For nursing leadership
Which conversations should our nurses practice first, and what will leaders see?
See how your nurses' conversations go, unit by unit
Last updated: October 2026
For chief nursing officers, nurse directors and nursing professional development. Nurses practice the conversations behind patient experience, retention and safety by voice with AI characters, scored against your own standards, with results reported by unit.
What's at stake
Nurses have more of the conversations patients remember than anyone else in the hospital: the admission, the hourly round, the discharge teaching, the call to a physician at 3 a.m. Those conversations show up later in patient survey scores, readmissions and whether new nurses stay, and nobody hears them while they happen.
The numbers
- Nurse communication is one of the patient survey measures in Medicare's hospital value-based purchasing program, where patient experience makes up a quarter of the score, and it stays in the score through fiscal 2029 (CMS, HCAHPS Online).
- In Deloitte's analysis of US hospitals, communication with nurses had the strongest link to net margin of any patient survey measure (Deloitte, The value of patient experience, 2017).
- Hospitals lose 17.6% of their RNs a year and 22.7% of new RNs in their first year, at $60,090 per departure (NSI Nursing Solutions, 2026).
How ClinicalSim helps
Patient experience
Nurses practice hourly rounding, explaining care and service recovery, scored against AIDET or your own service standard.
Discharge teaching
Nurses practice medication and follow-up teaching with patients and caregivers, scored on teach-back.
De-escalation
Nurses practice talking down an agitated patient, family member or visitor, as spoken practice that adds to the course you already run.
New nurses and nurse managers
New nurses practice escalation and handoffs, and managers practice stay conversations and feedback.
Reporting your teams can trust
Every score quotes what the nurse said. Results can be anonymous and reported only by unit or cohort, and scores stay out of performance reviews.
Patient experience and service standards
Nurses, clinicians, and patient facing staff speak with AI patients by voice. Each report scores the encounter against your approved standards and cites the words behind the score. ClinicalSim does not predict HCAHPS, Qualtrics, readmission, or other patient outcomes.
Questions we get from this seat
Does this help with Magnet?
It can support the patient experience and professional development work Magnet asks for. ClinicalSim isn't affiliated with ANCC, and practice scores don't establish Magnet compliance.
We're a union environment. Who sees the results?
You set reporting rules before anyone practices. Results can be anonymous and reported only by unit, so no individual nurse is identified to leadership.
Where do we start?
With one unit or one new graduate cohort, one standard and one reporting question.
Will this raise our patient survey scores?
ClinicalSim doesn't predict patient survey scores. It shows how the conversations go and gives nurses practice, and if you want to test a link, we'll help you compare units using your own survey data.
Key terms
What this page does not claim
ClinicalSim is not endorsed by, affiliated with, or approved by ANCC, CMS, NSI Nursing Solutions, or Deloitte. Scores map to published frameworks; they do not establish compliance with any standard, which a surveyor determines against the institution's own policy.
ClinicalSim output is formative. It is evidence that informs program judgment, and it is not intended for employment, credentialing, privileging, licensure, or other high-stakes decisions.
Consistency between model runs is not the same thing as agreement with expert human raters. Faculty-rater validation on a customer's own rubric is the gate before any high-stakes use, and that work has not been done.
ClinicalSim does not predict patient experience scores, readmissions, safety events, claims, or other clinical or business outcomes. Any comparison with institution-held outcome data requires a separate study plan.
Formative scores must not be used for employment decisions, discipline, compensation, credentialing, privileging, or licensure. Institutions should set access, retention, and reporting rules before staff participate.
ClinicalSim has no evidence of raising patient survey scores, lowering turnover or reducing readmissions. The numbers above describe hospitals and nurses, not ClinicalSim results.