In healthcare hiring, accuracy matters. One great (or poor) hire can influence patient outcomes, team morale, and organisational performance. But even experienced hiring managers can fall into common psychological traps that cloud objective decision-making.
One of the most overlooked?
The Halo and Horns Effect.
What Is the Halo and Horns Effect?
The Halo and Horns Effect is a cognitive bias that causes us to let one standout trait (positive or negative) influence our entire perception of a person.
Why It’s a Problem in Healthcare Hiring
Healthcare roles, whether clinical or administrative, require a wide range of competencies: technical skills, emotional intelligence, reliability, critical thinking, and more. Letting one trait dominate your impression can mean:
In high-stakes environments like hospitals, clinics, and care homes, these missteps can translate to real consequences
Examples in Action
How to Avoid the Halo and Horns Effect
1. Use Structured Interviews
Ask every candidate the same set of questions. This creates a consistent basis for comparison and helps reduce overemphasis on first impressions or isolated traits.
2. Score Answers with a Rubric
Use a scoring system to evaluate responses objectively. Predefine what a “strong,” “average,” or “weak” answer looks like for each question based on job-related criteria.
3. Evaluate Multiple Competencies Separately
Break the role into key competencies (e.g. clinical knowledge, teamwork, communication). Assess each area on its own merits. This helps prevent one trait from dominating the whole evaluation.
4. Pause and Reflect
After the interview, take a moment to reflect: “Am I letting one aspect overly influence my overall impression?”
If so, take a step back and refocus on the full picture.
5. Include Multiple Evaluators
Bring diverse perspectives into the interview process. One person may be swayed by a single trait, but a panel can offer checks and balances.
6. Look for Evidence, Not Impressions
Instead of asking “How did they come across?” ask “What evidence did they provide that they can do this job well?”.
Use past behaviour, specific examples, and measurable results.
Final Thought
Avoiding the Halo and Horns Effect isn’t about ignoring your instincts, it’s about balancing them with structure and strategy. When you commit to objective, evidence-based hiring, you uncover talent you might otherwise miss and avoid costly missteps driven by first impressions.
In healthcare, that difference matters.
Ready to Hire More Confidently?
If you’re looking to build a stronger, more reliable healthcare team, we’re here to help. Our recruitment experts specialise in identifying the right talent based on evidence, not impressions. Talk to us at Stroud Resourcing to find out how we can support your next great hire. Contact us on LinkedIn or simply call us on 01904 239910.
Back