1.

The purpose of this survey is to assess your current research knowledge, attitudes, and practice.

Instructions: For each activity please rank your knowledge, willingness to engage, and ability to perform the activity by checking the number (level) that most describes you. This survey is completely anonymous.

* 1. Identifying a clinical problem from practice experience

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 2. Identifying a clinical problem from risk management CQI/PI data

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 3. Identifying new information in the literature with implications for current practice

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 4. Gathering relevent research literature

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 5. Critiquing research literature for use in practice

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 6. Determining if there is a sufficient research base for practice change

  1- Low 2- Moderate 3-High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 7. Selecting outcomes to be achieved when changing practice based on research

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 8. Developing a theoretical framework for study

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 9. Designing research based nursing practice interventions

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 10. Participating in the design of multidisciplinary interventions

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 11. Implementing practice changes on a pilot unit

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 12. Evaluating practice process changes

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 13. Evaluating practice outcome changes

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 14. Modifying interventions as needed

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 15. Formulating research questions

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 16. Developing a proposal to study a research question

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 17. Finding the right data collection instrument

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 18. Submitting a proposal to the Institutional Review Board

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 19. Submitting a proposal for grant funding

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 20. Gettting administrative support to do the study

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 21. Getting peer support to do the study

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 22. Doing a small pilot study

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 23. Setting up the procedures for the study

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 24. Collection of data

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 25. Entering the data into a database

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 26. Analyzing the data

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 27. Drawing conclusions from the study results

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 28. Consulting with experts

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 29. Writing up the results for publication

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 30. Presenting verbally the results

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 31. Preparing a poster presentation

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 32. Using research findings to improve practice

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 33. Monitoring outcomes from implemented practice changes

  1- Low 2- Moderate 3- High
Knowledge
Willingness to Engage (Perform)
Ability to Perform

* 34. My gender is

* 35. My age is

* 36. How many years have you been practicing as a RN?

* 37. My highest NURSING degree is

* 38. I currently work in:

T