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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