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Placement HS Evaluation Survey

The following survey has been developed to assist in evaluating the clinical placement that you provided through the program.

The survey should take 5 minutes to complete.

The responses to this survey may form part of the evaluation of the program, however, the data will be reported as a group response and will not be individually identified.

Thank you for your participation in this survey.
Kylie Martin
Maternity Connect Program Manager
1.Name of your health service(Required.)
2.Name of the midwife/nurse that completed a clinical placement(Required.)
3.The midwife/nurse was prepared for the clinical placement:(Required.)
Strongly disagree
Disagree
Agree
Strongly agree
Had formulated their learning objectives
Had read the orientation information that had been sent prior to placement
Understood their role as a midwife/nurse in a different organisation
4.The midwife/nurse:(Required.)
Strongly disagree
Disagree
Agree
Strongly Agree
Was enthusiastic and willing to learn
Achieved their learning objectives
Performed at a competent level for their years of experience
Required considerable time to feel comfortable with the new environment
5.Orientation was provided by:(Required.)
6.Did an educator meet with the midwife/nurse on every shift to determine if their learning needs were being met?(Required.)
7.Did the Clinical Support Partnership work effectively?(Required.)
8.Do you feel that you understood the requirements for the midwife/nurse in the program?(Required.)
Strongly disagree
Disagree
Agree
Strongly agree
Prior to placement
During placement
Following placement
9.Are there any improvements, suggestions or comments you would like to make about the program?