ago, Blake said. The move to engagement surveys helped determine what motivates their nurses and makes them happy with their jobs and what aspects of their work contribute to feeling dissatisfied.<\/p>\n<blockquote><p>\u00a0\u201cWe became proactive with the use of engagement surveys,\u201d he said. Because of the competitive job market, Blake said the use of engagement surveys helps the organization stay ahead of the curve by cultivating nursing talent, while helping with retention.<\/p><\/blockquote>\n<p>Prior to engagement surveys, the organization had a 25% first-year turnover rate. Over time, turnover dropped to the low teens, Blake said. If problems are uncovered, action plans are created to address problems to help reduce turnover.<\/p>\n<p>\u201cIt took a lot of work 15 years ago to initiate the process of using engagement surveys,\u201d he said. \u201cHowever, it\u2019s saved us money in the long run, as each time you lose an employee, the consensus is that it costs the company a total of that employee\u2019s annual salary when they leave.\u201d<\/p>\n<p>Another healthcare organization that uses engagement surveys for their nurses is Regional Health in Rapid City, South Dakota.<\/p>\n<p>\u201cRegional is a Magnet Hospital so we use the NDNQI employee engagement survey every two years,\u201d said Deanna Rice, MSN, MBA, HCA, System Director of Professional Practice and Development at Regional Health. \u201cIf we see any patterns emerge with nurses\u2019 feedback, our CNO gets involved. We are very much about being proactive and handling concerns before they become larger issues.\u201d<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-13416 aligncenter\" src=\"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2024\/12\/Nurse-B2B-Recruiting-CTA-11-24.AL2_-300x101.jpg\" alt=\"\" width=\"727\" height=\"245\" srcset=\"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2024\/12\/Nurse-B2B-Recruiting-CTA-11-24.AL2_-300x101.jpg 300w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2024\/12\/Nurse-B2B-Recruiting-CTA-11-24.AL2_.jpg 768w\" sizes=\"auto, (max-width: 727px) 100vw, 727px\" \/><\/p>\n<h2>Exit interview outcomes and other effective strategies<\/h2>\n<p>Although Regional Health still conducts exit interviews, Rice said the response rate is low.<\/p>\n<p>\u201cOur exit interview process <a href=\"https:\/\/advertise.nurse.com\/blog\/9-tips-recruiting-nurses-cold-calls\">begins with a phone call<\/a> two weeks after a nurse leaves,\u201d she said. \u201cAbout 60% to 70% don\u2019t respond. My theory is this may be due to the fact that we\u2019re the only hospital within 300 miles; there isn\u2019t another hospital across the street to get your next job.\u201d<\/p>\n<p>In general, most of the nursing leadership feels using exit interviews is not a proactive strategy and it\u2019s too late to make a difference; however, some still feel they\u2019re useful, Rice said.<\/p>\n<p>In addition to the engagement survey, Regional also requires all managers to meet with nursing staff every quarter and document the meetings. This results in managers staying in touch and having regular conversations with nursing staff, Rice said.<\/p>\n<p>\u201cOur CNO also holds monthly nursing forums,\u201d Rice said. \u201cShe meets with two to three nurses from each department to uncover any work-related concerns ranging from, but not limited to pay rates, patient care, identifying bullies, and management issues.\u201d<\/p>\n<h2>The future of exit interviews<\/h2>\n<p>UCLA Medical Center is another organization that discontinued the use of exit interviews several years ago, after a low response rate and not receiving enough helpful information, said Stacey Sims, LMFT, SHRM-CP, Senior Consultant, Talent Acquisition at UCLA Health Sciences and the David Geffen School of Medicine.<\/p>\n<p>\u201cWe\u2019re in the exploratory phase of using stay interviews,\u201d she said. \u201cWhile our turnover rate is low, we want our staff to feel valued and stay with us. The move toward stay interviews is one way to achieve that.<\/p>\n<p>According to Sullivan, integrating comments like the following into stay interviews can help you hold on to talented nurses:<\/p>\n<ul>\n<li>\u201cYou\u2019re on our radar.\u201d Explain their commitment to excellence is getting noticed.<\/li>\n<li>\u201cThank you.\u201d Show gratitude for their key contributions<\/li>\n<li>\u201cYou\u2019re valuable to us.\u201d Convey their importance to the organization.<\/li>\n<li>\u201cMy door is always open.\u201d Remind them that questions or concerns are always welcome.<\/li>\n<li>\u201cTell me why you stay here.\u201d Ask what keeps them at the organization and what would make them leave.<\/li>\n<\/ul>\n<p>Nurses are critical to healthcare. Show them the impact of their work \u2014 patients they saved and who lived as a result of their care \u2014 and how they\u2019re an invaluable asset to your organization.<\/p>\n<p><b>For more information on recruiting through our skills-based talent marketplace or to build your custom\u00a0talent acquisition solution package,\u00a0<\/b><strong><a href=\"https:\/\/advertise.nurse.com\/contact\">contact us<\/a><\/strong><b>\u00a0today.<\/b><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-13415 aligncenter\" src=\"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2024\/12\/Nurse-B2B-Advertising-CTA-11-24-300x101.png\" alt=\"\" width=\"776\" height=\"261\" srcset=\"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2024\/12\/Nurse-B2B-Advertising-CTA-11-24-300x101.png 300w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2024\/12\/Nurse-B2B-Advertising-CTA-11-24.png 768w\" sizes=\"auto, (max-width: 776px) 100vw, 776px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Exit interviews can be more effective if they are done postexit. Learn more about this approach and other strategies to enhance retention.<\/p>\n","protected":false},"author":107,"featured_media":13068,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[28],"tags":[],"coauthors":[1426],"class_list":["post-11276","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nursing-retention"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How Effective Are Exit Interviews?<\/title>\n<meta name=\"description\" content=\"Exit interviews can be more effective if they are done postexit. 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