Survey Information Sheet 

Researcher: Cora Brennan. Contact: corabrennan1@hse.ie
Place of employment: Theatre Department Midland Regional Hospital Mullingar.
Survey aimed at peri-operative nurses.

Thank you for considering participating in this research project. The purpose of this document is to explain to you what the work is about and what your participation would involve, so as to enable you to make an informed choice.

“The purpose of this dissertation is towards a positive wellbeing environment in the peri-operative setting. Introducing the Work Positive Initiative from the State Claims Agency as a tool to collect data in relation to employee stressors.  “Work Positive” an initiative from the State Claims Agency and endorsed by The Health & Safety Authority and Employee Well-being Ltd. This is a tailor made psychosocial risk assessment framework for critical incidents in the workplace. The aim of the dissertation is to risk assess the current state of wellbeing nationally by collecting data gathered from a confidential survey developed with similar questions to that of Work Positive CI. The onus on preparing frontline staff for a Work Positive- Critical Incident, General Workplace Stress and Critical Incidence Stress using the Work Positive tool. 

Should you choose to participate, you will be asked to complete a questionnaire, which will include items on wellbeing, staff engagement and critical incidents. The study is aimed at peri-operative nurses only.

Participation in this study is completely voluntary. There is no obligation to participate, and should you choose to do so you can refuse to answer specific questions or decide to withdraw from the study. All information you provide will be kept anonymous.

You maintain the right to withdraw from the study at any stage up to the point of data submission.  At this point your data will be collated with that of other participants and can no longer be retracted.

After collection, your data will be anonymised and any hard copies of the questionnaire will be destroyed. The anonymous data will be stored on the University College Cork OneDrive system and subsequently on the UCC server. The data will be securely stored for 10 years and then destroyed.

The information you provide will be contributing to the case study/dissertation element of a MSc in Leadership in Healthcare.

We do not anticipate any negative outcomes from participating in this study. This study has obtained ethical approval from the IMI Social Research Ethics Committee.

If you have any queries about this research, you can contact me at corabrennan1@hse.ie

If you take part in this study you are agreeing to consent.

If you have been affected by topics mentioned in this survey, please contact supports at:

Employee Assistance Programme (EAP) - a free and confidential service to support you in relation to Critical Incident Stress Management. Callsave: 1850 420 420. Contact details for EAP providers in your local area can be found on this page www.hse.ie/eng/staff/employee or The HSE Psychosocial Response Group www.hse.ie/mental-health-services.

The information you provide by answering the following questions will be used to improve the physical, social and mental wellbeing of all employees in your organisation. For each question, please select the option that corresponds to your answer.



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* 1. Please indicate your gender

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* 2. Please indicate your age group

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* 3. How long have you been working in your current job?

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* 4. For each question, please select the box that corresponds to your answer. I am clear in what is expected of me at work.

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* 5. Different groups at work demand things from me that I find hard to combine

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* 6. I know how to go about getting my job done

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* 7. I am subject to personal harassment in the form of unkind words or behaviour at work

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* 8. I have unachievable deadlines

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* 9. If work gets difficult, my colleagues will help me if I ask

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* 10. I am given supportive feedback on the work I do by my line manager

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* 11. I have to work very intensively

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* 12. I have enough control over the pace of my work

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* 13. I am clear in what my duties and responsibilities are

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* 14. I have to neglect some tasks because I have too much work to do

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* 15. I am clear about the goals and objectives for my department/work group

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* 16. There is friction or anger between colleagues

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* 17. I have a choice in deciding how I do my work

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* 18. I feel I cannot take enough break time

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* 19. I understand how my work fits into the overall aim of the organisation

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* 20. I am pressured to work long hours

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* 21. I have a choice in deciding what tasks I do at work

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* 22. I have to work too fast

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* 23. For the next question we define workplace bullying as: repeated inappropriate behaviour, direct or indirect, whether verbal, physical or otherwise, conducted by one or more persons against another or others at the place of work and/or in the course of employment, which could be reasonably be regarded as undermining the individual's right to dignity at work. Have you experienced workplace bullying?

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* 24. I am subject to bullying at work

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* 25. I have unrealistic time pressures

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* 26. I can rely on my line manager to help me out with a work-related problem if I ask

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* 27. I get the help and support I need from my colleagues if I ask

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* 28. I have some say over the way I work

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* 29. I have sufficient opportunities to question management about change at work

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* 30. Colleagues generally treat me respectfully at work

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* 31. Staff are always consulted about change at work

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* 32. I feel I can talk to my line manager about something that has upset or annoyed me about work

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* 33. My working time can be flexible

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* 34. I feel I can talk to my colleagues to solve work-related issues.

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* 35. When changes are made at work, it is explained how they will work in practice

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* 36. I feel I would be supported by management if I had emotionally demanding work

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* 37. Relationships at work are strained

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* 38. My line manager encourages me at work

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* 39. I have felt cheerful and in good spirits.

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* 40. I have felt calm and relaxed

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* 41. I have felt active and vigorous

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* 42. I woke up feeling fresh and rested

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* 43. My daily life has been filled with things that interest me 

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* 44. Over the last 2 weeks, how often have you been bothered by the following problems? Feeling nervous, anxious or on edge.

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* 45. Not being able to stop or control worrying

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* 46. Little interest or pleasure in doing things 

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* 47. During the past 4 weeks, how bothered did you feel by emotional problems such as feeling anxious, depressed, irritable, or sad?

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* 48. Exposure to Critical Incidents. "A Critical Incident has been defined by the World Health Organisation (WHO) as an event out of the range of normal experience, one that is sudden and unexpected, makes you lose control, involves the perception of a threat to life and can include elements of physical or emotional loss".
Reflecting back over the last twelve months: Have you been involved in an incident which you found to be particularly distressing or hard to cope with?

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* 49. Please indicate an incident that involved the following: 

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* 50. Based on the incident that was most stressful for you within the last twelve months - did any of the following apply: You personally knew the patient/ client /service user

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* 51. You had significant “hands on” contact with human remains (e.g. a severely burned or dismembered or a badly decomposed body). 

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* 52. The incident had a profound significance for you due to being able to personally relate to the individual(s) and/or situation.

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* 53. You spent an unusually long period of time with a patient/client service user. 

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* 54. The incident involved high media coverage. 

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* 55. What sort of ‘work-related’ support would be helpful in this situation? 

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* 56. Thank you for completing this survey.

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* 57. This is a confidential survey. Your individual responses are completely anonymous and cannot be accessed by anyone within your organisation. The survey responses will be collated and presented to your employer.

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* 58. For more information on this tool please go to www.workpositive.ie

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