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PSW Survey - Safe Staffing in Long-Term Care
1.
First Name
2.
Last Name
3.
Email
4.
Workplace
5.
How many beds does your home have? (numerical value only)
6.
How long have you worked at your current workplace?
Less than a year
1-3 years
4-9 years
10-15 years
More than 15 years
7.
How long have you worked in Long-term Care?
Less than a year
1-3 years
4-9 years
10-15 years
More than 15 years
8.
What is your job status?
Full time
Part time
Casual
Rotating Schedule
9.
What shift do you typically work?
Day
Evening
Night
10.
On a typical shift, how many residents are you responsible for providing care to?
11.
On a normal day, how manageable is that number of patients?
Easily manageable
Somewhat manageable
Difficult to manage
Impossible to manage
12.
How frequently are there fewer PSWs on shift than there are meant to be?
Multiple times a week
Every week
A couple times a month
Once a month
Almost never
13.
In your opinion, are there enough PSWs scheduled on a shift to meet residents’ care needs safely?
Always
Often
Sometimes
Rarely
Never
14.
In your opinion, are there enough RPNs scheduled on a shift to meet residents’ care needs safely?
Always
Often
Sometimes
Rarely
Never
15.
Does your home have a PSW Med Assist position?
Yes
No
I don’t know
16.
If you are in a PSW Med Assist role, how many residents do you medicate?
1-10
11-20
20-25
More than 25
I am not in a Med Assist Role
17.
How often are you unable to complete all the assigned duties during your shift because of staffing shortages?
Every shift
Several times per week
About once per week
Less than once per week
Never
18.
Are there any other reasons why assigned duties may not be completed, in addition to staffing shortages? (Please describe)
19.
How frequently is care for residents delayed due to staffing shortages?
Always
Often
Sometimes
Rarely
Never
20.
Which duties are most often delayed, rushed, or missed because of staffing levels? (Select all that apply)
Medication administration
Wound Care
Transfers and lifts
Showers and toileting
Repositioning
Meals and feeding
Emotional support for residents
Documentation
Resident assessments
Monitoring changes in resident condition
Communication with families
Infection prevention tasks
Incident Reporting
Other (please describe)
21.
Compared to when you started working, do you find yourself
Working short a lot more often
Working short a little more often
Working short about the same amount
Working short a little less often
Working short a lot less often
22.
When you’re working short, how likely is management to assist you on the floor?
Management always helps out on the floor if we’re working short
Management sometimes helps out on the floor if we’re working short
Management never helps out on the floor if we’re working short
23.
If several of the residents typically under your care have increased acuity, does management take steps to lessen your workload?
Management always adjusts my workload
Management sometimes adjusts my workload
Management rarely adjusts my workload
Management never adjusts my workload
24.
How frequently do you have to work a double shift because another worker is absent?
Multiple times a week
Every week
A couple times a month
Once a month
Almost never
25.
How often do you receive a call-in request to pick up a shift?
Multiple times a week
Once a week
A couple times a month
Once a month
Almost never
26.
In the past 6 months, have you experienced any of the following due to low staffing levels? (Select all that apply)
Burnout
Anxiety or stress
Moral distress
Missed breaks
Physical injury
Increased exposure to violence
Considering leaving long-term care
27.
What do you believe is a safe number of residents for one PSW to be responsible for on your usual shift? (please insert a number for each shift)
Day shift (insert # of residents per PSW)
Evening shift (insert # of residents per PSW)
Night Shift (insert # of residents per PSW)
28.
How concerned are you about accountability or liability because of unsafe staffing levels?
Extremely concerned
Very concerned
Moderately concerned
Slightly concerned
Not concerned
29.
What is your age?
18-24
25-39
40-60
60+
30.
What is your gender?
Male
Female
Non-binary or two-spirit
Not listed, fill-in
31.
How would you describe your ethnic background? (Check all that apply)
Black / African / Caribbean
South Asian
East Asian
Southeast Asian
Middle Eastern / North African
White / European
Latin American
Indigenous Canadian
Not listed, fill-in