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MNA-UMPNC Nurse Practitioner Climate Survey
This survey is designed to collect feedback on your working conditions, any recent changes in your roles or responsibilities, and to identify areas where improvements may be needed. Your responses will remain confidential.
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1.
Name
(Required.)
*
2.
Cell phone
(Required.)
*
3.
Personal email
(Required.)
*
4.
Which area do you currently work in?
(Required.)
*
5.
How many years have you worked in this role?
(Required.)
Less than 1
1-5
6-10
11-15
15+
*
6.
Do you know what service line you work in?
(Required.)
Yes
No
Unsure
*
7.
Do you know who your CND is?
(Required.)
Yes
No
Unsure
*
8.
Does your clinic have an active Workload Review Committee?
(Required.)
Yes
No
Unsure
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9.
Have there been any recent changes in your job duties, such as patient scheduling, visit types, or the overall structure of your workday?
(Required.)
Yes
No
10.
If you answered yes to question 9, please describe what has changed and when it began.
11.
If you answered yes to question 9, how would you rate the impact of these changes on your ability to provide care?
Very positive
Positive
Neutral
Negative
Very negative
12.
However you rated these changes, please explain why you selected the rating you did.
*
13.
Have you experienced any situations where you felt that your professional judgement or decision-making was overridden or ignored by management?
(Required.)
Yes
No
14.
If you answered yes to question 13, please provide examples where you felt your professional autonomy was compromised.
*
15.
Have you had to work hours beyond your scheduled shifts without prior notice or additional compensation recently?
(Required.)
Yes
No
16.
If you answered yes to question 15, please provide details about these instances, including how often this happens.
*
17.
Have there been changes in the types or complexity of patient visits assigned to you?
(Required.)
Yes
No
18.
If you answered yes to question 17, how have these changes affected your workload and the quality of care you can provide?
19.
Please share any other concerns or suggestions that you have regarding your work environment or conditions.
20.
Who do you most often look to for professional guidance?
21.
If you were going out to dinner, who is the colleague who would make you want to go?
22.
Who is the nurse colleague that influences you the most?