AS Nursing Survey

Name *

Email *

Please rate the extent to which you believe you achieved the ASN Program Competencies

Rating Scale: 1 = Not at all to 5 = A great deal

1) Utilize the nursing process as a basis for decision-making in the provision of safe, holistic, cost-effective quality client-centered care to meet the needs of diverse clients across the lifespan. *

3) Establish and maintain therapeutic communication with clients, families, significant others, and health team members utilizing appropriate channels of communication to accomplish goals related to the delivery of client care. *

4) Demonstrate the management of care for clients in an environment that promotes clients’ values, self-esteem, dignity, safety, and comfort and supports participation by the client, family, significant others, and members of the health care team in the plan of care while maintaining accountability for individual nursing practice. *

5) Demonstrate a spirit of inquiry through participation in lifelong learning activities to maintain safe practice, advance quality care, foster critical thinking and promote the profession of nursing. *

6) Utilize current technology effectively and efficiently to manage and deliver safe, quality care for diverse clients within the structured care setting. *

7) Demonstrate decision-making and purposeful actions that are consistent with the standards of nursing practice and within the ethical and legal framework of nursing. *

8) With your consent, the curriculum committee would like to ask your employer to rate your performance on each of the above-identified competencies. If you agree, please indicate in the space below your employer's name and address and the name of your immediate supervisor.

Institution Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Supervisor Name

Currently licensed in state(s) of

9) I am currently working as a registered nurse: *

10) I am currently a member of: *

Pennsylvania Nurse’s Association

American Nurses’ Association

National League for Nursing

I am not a member of any professional nursing organizations.

Other Organization

12) Have you found current research findings as reported in professional journals useful to you in your practice? *

Yes

13) Please list positions held since graduation starting with initial position to current one:

Employer A

Agency

Address

Position

Clinical Area

From

Reason for Resignation

Employer B

Agency

Address

Position

Clinical Area

From

Reason for Resignation

14) Are you currently enrolled in a BSN program? *

Yes

Where? *

Expected Date of Completion *

15) Have you participated in an in-service education program? *

Yes

Describe the type of program *

16) Are you planning to seek an additional degree in nursing? *

Yes

17) To what extent did the ASN program at Pitt-Bradford prepare you to enter practice? *

Very Well

Adequately

Slightly

Not at All

Please feel free to make any additional comments:

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