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Final Questionnaire - 17 April
Final Questionnaire - 17 April
Part 1
Profile of the Respondents
Direction: Kindly put a check (/) mark in the box or put the needed data on the space provided.
1.Age
2.Sex
____ Female
____ Male
3.Civil Status
____ Single
____ Married
____ Separated
____ L&D
____ OR / PACU
____ PICU
____ 2 years
____ 3 years
____ 4 years
6.Number of evaluation done after undertaking the mandated in- service trainings
____ Once
____ Twice
____ 3 times
____ 4 times
Part 2
Extent of effectiveness as perceived by the international nurse practitioners along the mandated
in-service trainings
Direction: Listed below are the main topics discussed under each in-service training wherein you are to assess
the extent of effectiveness as you apply it in your hospital work.
Please rate yourself honestly by checking under the appropriate column as to whether you consider
the in-service training topics as very effective (4), moderately effective (3), slightly effective (2), or not
effective (1). Be guided by the scale given below:
4 – Very Effective VE
3 – Moderately Effective ME
2 – Slightly Effective SE
1 – Not Effective NE
IN-SERVICE 4 3 2 1
TRAINING TOPICS Very Moderately Slightly Not
Effective Effective Effective Effective
(VE) (ME) (SE) (NE)
I. Nursing
Education
Program
1.Medication
Management
3.Nursing
Documentation
& Hand over
Reporting
4.IV Cannulation
& Laboratory
Procedures
5.Patient Fall
Prevention
6.Pain
Management
7.Medical
Equipment
Operation
II.Quality
Improvement
1.QI in Healthcare
2.Performance
Measurement &
Management
7.Role in Culture of
Safety
III. Infection
Control
1.Hand Hygiene
2.Use of PPEs
3.Prevention of
Percutaneous
(Needle Stick)
Exposure
4.Patient Care
Equipment &
Supplies
6.Medical Waste
Management
7.Personnel Practices
IV.Facility
Management &
Safety Program
1.Safe Handling of
Hazardous Materials
4.Hospital Safety
Policy
5.Safety at Workplace
6.Disaster
Management
1.International
Patient Safety
Goals
4.Informed Consent
6.Protecting Patient
Information
7.Patient Privacy