Creative Health Care Management - Cultures of Excellence Needs Assessment

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* 1. Organization Name

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* 2. Your Role/Title

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* 3. Email Address

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* 4. Magnet® Status:

Not pursuing

Planning to pursue

In progress

Re-designation

Magnet®-designated

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* 5. Pathway to Excellence® Status:

Not pursuing

Planning to pursue

In progress

Re-designation

Pathway to Excellence®-designated

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* 6. Type of Setting:

Academic Medical Center

Community Hospital

System or Enterprise

Critical Access Hospital

Long- Term Care/ Post- Acute

Ambulatory/ Outpatient

Other (please specify)

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* 7. What are your top 3 nursing or organizational priorities for the next 12–24 months?

Magnet® designation or re-designation

Pathway to Excellence® designation or re-designation

Wellbeing- Excellence™ program

Professional/shared governance implementation or revitalization

Leadership development or succession planning

Culture transformation

Nurse retention and engagement

Psychological safety and team well-being

Mentoring

Patient experience and patient outcomes

Evidence-based practice or research

Other (please specify)

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* 8. On a scale of 1–5, how confident are you that your organization is fully resourced to achieve these priorities? (1 being not at all confident and 5 being fully confident)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 9. Which of the following are the current challenges in your organization? (Select all that apply)

Inconsistent leadership practices across units

Low engagement in shared decision-making

Staff burnout or emotional exhaustion

Gaps in professional development pathways

Difficulty sustaining professional governance

Unclear accountability structures

Poor interprofessional collaboration

Lack of infrastructure for nursing excellence

Other (please specify)

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* 10. What types of offerings would be most helpful to your organization? (Select up to 5)

Microlearning modules for point of care staff

On-demand leadership development courses

Shared/Professional governance retreats/intensives

Professional practice retreats/intensives

Council leader toolkits/templates

Psychological safety training

Well-being offerings

EBP/Research mentorship/coaching

Custom consulting packages

Readiness or culture assessments

Digital dashboards for governance tracking

Virtual peer networking forums

Other (please specify)

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* 11. What format(s) do you prefer for learning and support?

Live virtual workshops

In-person facilitation

Online courses

Self-paced e-learning

Coaching/mentorship programs

Toolkits/templates

Other (please specify)

Creative Health Care Management - Cultures of Excellence Needs Assessment

Question Title

* 1. Organization Name

Question Title

* 2. Your Role/Title

Question Title

* 3. Email Address

Question Title

* 4. Magnet® Status:

Question Title

* 5. Pathway to Excellence® Status:

Question Title

* 6. Type of Setting:

Question Title

* 7. What are your top 3 nursing or organizational priorities for the next 12–24 months?

Question Title

* 8. On a scale of 1–5, how confident are you that your organization is fully resourced to achieve these priorities? (1 being not at all confident and 5 being fully confident)

Question Title

* 9. Which of the following are the current challenges in your organization? (Select all that apply)

Question Title

* 10. What types of offerings would be most helpful to your organization? (Select up to 5)

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* 11. What format(s) do you prefer for learning and support?

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* 12. What service, product, or support do you wish existed that could make a meaningful difference for your nurses or leaders?

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* 13. Any additional thoughts, needs, or suggestions you’d like to share?

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* 14. Would you like a member of our team to follow up with you?

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* 15. If yes, what’s the best time/method to reach you?

Creative Health Care Management - Cultures of Excellence Needs Assessment

Question Title

* 1. Organization Name

Question Title

* 2. Your Role/Title

Question Title

* 3. Email Address

Question Title

* 4. Magnet® Status:

Question Title

* 5. Pathway to Excellence® Status:

Question Title

* 6. Type of Setting:

Question Title

* 7. What are your top 3 nursing or organizational priorities for the next 12–24 months?

Question Title

* 8. On a scale of 1–5, how confident are you that your organization is fully resourced to achieve these priorities? (1 being not at all confident and 5 being fully confident)

Question Title

* 9. Which of the following are the current challenges in your organization? (Select all that apply)

Question Title

* 10. What types of offerings would be most helpful to your organization? (Select up to 5)

Question Title

* 11. What format(s) do you prefer for learning and support?

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* 12. What service, product, or support do you *wish existed* that could make a meaningful difference for your nurses or leaders?

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* 13. Any additional thoughts, needs, or suggestions you’d like to share?

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* 14. Would you like a member of our team to follow up with you?

Question Title

* 15. If yes, what’s the best time/method to reach you?

* 12. What service, product, or support do you wish existed that could make a meaningful difference for your nurses or leaders?