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Creative Health Care Management - Cultures of Excellence Needs Assessment
1.
Organization Name
2.
Your Role/Title
3.
Email Address
4.
Magnet® Status:
Not pursuing
Planning to pursue
In progress
Re-designation
Magnet®-designated
5.
Pathway to Excellence® Status:
Not pursuing
Planning to pursue
In progress
Re-designation
Pathway to Excellence®-designated
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)
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)
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)
0
5
Clear
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)
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)
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)
12.
What service, product, or support do you *wish existed* that could make a meaningful difference for your nurses or leaders?
13.
Any additional thoughts, needs, or suggestions you’d like to share?
14.
Would you like a member of our team to follow up with you?
Yes
No
15.
If yes, what’s the best time/method to reach you?
