
HealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
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View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
View All ProductsTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsNurseGrid and Keener - HealthStream's mobile apps built by nurses, for nurses - help nurses take control of their schedules, practice self-care, and build a more sustainable career.
View All ProductsTake the stress out of scheduling with real-time technology that engages nurses and healthcare workers from HealthStream.
View All ProductsProvide an easier way to view healthcare staff capacity insights while seeing a patient’s journey with HealthStream’s operational intelligence and machine learning products.
View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreBy Kimberly Herold, MBA, BSN, RN, Director, Professional Development Pathways, HealthStream
One of HealthStream’s many solutions focused on improving outcomes is our Nurse Residency Pathway, a structured program to address the preparation of new graduate nurses for successful entry into the profession. One of the keys to developing and retaining new nurses is increasing their confidence. The HealthStream Nurse Confidence Survey, the only validated survey instrument of its kind, is the cornerstone of our effort to measure and strengthen new nurses’ confidence.
Importance of Nurse Confidence
Confidence is an essential characteristic necessary for the holistic development of the nurse. It is an especially important attribute for nurses in their first year as they enter the profession when reality shock and role confusion are prevalent challenges leading to high turnover. Confidence helps nurses feel like they are able to contribute effectively as interdisciplinary team members, and as advocates to their patients. It also helps to bolster the development of critical thinking, so that they are productive, able to make sound decisions for their patients, and can grow into effective leaders.
Why Measure Confidence?
Believing that measuring confidence as well as the effectiveness of measures intended to increase confidence are vital, we created the HealthStream Nurse Confidence Survey. A self-assessment of nursing confidence across five domains of practice, this evidence-based tool was produced by multiple subject matter experts. We use this survey as part our Nurse Residency Pathway, allowing customers to measure nurse confidence at critical intervals in the new nurse journey—at day one, week 12, 6 months, and one year. In each of these domains, you get to look at assessment evaluations for the change in confidence. For instance, HealthStream customer CHRISTUS Southeast Texas-St. Elizabeth saw an across the board 50% increase in nursing confidence from day one to one year.
The Importance of Validation
Validation confirms that an instrument like the Nurse Confidence Survey measures what it is intended to measure. We wanted customers to trust the accuracy of their individual survey findings and be assured that decisions based on them were appropriate. Full results of this analysis indicated that convergent and discriminant validity was strong.
Psychometric Evaluation Summary
I’ve copied the entire summary of the evaluation to share the strength of its findings:
“The purpose of this study was to evaluate the psychometric properties of the Nurse Confidence Survey developed by HealthStream. The Nurse Confidence Survey was administered to 422 new graduate Registered Nurses in their first practice setting. An exploratory factor analysis was used to determine the underlying domain structure of the instrument. Five domains emerged from this procedure—Professional Role, Clinical Practice, Assessment & Evaluation, Interprofessional Communication, and Patient-centered Education. When these five domains were evaluated for internal consistency it was found that all five domains had excellent reliability. Convergent and discriminant validity were also strong for all five domains. Lastly, a model of 8 items significantly predicted the Overall Ability item. In conclusion, the HealthStream Nurse Confidence Survey is a psychometrically sound and reliable and valid instrument.”
Our Validation Method
Psychometric evaluation involved analyzing the factor structure, reliability, and validity of the survey instrument. Reliability has to do with consistency of measurement while validity is related to how accurately the survey measures the constructs for which it was intended. The factor structure has to do with the underlying constructs, domains or factors being measured by the survey. A stepwise regression analysis was also used to determine how well the survey items predict overall ability ratings.
Using Nurse Confidence Survey Results
Our customers can use individual survey results as a basis for their nurse residency curriculum decisions. They can help to delineate areas needing greater focus and affirm what’s being covered successfully. For instance, if in a confidence survey you know that students are having problems in a particular skill in the clinical practice, then you can add that particular skill to a simulation lab or to a skills day with a content expert. The expert can come over and help them to understand the information and actually practice the skill.
Ultimately, the demands of healthcare and our growing patient need require that we figure out to hold on to more of our new nurses. We aren’t going to be able to do that unless we understand how to make them more confident in their ability to provide great care. The Nurse Confidence Survey is our validated effort to help healthcare organizations begin to understand how to close that gap.
Learn more about HealthStream Nurse Onboarding Solutions.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsImprove the preparedness of your staff, increase survival rates, and cut costs with the advanced resuscitation training services from HealthStream.
View All ResuscitationNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsDelivers everything you need to request, gather, and validate information about a provider to create a single source of truth for downstream processes.
View All CredentialingMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All Scheduling & Capacity ManagementNurseGrid and Keener - HealthStream's mobile apps built by nurses, for nurses - help nurses take control of their schedules, practice self-care, and build a more sustainable career.
View All ProductsTake the stress out of scheduling with real-time technology that engages nurses and healthcare workers from HealthStream.
View All ProductsProvide an easier way to view healthcare staff capacity insights while seeing a patient’s journey with HealthStream’s operational intelligence and machine learning products.
View All Products