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Understanding Situational Judgement Tests in Healthcare Recruitment

Situational judgement tests (SJTs) are a common part of the recruitment process in healthcare, helping employers assess candidates’ suitability for roles in social work, allied healthcare, and nursing. These tests provide insight into a candidate’s drive, core knowledge, and decision-making skills through multiple-choice questions and scenarios. In this guide, we’ll explain how SJTs work, their effectiveness, and how to prepare for them.

What is a Situational Judgement Test?

Definition and Purpose

Situational judgement tests evaluate your responses to job-related scenarios. They gauge how you handle day-to-day challenges and responsibilities relevant to the position. For example, a nursing candidate might face a scenario involving a patient in distress and choose the best course of action from several options. These tests can be presented through text, audio, or video, allowing a realistic assessment of your problem-solving abilities.

Structure and Format

During an SJT, you’ll encounter various scenarios and rate the effectiveness of different responses. For instance:

  • Leadership Role: You might be asked how to handle a conflict between team members.
  • Allied Healthcare: You could face a scenario involving a patient’s therapy plan and decide the best adjustment.
  • Social Work: You might be presented with a case where a client needs immediate intervention, and you’ll choose the most appropriate response.

Why Are SJTs Effective?

Realistic Job Preview

SJTs provide a realistic preview of the job, allowing both candidates and employers to gauge fit and suitability. They help identify candidates who can make sound decisions and align with the organization’s culture and values.

Reducing Bias

Research from Ghent University in Belgium shows that SJTs are less biased against minority candidates compared to other aptitude tests. This is crucial as many organizations aim to meet diversity targets, making SJTs a valuable tool for fair recruitment.

Reducing Turnover

By exposing candidates to real-world job scenarios, SJTs help ensure that they have a clear understanding of the role’s challenges. This can lead to better job satisfaction and lower turnover rates, as candidates know what to expect.

How Are SJTs Used in Recruitment?

Pre-Interview Screening

SJTs are often used before the interview stage to filter candidates. This allows hiring managers to focus on applicants who demonstrate strong judgment and a good cultural fit.

Assessing Job Readiness

Candidates who perform well in SJTs are likely to make smart decisions on the job. This predictive capability makes SJTs a valuable tool in selecting the best candidates for healthcare roles.

Example SJT Questions

Here are some example questions you might encounter in an SJT for healthcare roles:

  1. Scenario Selection: You read a scenario and select the best and worst responses to the problem.
  2. Ranking Responses: You are given a scenario and must rank responses from most to least effective.
  3. Most and Least Effective: You choose the most and least effective responses to a given scenario.
  4. Rating Responses: You rate responses to a scenario from ‘very effective’ to ‘counter-productive.’

Example for Nursing

Scenario: A patient is experiencing severe pain post-surgery and is becoming agitated. Responses:

  • Administer additional pain medication immediately.
  • Call the supervising nurse for advice.
  • Reassure the patient and monitor their condition closely.
  • Document the patient’s pain levels and report to the attending physician.

Task: Rank these responses from most to least effective.

Example for Social Work

Scenario: A client is threatening self-harm during a session. Responses:

  • Call emergency services immediately.
  • Try to calm the client and explore their feelings.
  • Inform a colleague and seek their assistance.
  • End the session and schedule a follow-up for the next day.

Task: Select the most and least effective responses.

Preparing for Your SJT

Practice Tests

Taking practice SJTs can help familiarize you with the format and types of questions you’ll face. There are many free practice tests available online that can help you prepare.

Research the Role

Understanding the specific demands of the role you’re applying for will help you anticipate the scenarios you might encounter. Research the typical challenges and responsibilities of the job to tailor your responses effectively.

Reflect on Your Experience

Think about similar situations you’ve faced in your previous roles and how you handled them. Drawing from real experiences can help you provide thoughtful and relevant responses during the test.


Situational judgement tests are a valuable part of the recruitment process in social work, allied healthcare, and nursing. They provide insight into a candidate’s decision-making skills and cultural fit, helping employers select the best candidates. By preparing effectively, you can showcase your abilities and increase your chances of success.

Additional Resources

For more advice on interviews, check out our other interview advice resources.

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