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Phillips Beth Israel School of Nursing

Self Assessment of Competence

Directions:

Please identify the extent to which you agree or disagree with the following statements:

Questions are based on each of the Eight (8) Core Components of Nursing Practice.
1. PROFESSIONAL BEHAVIORS: I feel prepared to	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
a) engage in continuous learning activities (such as reading nursing literature / journals, attending conferences, etc).
b) assume accountability for all my nursing actions (e.g. completing assignments, reporting errors, etc).
c) advocate for patients and suggest alternatives to the treatment
d) plan with members of the health care team.
2. COMMUNICATION: I feel prepared to	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
a) interact with patients and their families in the delivery of care.
b) communicate relevant patient data to other members of the health care team (e.g. physician, dietitian, social worker, respiratory therapy, etc).
c) document relevant patients’ assessment and interventions.
3. ASSESSMENT: I feel prepared to	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
a) collect relevant data (e.g. physical assessment, interview, physician orders, chart review, laboratory values, etc) to determine patient health status.
b) validate the accuracy of data collected (e.g. observation skills, communication skills, chart review, etc).
c) analyze data collected to identify patient’s problems / needs.
4. CLINICAL DECISION MAKING: I feel prepared to	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
a) develop plans of care for patient’s individual needs.
b) seek advice when needed in the clinical area.
c) use clinical judgment to adjust interventions on patient’s clinical pathways / care plans.
5. TEACHING/LEARNING: I feel prepared to	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
a) teach the patient and family how to manage self–care.
b) individualize standard teaching plans to meet patient needs.
c) incorporate patient teaching into the daily care of patients.
6. CARING INTERVENTIONS: I feel prepared to	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
a) implement appropriate interventions to achieve patient outcomes.
b) implement measures that ensure patient’s safety (e.g. patient identification, isolation protocols, fall / aspiration precautions, etc).
c) care for patients and their families with empathy and compassion.
7. COLLABORATION: I FEEL PREPARED TO	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
a) collaborate with my peers and other members of the health care team.
b) collaborate with my peers and other members of the health care team.
c) participate in evaluation of patient care outcomes.
8. MANAGEMENT: I feel prepared to	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
a) use current resources to support the provision and management of patient care (e.g. medication databases, patient education tools, etc).
b) delegate responsibilities to other members of the health care team.
c) prioritize needs in coordinating care for a group of patients.
PLEASE INDICATE THE EXTENT TO WHICH YOU AGREE OR DISAGREE WITH THE FOLLOWING STATEMENTS:	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
1. Curriculum (Program of Studies)
2. Campus Learning Laboratory
3. Academic Policies
4. Learning Resources (LSRN, audio visuals, computers, library, etc.)
5. Academic Advisement
6. Physical Environment
7. Financial Aid Services
8. Health Services
9. Guidance Services
10. Career Placement Services
Please share any comments or recommendations that you feel would help us improve our educational program. Thank you.

*Demographic Data* Directions: Please answer yes or no to the following statements:
1. Did you take an NCLEX-RN review course?		Yes		No
2. Do you hold a current RN License?		Yes		No
3. Are you currently employed as a RN?		Yes		No
If no, are your currently working as a LPN or Clinical Associate/Aide?
4. Do you currently work in a hospital setting?		Yes		No
If no, identify area of employment:
5. Do you currently hold a staff nurse position?		Yes		No
If no, identify current position:
6. Did you complete orientation in your present position in the expected time frame?		Yes		No
If no, how many weeks was your orientation period?
7. Did a preceptor/mentor facilitate an easier transition from school to employment?		Yes		No
If no, why?
8. Are you currently working in a specialty (e.g. critical care) area?		Yes		No
9. Are you currently enrolled in a collegiate (BSN, MSN) nursing program?		Yes		No
If not, when do you plan on enrolling?
10. Would you recommend the Phillips Beth Israel School of Nursing to others?		Yes		No

776 Avenue of the Americas, 4th Fl. New York, NY 10001-6354
Phone: 212-614-6110

Phillips Beth Israel School of Nursing Self Assessment of Competence

Directions:

Demographic Data

Phillips Beth Israel School of Nursing

Self Assessment of Competence