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SJBEL - Nurse's Voice Survey
Survey on Impact of Hospital Restructure
1.
Demographics
Name:
Unit:
Shift:
Home Email Address:
Home Phone Number:
2.
Length of Shift
8 hours
10 hours
12 hours
Other (please specify)
3.
How long have you worked at St. Joseph Hospital Bellingham?
4.
If you work 12 hour shifts, would you be willing to volunteer to change to 8 hour shifts?
Yes
No
5.
If you work 10 hour shifts, would you be willing to volunteer to change to 8 hour shifts?
Yes
No
6.
If you work 8 hour shifts, would you be willing to volunteer to change to 10 hour shifts?
Yes
No
7.
Have you been involved or attended any kind of meeting or committee work that would have given you the opportunity to be involved with the decisions hospital administration has made?
Yes
No
If Yes, please explain
8.
If you answered #7 NO, if that opportunity were provided, would you participate?
Yes
No
9.
If you currently work 12 hours shifts, do you feel you have enough time in one shift to adequately take care of your patients?
Yes
No
10.
If you currently work 12 hour shifts, how often do you get to take all of your rest and meal breaks?
0-20%
21-40%
41-60%
61-80%
81-100%
11.
If you currently work 8 hours shifts, do you feel you have enough time in one shift to adequately take care of your patients?
Yes
No
12.
If you currently work 8 hour shifts, how often do you get to take all of your rest and meal breaks?
0-20%
21-40%
41-60%
61-80%
81-100%
13.
If you currently work 12 hour shifts, how often are you required to work overtime?
0-20%
21-40%
41-60%
61-80%
81-100%
14.
If you currently work 8 hour shifts, how often are you required to work overtime?
0-20%
21-40%
41-60%
61-80%
81-100%
15.
Do you feel that frequency of hand-offs of patient care increases the possible risk for errors?
Yes
No
16.
Do you feel that frequency of hand-offs of patient care decreases patient care satisfaction?
Yes
No
17.
If administration proceeds with mandatory change of shift, would you consider leaving St. Joseph Hospital Bellingham?
Yes
No
18.
Do you have confidence that St. Joseph Hospital Bellingham administration is making decisions in the best interest of patient care?
Yes
No
19.
Do you believe that St. Joseph Hospital Bellingham administration is making changes in the interest of their financial bottom line instead of what’s best for patient care?
Yes
No
20.
How often are you able to take an uninterrupted 15 minute rest break for every four hours of work?
0-20%
21-40%
41-60%
61-80%
81-100%
21.
How often are you able to take one (1) uninterrupted 30 minute meal break during an 8 hour shift?
0-20%
21-40%
41-60%
61-80%
81-100%
22.
How often are you able to take at least one (1) uninterrupted meal break during an 12 hour shift?
0-20%
21-40%
41-60%
61-80%
81-100%
23.
Have you ever almost made or made a mistake during your shift when you worked without a rest or meal break?
Yes
No
24.
Have you ever been injured during your shift when you have worked without a rest or meal break?
Yes
No
25.
Are you forced to take mandatory call?
Yes
No
26.
Do you work VOLUNTARY overtime?
Yes
No
27.
Do you work MANDATORY overtime?
Yes
No
28.
Do you finish your work off the clock to avoid overtime?
Yes
No
29.
Do you feel pressured by management to clock out before you incur overtime?
Yes
No
30.
Are you ENCOURAGED to complete Staffing Concern Forms if you have a concern?
Yes
No
31.
Are you DISCOURAGED from filling out Staffing Concern Forms if you have a concern?
Yes
No
32.
Do you regularly come in on your day off to cover a hole in the schedule?
Yes
No
33.
Does your unit have adequate staffing to achieve appropriate patient care?
Yes
No
34.
Is your unit staffed according to patient acuity?
Yes
No
35.
Are you aware that there is a Staffing Committee at St. Joseph Hospital in Bellingham?
Yes
No
36.
Has the Staffing Committee approved the staffing plan on your unit?
Yes
No
37.
Is there a direct patient care nurse from your unit on the Staffing Committee?
Yes
No
38.
Is the daily staffing plan for your unit updated every shift and posted in a public area?
Yes
No
39.
Do you agree with the statement “It is just by chance that more serious mistakes don't happen around here”?
Yes
No
40.
Do you agree with the statement "St. Joseph Hospital Bellingham administration would never sacrifice patient safety to get more work done"?
Yes
No
41.
Do you believe that St. Joseph Hospital Bellingham administration has an organizational commitment to address safety concerns?
Yes
No
42.
Do you feel you have adequate staffing (RN and support personnel) to provide safe patient care?
Yes
No
43.
If you are considering leaving nursing in the next 2 years, are safe staffing concerns one of the primary reasons for leaving?
Yes
No
44.
Comments: