Preferred Name:_________________ Pronoun:________________ Yrs @ UIOWA___________

Date:_____________________Tell
me what brings you to psych?
______________________________________________________________________________
______________________________________________________________________________

1. Workload and Staffing Levels:

O "How do you feel about our current staffing levels? Do you feel adequately supported during
shifts?"
______________________________________________________________________________
______________________________________________________________________________
____________
O "Are there specific times or days when you feel staffing is particularly challenging?"
______________________________________________________________________________
______________________________________________________________________________
____________

2. Training and Development:

O "What additional training or support would help you perform your job more
effectively?"
______________________________________________________________________________
______________________________________________________________________________
____________
O "Are there any skills or areas of practice where you feel you need more training or
resources?"
______________________________________________________________________________
______________________________________________________________________________
____________
3. Communication and Team Dynamics:
O "How effective do you find our current communication methods within the team?"
______________________________________________________________________________
______________________________________________________________________________
____________
O "Do you have any suggestions for improving teamwork or morale among the staff?"
 ______________________________________________________________________________
______________________________________________________________________________
____________
4. Patient Care and Safety:
O "Are there any patient care challenges or safety concerns you've noticed that we should
address?"
______________________________________________________________________________
______________________________________________________________________________
____________
O "What improvements do you think we could make to enhance patient outcomes?"
______________________________________________________________________________
______________________________________________________________________________
____________
5. Personal Well-being and Support:
O "How are you managing stress and burnout? Do you feel supported in maintaining
your well-being?"
______________________________________________________________________________
______________________________________________________________________________
____________
O "Is there anything outside of work that impacts your ability to perform your job
effectively?"
______________________________________________________________________________
______________________________________________________________________________
____________
6. Feedback and Suggestions:
O "Do you have any suggestions for changes or improvements that would make your job
easier or more fulfilling?"
______________________________________________________________________________
______________________________________________________________________________
____________
O "Is there anything else you'd like to discuss or bring to my attention about your role or
the department?"
 ______________________________________________________________________________
______________________________________________________________________________
____________
As your manager, what can I do more (or less) of?
________________________________________________________________________
________________________________________________________________________
____________

These questions are designed to open dialogue, identify areas for improvement, and demonstrate
my commitment to supporting my nursing staff. Listening actively to their responses and taking
action where possible will help foster a positive work environment and enhance patient care
outcomes.