Feedback For Nursing Staff
Feedback For Nursing Staff
Feedback For Nursing Staff
Demographic Data:-
Name: Age:
Sex: Department:
Date Of Joining: Qualification:
Rate the following:-
1 = Unsatisfied, 2 = Somewhat unsatisfied, 3 = Somewhat satisfied, 4 = Satisfied, 5 = Very
satisfied.
1. How satisfied are you with the process of your selection ?
2. How satisfied are you with the department your working currently ?
3. How satisfied are you with your job responsibilities?
4. How satisfied are you with your night shifts ?
5. How satisfied are you with the working hours ?
6. How satisfied are you with your current salary?
Fill the following with Yes/No :-
1. Do you believe you give good care to your patients ? ______________
2. Do you get support from colleagues? _____________
3. Do you feel isolated at work ?___________
4. Do you feel overloaded with patients ?
5. Do you feel that your effort is worthwhile in your job ?____________
6. Are you provided with the hostel facility ? ____________
7. Do you feel that the services for the staff is good ?__________
8. Are you provided with the hostel facility ? _____________
9. Do you feel management supports staff ? _____________
10. Do you feel management provides solution to all your queries in a given
time? _________________
11. Do you feel that a training session should be conducted
yearly?___________
12. Do you feel recognized in your hospital ?____________
13. Do you feel that hospital should provide travelling facilities for nurses in
night shifts?_________________
Answer in brief :-
1. What do you consider the biggest problem on the job?
Staffing Pay
Staff Attitudes Patient/Family Attitudes
Shift/Hours Lack of Respect From MD
Lack of Support from Management Other (please explain below)
2. What do you think would make the nursing profession more appealing?
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