**4.4 Research study conclusions**

The Cleveland Clinic study shows that it is possible to design a defensible strength test to be used in the selection process for physically demanding nursing jobs. This study shows the importance of physical strength specifically in the nursing profession. When a nurse's physical capability is correctly matched to the physical demands of the job, a nurse can better meet the essential functions of the job and better serve patients. Also, the analysis of this study shows it is possible to hire through a work justified strength screening program a healthier worker who will have lower paid average medical and per employee per month costs in the first year of benefit eligibility. The results of this study support the premise that strength is a new vital sign of workplace health.
