The Halo and Horns Effect in Hiring: How to Avoid it
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.
Halo Effect: You’re impressed by one strong trait (e.g. a prestigious degree, confident body language, or past employer) and, as a result, you assume the candidate excels in all areas even those unrelated to the original trait.
Horns Effect: The reverse happens. A single off-putting trait (e.g. nervousness in an interview or a minor typo on a CV) leads you to view the candidate as less competent overall, even if they’re highly qualified.
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:
Overlooking strong candidates because of minor first impressions
Overvaluing candidates based on traits that don’t correlate with job success
Missing diversity of thought and experience because you’re unconsciously gravitating toward those who present themselves in a familiar or impressive way
In high-stakes environments like hospitals, clinics, and care homes, these missteps can translate to real consequences.
Examples in Action
A candidate who worked at a well-known hospital is assumed to be a top performer without digging deeper into their specific role or impact (Halo)
A highly capable nurse fumbles a question during the interview due to nerves, and you rule them out despite glowing references and past performance (Horns)
A confident communicator overshadows a quieter candidate with better qualifications, simply because they interview better (Halo again)
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 Fertility Talent to find out how we can support your next great hire. Contact us on LinkedIn or simply call us on 01904 230002.