(Health Care Personnel) I work in the (clinical area or patient care area where you typically spend your time): This is the Department of: | * Encircle the number which corresponds to your answer. |
Please answer the following items with respect to your specific unit or clinical area.
Choose your responses using the scale below. 5 | 4 | 3 | 2 | 1 | Agree Strongly | Agree Slightly | Neutral | Disagree Strongly | Disagree Slightly |
I. Safety Climate | 1. I would feel safe being treated here as a patient. | 5 | 4 | 3 | 2 | 1 | | 2. The health personnel implement rules and guidelines (e.g. hand washing, treatment protocols, clean area, etc) sincerely and religiously | 5 | 4 | 3 | 2 | …show more content…
The health personnel take responsibility for patient safety by administering medications and treatments accurately. | 5 | 4 | 3 | 2 | 1 | | 4. Jewelry such as earrings, necklaces or bracelets is worn while on duty. | 5 | 4 | 3 | 2 | 1 | | 5. This institution respect for patients’ rights when rendering care such as cultural and religious beliefs, privacy and confidentiality of information. | 5 | 4 | 3 | 2 | 1 | | 6. This institution ensure that patients’ records are available only to those who are professionally directly involved in their case. | 5 | 4 | 3 | 2 | 1 | | 7. The health personnel acquire the necessary competence (knowledge, attitudes & skills) to effectively render proper services to patients. | 5 | 4 | 3 | 2 | 1 | | 8. When conflict arises regarding management of patient care, patients’ rights are upheld. | 5 | 4 | 3 | 2 | 1 | | II. Teamwork | 1. In this clinical area, it is difficult to speak up if I perceive a problem with patient care. | 5 | 4 | 3 | 2 | 1 | | 2. It is easy for personnel here to ask questions when there is something that they do not understand. | 5 | 4 | 3 | 2 | 1 | …show more content…
The physicians and nurses here work together as a well-coordinated team. | 5 | 4 | 3 | 2 | 1 | | 4. I know the first and last names of all personnel I worked with during my last shift. | 5 | 4 | 3 | 2 | 1 | | 5. Briefings/Endorsements are common in this clinical area. | 5 | 4 | 3 | 2 | 1 | | 6. I experience good collaboration with nurses in this clinical area. | 5 | 4 | 3 | 2 | 1 | | 7. I experience good collaboration with staff physicians in this clinical area. | 5 | 4 | 3 | 2 | 1 | | 8. I experience good collaboration with pharmacists and laboratory technicians in this clinical area. | 5 | 4 | 3 | 2 | 1 | | III. Job Satisfaction | 1. I receive appropriate feedback about my performance. | 5 | 4 | 3 | 2 | 1 | | 2. I like my job. | 5 | 4 | 3 | 2 | 1 | | 3. Working here is like being a part of a large family. | 5 | 4 | 3 | 2 | 1 | | 4. This is a good place to work. | 5 | 4 | 3 | 2 | 1 | | 5. I am proud to work in this clinical area. | 5 | 4 | 3 | 2 | 1 | | 6. Morale in this clinical area is high. | 5 | 4 | 3 | 2 | 1 | | IV. Perception of Management | 1. My suggestions about patient’s safety are being acted upon. | 5 | 4 | 3 | 2 | 1 |