Circle the number that most closely indicates the extent to which the item is present in your current job: ,,,, ,,,, Please specify by checking the Respondent Type that most closely matches your position,,,, ,Registered Nurse ,Dietary personnel ,, ,Physician ,Respiratory Therapist ,, ,LPN ,Physical Therapist ,, ,Nursing Assistant ,Other ,, ,Unit Clerk ,,, ,Circle the correct numeric response to each question,,, ,Question,Survey Scale: 1=Strongly Disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree,,, 1,I have easy access to the supplies and equipment I need to do my work on this unit.,1,2,3,4,5 2,The support services to this unit respond in a timely way.,1,2,3,4,5 3,I can discuss challenging issues with care team members on this unit.,1,2,3,4,5 4,My ideas really seem to count on this unit.,1,2,3,4,5 5,I speak up if I have a patient safety concern.,1,2,3,4,5 6,Care team members on this unit feel free to question the decisions or actions of those with more authority.,1,2,3,4,5 7,Important patient care information is exchanged during shift changes.,1,2,3,4,5 8,"If I have an idea about how to make things better on this unit, the manager and other staff are willing to try it.",1,2,3,4,5 9,Care professionals communicate complete patient information during hand-offs.,1,2,3,4,5 10,Essential patient care equipment is in good working condition on this unit..
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