Associate Degree Registered Nurse Educational Needs Assessment
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1. Default Section
This survey is to be completed by Associate Degree Registered Nurses only. If your current status is LPN, BSN, or MSN, please exit and select the appropriate survey.
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1
. How many years have you been in practice?
How many years have you been in practice?
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2
. Please indicate yor age:
Please indicate yor age:
3
. Please indicate the area that best describes your place of employment.
Please indicate the area that best describes your place of employment.
Hospital
Ambulatory care center
Long-term care facility
Self-employed
Rehabilitation center
Physician's office or clinic
Other (please specify)
4
. What is your level of interest in a program which would allow you to earn a higher degree?
What is your level of interest in a program which would allow you to earn a higher degree?
Very interested
Somewhat interested
Not interested
5
. If you are interested in such a program, what is your preferred method of teaching/course delivery?
If you are interested in such a program, what is your preferred method of teaching/course delivery?
Traditional classroom lecture
Compressed video from remote sites (Live, interactive audio/video classes transmitted from a remote site to a central reception location)
Web-based online courses (non-clinical courses offered entirely via the Internet)
6
. If such a program is offered via compressed video or traditional classroom methods, how far will you be willing to travel to participate in these courses?
If such a program is offered via compressed video or traditional classroom methods, how far will you be willing to travel to participate in these courses?
20-40 miles once or twice weekly
40-60 miles twice weekly
More than 60 miles once or twice weekly
If I have to travel, I cannot enter the program
7
. For a web-based online program, the following are required:
-PC which is capable of running Windows XP OR Mac 32 bit 10.2 or 10.3
-Software: MS Office and Internet Explorer
-Internet access: DSL or Cable modem connection with Intenet service provider (No dial-up)
Please choose the one that best describes your access for a web0based online program:
For a web-based online program, the following are required: -PC which is capable of running Windows XP OR Mac 32 bit 10.2 or 10.3 -Software: MS Office and Internet Explorer -Internet access: DSL or Cable modem connection with Intenet service provider (No dial-up) Please choose the one that best describes your access for a web0based online program:
I have the necessary computer requirements
I will be able to acquire the necessary computer requirements
I do not have one or more of the necessary requirements, and will be unable to acquire it
8
. Would the availability of financial assistance affect your decision to enter and complete the program?
Would the availability of financial assistance affect your decision to enter and complete the program?
Yes
No
9
. If enrolled, would you attend on a full-time or part-time basis?
If enrolled, would you attend on a full-time or part-time basis?
Full-time
Part-time
10
. When do you anticipate enrolling?
When do you anticipate enrolling?
Within 1 year
Within 2 years
Within 3 years
Within 4 years
Within 5 years
Uncertain
11
. What type of program would you most likely enroll in?
What type of program would you most likely enroll in?
RN to BSN
RN to MSN
12
. If you selected RN to MSN, what type of Master's program would best meet your career goals?
If you selected RN to MSN, what type of Master's program would best meet your career goals?
Nursing Educator
Nursing Administration
Adult Nurse Practitioner
Psychiatric Mental Health Nurse Practitioner
Family Nurse Practitioner
Clinical Nurse Specialist
Other (please specify)
13
. I would like information about program offerings. My email address is:
I would like information about program offerings. My email address is:
14
. My physical address is:
My physical address is:
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Thank you for your participation!
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