95% said a positive work environment would influence them to stay at a job
4 Keys to Unlocking the Potential Workforce
A national survey reveals what younger workers want from an employer. These four top the list:
- Great team
- Training and mentorship
- Flexibility
- Great manager
The evidence couldn’t be any clearer. Young Millennials and Gen Zers love children’s hospitals. But would they be willing to work for one?
To discover how to entice members of these crucial demographic groups to seek jobs at children’s hospitals, CHA commissioned the Center for Generational Kinetics (CGK) to ask them directly. CGK surveyed 1,650 people between the ages of 18-35, some who currently work in health care and some who don’t.
Of those surveyed, 90% of health care workers said they were confident they could build a successful career at a children’s hospital. Ninety-five percent have an overall positive perception of children’s hospitals, and nearly everyone surveyed was open to working at a children’s hospital.
Jason Dorsey, co-founder of CGK, was “shocked” by these findings since his company almost never encounters ratings this high in other industries. “There’s a massively positive perception of childrenʼs hospitals,” he said. “We’ve asked if people like chocolate and we don’t get 90% positive responses. There is such a strong feeling towards childrenʼs hospitals. It’s incredible. And itʼs just very consistent.”
This begs the question: If everyone would love to work at a children’s hospital, what’s keeping them from doing so? “If we’re not getting the right people, there’s clearly something else at work that we need to dig into,” Dorsey said.
Millennials and members of Generation Z will make up the majority of the workforce by 2030, so attracting and retaining them is key to children’s hospitals’ workforce sustainability efforts.
While the vast survey data reveals numerous paths to success, Dorsey said the key is mastering a few areas first. “Other things become a distraction, and they also consume resources. If you focus on a handful of things rather than trying to do everything, you’re going to have a lot more success, less stress, and better results.”
Among the survey findings, four key areas stood out as essential to younger workers, no matter their current industry, age, or gender identity.
1. A great team
Younger workers want to work on a strong team. Among the survey questions about why someone would apply and stay at a children’s hospital, the top answers consistently involved the team environment: “great relationship with team,” “healthy relationships,” “having a consistent and reliable team of coworkers,” “helpful and supportive coworkers,” “working with a skilled and dedicated team of coworkers,” “fun and friendly environment.”
This notion was consistent across healthcare and non-healthcare workers, Gen Z and Millennials, and women and men. In the end, it comes down to the quality of the team.
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Children’s hospital action plan
Follow the four pillars of team health from Leah Weiss, PhD, MSW, speaker, writer, and lecturer at Stanford University:
Foster community. Teammates do better when they understand how each person’s work fits in with the rest of the team’s, leading to a clear sense of contribution to a larger mission or goal. It is essential to have at least one confidant on the job—research overwhelmingly shows that if a person has just one workplace friend, retention and engagement skyrocket. Teams should facilitate opportunities to build relationships, especially for new hires.
Allow autonomy. In healthy teams, each member has input on priorities, autonomy in organizing time, and a balance of support and flexibility to make the right decisions and execute their tasks. The appropriate balance for a given team or employee will depend on personal preferences and seniority.
Embed rejuvenation. Successful teams are thoughtful about planning and structuring rest. They honor individual and team guardrails that separate work and personal life. And they are thoughtful about how work is distributed across a team, especially in aligning with the need for intermediate respite.
Cultivate awareness. Successful teams recognize each member’s needs, stress responses, and motivations. This awareness fosters supportive interactions, reduces burnout, and strengthens team resilience. Sharing purpose and respecting individual values, team members serve as a support system, creating a safe, connected space that enables them to face challenges more effectively together.
2. Training and mentorship
Younger generations want to feel prepared and equipped for every phase of their career journey, starting on day one. “Poorly defined orientation, onboarding, or training process” was cited as a main factor that would cause someone to leave a job at a children’s hospital. Respondents said they know within the first week if they will stay at a job long-term.
During the first 30 days of employment, survey respondents said they expect to be introduced to a mentor or guide; receive information on employer background, pay, and benefits; and be told exactly what is expected. Respondents also said they are significantly more likely to stay longer at a children’s hospital if they receive training and courses for technical skills, advancement/promotion skills, and leadership skills.
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Children’s hospital action plan
Create a mentor program. Many replicable programs exist like Benner’s Novice-to-Expert Clinical Practice Framework, a structure used by hospitals for decades. This can be tailored to specific needs, such as St. Louis Children’s Hospital’s version that pairs seasoned nurses with novices to help gain clinical competence and practical confidence.
Go big with onboarding. Think beyond the first weeks or months. Try an 18-month tiered approach like Cardinal Glennon Children’s Hospital that grows with employees as they grow in the job. Include escalating training with preceptors and hands-on practice with specific patients and units.
Invest in simulations. Studies show that education through simulations, both virtual and in-person, enables guided teaching experiences in a safe environment, accessible learning opportunities, and a standardized assessment of skills. A hands-on approach to education also produces longer-lasting knowledge and skills.
Design a fellowship program. One example is the Transitional Fellowship Program at Children’s Hospital Los Angeles that provides training and support for experienced respiratory therapists seeking to specialize in neonatal and pediatric care. The immersive experience helps practitioners enhance their expertise and understanding to reach career objectives.
3. Great managers
When asked what would “absolutely convince” workers to stay at a children’s hospital, the top answer was “a great manager.” When asked what would absolutely convince them to leave, the top answer was “conflict with manager.”
“The key insight here is that leadership training, culture-building, and developing managers and supervisors are essential investments to drive retention,” Dorsey said. “These should be viewed as high-ROI and not expenses because increasing retention is one of the most important ways to keep expenses lower, increase morale, and fuel a healthy workforce culture.”
Respondents said they are more likely to stay longer at a children’s hospital job if their supervisor encourages open communication, creates an inclusive team environment, and empowers the team without micromanaging.
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Children’s hospital action plan
Take courses. Have leaders take the Foundations for Emerging Leaders courses from CHA’s Pediatric Learning Solutions. Accompanying support materials combine online learning with interactive classroom and workplace experiences, plus competencies targeting coaching and communication skills.
Create a program. A yearlong program at Stanford Medicine Children’s Health provides a multidisciplinary cohort of about 20 leaders with leadership lessons led by subject matter experts from Stanford Health. Topics include business and financial acumen, management, communication, systems, strategic planning, and introduction to The Empowerment Dynamic (TED*).
Become humbitious. Executive coach and professor of health care administration Amer Kaissi, PhD, says “humbitious” leaders have the confidence to make difficult decisions and the willingness to admit mistakes. Research shows these tactics help leaders combine hard and soft skills and fundamentally shift employee engagement, innovation, productivity and performance.
Swap jobs for a day. President and CEO of Children’s Wisconsin Gil Peri often dedicates a day to working someone else’s job in the hospital. By walking in their shoes, leaders see the real-life context of their work that performance reports can’t convey.
4. Flexibility
Gen Z and Millennials want flexible schedules. Those surveyed said “allowing a flexible work environment (flexible hours, ability to change shifts, etc.)” is a top reason they would accept a job at a children’s hospital, and “flexible scheduling” is a top reason they would apply for or accept a job over another industry. Yet most younger workers do not think a children’s hospital job offers schedule flexibility, ranking “no control over your work schedule or hours” as the second highest “negative or disadvantage.” The number one thing that would “absolutely convince” them to stay longer than three months is flexible hours.
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Children’s hospital action plan
Get creative with schedules. Children’s hospitals are trying different ways to introduce flexibility into clinical schedules. One strategy is to use eight-hour shifts on weekdays and allow more leeway in start times. Another is to allow staff to sign up for shifts based on personal schedules and preferences. As the schedule comes together, staff work together to ensure shifts are covered.
Offer sabbaticals. At Nationwide Children’s, nurses in high-acuity units can step down to a lower-acuity unit or ambulatory clinic for four to six weeks or can flex to a different unit once every few shifts. PICU nurses can take temporary stints with the home health nursing team.
Implement virtual nursing. Virtual nursing allows experienced nurses to work in command centers advising newer nurses at the bedside. Younger nurses benefit from the shared knowledge while the virtual nurses can work shorter, less-taxing shifts.
Create a float pool. A tiered float pool at Children’s Healthcare of Atlanta allows nurses to work on an as-needed basis. In the bottom tier, nurses work occasional shifts; in the middle, nurses work a few days a week; in the top, nurses float between the hospital’s campuses and day and night shifts, essentially working full-time hours but in various settings.
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