Evidence · Live pilot and Australian data

We ran it inside a leading healthcare system. Here's what we found, including what didn't work.

122 nursing staff. Every major specialty. 19 weeks in acute hospital care. This is the public summary; the full report is available on request.

A nurse wheeling an incubator down a hospital corridor
The framework behind it

Built on research. Tested by nurses. Proven on the ward.

Both studies use WHIP®, the Workplace Health Intervention Pathway. It is grounded in the published evidence, reviewed by nurses around the world, and tested inside a leading healthcare system.

  1. 150

    Peer-reviewed journal articles

    The research base WHIP is built on, across physical, emotional, sleep and nutritional health in nursing.

  2. 20

    Nurses, global peer review

    WHIP was reviewed by a panel of 20 nurses from around the world before it reached the ward.

  3. 122

    Nurses in the live pilot

    Nineteen weeks across every major specialty, with 55% using it voluntarily. See the results

  4. Round 2

    Second global peer review

    Opening soon. The second global review by nurses worldwide opens soon.

See how the WHIP® pathway works

122

nursing staff enrolled, across every major specialty

55%

used the check-in voluntarily, at least once

36%

of check-in days, staff arrived tired or exhausted

19

weeks running inside a live acute trust

What we found

Three findings no other data source showed.

1

Nurses will use it

More than half used it voluntarily. With leadership backing, 112 staff enrolled in eight weeks.

2

It sees what others miss

On over a third of check-in days, nurses arrived tired or exhausted: at work, and invisible to absence data.

3

It shows where

Paediatrics, Midwifery and Critical Care scored lowest. Band 5 nurses scored below the support workers they supervise.

Where it's worst

Not every ward is under the same strain.

Scores differed by 0.62 points between the best and worst specialty. An annual survey can't resolve that to ward level. This can.

Mean check-in score by specialty, out of 5

Cohort average 3.28
Paediatrics n=6
2.55
Midwifery n=5
2.70
Critical Care n=4
2.72
Emergency n=9
2.94
Surgical n=13
3.00
Medical n=15
3.17
Bars start at zero; full width is 5. n = staff who checked in. Small samples, so treat differences as directional.
On arrival

More than a third of shifts started depleted.

Physical state was the weakest of the four dimensions, and poor sleep sat underneath it.

9%
27%
64%
ExhaustedA bit tiredOkay or better
Physical state on arrival, share of all check-in days. Live pilot, February–May 2026.
Under the average

Physical strain leads. Experience doesn't protect.

Mean score by dimension, out of 5

Physical
3.01
All four combined
3.28
Emotional
3.53
Only 5% of check-in days recorded excellent sleep; 18% recorded poor or very poor sleep.

20+ years' experience vs everyone, out of 5

20+ yrs · combined
2.90
Cohort · combined
3.28
20+ yrs · physical
2.41
Cohort · physical
3.01
20+ years: n=11. Bars start at zero; full width is 5. Directional only.
What we learned

People try it. Building the habit is the hard part.

Without reminders or onboarding, monthly active users fell from 39 to 3, and the average active user checked in 2.5 times.

Phase 2 fixes that: scheduled reminders, active onboarding, and check-in frequency written into every contract.

Study 2 · Australia

43 Australian nurses, outside any employer.

Nurses who downloaded the app on their own, mostly through The Nurse Collective. A different setting from the live pilot, and the same message: nurses are arriving depleted, and the people around them can't see it.

83%

were unable to deliver safe care at least once in the past month

57%

had considered leaving their role in the past month

46%

of daily check-ins started physically depleted

62%

of those thinking of leaving lacked rest between shifts, against 10% of those staying

Baseline survey n = 23; Daily Check-In n = 21 nurses, 90 check-ins. Self-selected; internal analysis, not peer reviewed.

Read the full pilot report.

Methodology, specialty and band breakdowns, and the Phase 2 design.