Thank you for completing this survey, which will take approximately  5 minutes of your day.
We realize that a survey such as this is limited in what it can encompass, and that all descriptors or choices may not be fully listed. We welcome your comments and feedback to improve this process and these questions in the future. 
All of your answers will be confidential and cannot be traced back to you unless you choose to input your personal information to have further discussion with a staff and/or committee member from MNA.

By answering these survey questions you agree to let us collect this information that may be used for research and education purposes.

Thank you! ~ The MNA Committee for Diversity Inclusion, and Cultural Competency

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* 1. Number of years working as a nurse

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* 2. The gender that I identify with is:

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* 3. Do you identify as transgender?

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* 4. Please select one that best describes the sexuality you most identify with

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* 5. In my current or most recent nursing work setting, my sexual orientation or gender identity is:

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* 6. In my current or most recent nursing work setting, nurses from my identified sexual orientation and/or gender identity are:

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* 7. In my current or most recent nursing work setting, I feel comfortable addressing healthcare issues related to sexual orientation and/or gender identity:

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* 8. In my current or most recent nursing work setting, I am aware of nurses that have been unfairly disciplined and/or terminated related to issues surrounding sexual orientation and/or gender identity.

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* 9. In my current or most recent nursing work setting, I have had patients express discomfort/dissatisfaction with the perceived sexual orientation and/or gender identity of their healthcare provider.

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* 10. In my current or most recent nursing work setting, I have felt as if I needed more information to adequately or correctly care for patients of varying sexual orientations and/or gender identities.

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* 11. In my current or most recent nursing work setting, I have received or observed verbal and/or physical aggressions from patients or staff towards myself or another healthcare professional related to sexual orientation and/or gender identity.

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* 12. In my current or most recent nursing work setting, I have witnessed inequitable, substandard or unfair treatment of patients based on sexual orientation and/or gender identity.

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* 13. Please check the boxes next to the terms that you feel comfortable defining:

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* 14. Please select how much knowledge you currently have to provide accurate care for transgender individuals:

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* 15. Please select how well you can use or ask about accurate pronouns when talking with or about individuals:

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* 16. Please share any personal story that reflects your experiences in healthcare as related to sexual orientation and/or gender identity.

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* 17. Please provide any other comments, issues, or concerns that you have related to your nursing practice, and how to incorporate knowledge of varying sexual orientations into your care, especially how MNA can assist in addressing those topics:

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* 18. Optional Information if you would like follow up communication from MNA

0 of 18 answered
 

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