BSO Knowledge to Practice Community of Practice (CoP)

Please answer the following questions to express interest in joining the Community of Practice and to provide input into its development.

Question Title

* 1. Your contact details:

Name

Position

Organization

Work Phone Number

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* 2. What is your discipline?

Nursing

Personal Support Worker (PSW)

Allied Health Professional (e.g. PT, OT, SW, Recreation Therapist)

Other (please specify)

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* 3. What sector(s) do you work within? (check all that apply)

Acute Care

Community

Long-term Care

Tertiary Care

Other (please specify)

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* 4. Do you work in a BSO funded position?

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* 5. What LHIN do you work in?

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* 6. Were you a part of the previous Psychogeriatric Resource Consultant (PRC) community of practice?

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* 7. What benefits are you looking to gain as being a member of the Community of Practice?
(check all that apply)

A venue to share resources and tools

To connect with and learn from colleagues

To exchange ideas, experiences & innovations

To learn about and reflect on the knowledge to practice process

Creation of new resources/tools/materials together

To support my work in capacity building

To support my work in program development

To support my clinical work

To support my quality improvement work

Other (please specify)

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* 8. How would you rate your knowledge/familiarity regarding knowledge to practice models or frameworks?

High

Moderate

Low

I don't know

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* 9. Do you currently utilize a knowledge to practice model/framework to guide your work?

Yes

I don't know

If Yes, please specify the model/framework:

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* 10. The Community of Practice (CoP) will utilize an on-line shared space and will also come together through teleconference/webinars every other month.
What is your preferred time(s) for these CoP meetings?

at the beginning of the work day (e.g. 0900)

over the lunch hour (e.g. 1200 - 1300)

at the end of the work day (e.g. 1500- 1600)

Comment (Optional):

Thank you!
You will be receiving an email shortly regarding how to join
the Community of Practice's on-line shared space,
as well as information about next steps.

Question Title

* 1. Your contact details:

Question Title

* 2. What is your discipline?

Question Title

* 3. What sector(s) do you work within? (check all that apply)

Question Title

* 4. Do you work in a BSO funded position?

Question Title

* 5. What LHIN do you work in?

Question Title

* 6. Were you a part of the previous Psychogeriatric Resource Consultant (PRC) community of practice?

Question Title

* 7. What benefits are you looking to gain as being a member of the Community of Practice? (check all that apply)

Question Title

* 8. How would you rate your knowledge/familiarity regarding knowledge to practice models or frameworks?

Question Title

* 9. Do you currently utilize a knowledge to practice model/framework to guide your work?

Question Title

* 10. The Community of Practice (CoP) will utilize an on-line shared space and will also come together through teleconference/webinars every other month. What is your preferred time(s) for these CoP meetings?

* 7. What benefits are you looking to gain as being a member of the Community of Practice?
(check all that apply)

* 10. The Community of Practice (CoP) will utilize an on-line shared space and will also come together through teleconference/webinars every other month.
What is your preferred time(s) for these CoP meetings?