Building Collaborative Leadership Evaluation: Meeting 4, October 10, 2019

Please score your agreement with or assessment of the following questions and statements by rating on a scale of 1 to 5, with 5 representing the highest level of satisfaction or agreement. *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree NA=Not applicable to my practice

	5	4	3	2	1	NA
The information and/or skills learned will enhance my professional competence or ability.	The information and/or skills learned will enhance my professional competence or ability. - 5	The information and/or skills learned will enhance my professional competence or ability. - 4	The information and/or skills learned will enhance my professional competence or ability. - 3	The information and/or skills learned will enhance my professional competence or ability. - 2	The information and/or skills learned will enhance my professional competence or ability. - 1	The information and/or skills learned will enhance my professional competence or ability. - NA
This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients.	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 5	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 4	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 3	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 2	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 1	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - NA

As a result of participating in this course, to what extent do you agree that you will be better able to accomplish these objectives *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree 0=Not applicable to my practice

	5	4	3	2	1	0
Recognized and discuss futile treatment considering the individual patient’s goals and treatment preferences.	Recognized and discuss futile treatment considering the individual patient’s goals and treatment preferences. - 5	Recognized and discuss futile treatment considering the individual patient’s goals and treatment preferences. - 4	Recognized and discuss futile treatment considering the individual patient’s goals and treatment preferences. - 3	Recognized and discuss futile treatment considering the individual patient’s goals and treatment preferences. - 2	Recognized and discuss futile treatment considering the individual patient’s goals and treatment preferences. - 1	Recognized and discuss futile treatment considering the individual patient’s goals and treatment preferences. - 0
Define and differentiate between brain death, persistent vegetative state and the minimal conscious state.	Define and differentiate between brain death, persistent vegetative state and the minimal conscious state. - 5	Define and differentiate between brain death, persistent vegetative state and the minimal conscious state. - 4	Define and differentiate between brain death, persistent vegetative state and the minimal conscious state. - 3	Define and differentiate between brain death, persistent vegetative state and the minimal conscious state. - 2	Define and differentiate between brain death, persistent vegetative state and the minimal conscious state. - 1	Define and differentiate between brain death, persistent vegetative state and the minimal conscious state. - 0
Utilize approaches to effective conversations about end-of-life care with patients and families.	Utilize approaches to effective conversations about end-of-life care with patients and families. - 5	Utilize approaches to effective conversations about end-of-life care with patients and families. - 4	Utilize approaches to effective conversations about end-of-life care with patients and families. - 3	Utilize approaches to effective conversations about end-of-life care with patients and families. - 2	Utilize approaches to effective conversations about end-of-life care with patients and families. - 1	Utilize approaches to effective conversations about end-of-life care with patients and families. - 0
Appropriately manage challenges and requirements for withholding or withdrawing care.	Appropriately manage challenges and requirements for withholding or withdrawing care. - 5	Appropriately manage challenges and requirements for withholding or withdrawing care. - 4	Appropriately manage challenges and requirements for withholding or withdrawing care. - 3	Appropriately manage challenges and requirements for withholding or withdrawing care. - 2	Appropriately manage challenges and requirements for withholding or withdrawing care. - 1	Appropriately manage challenges and requirements for withholding or withdrawing care. - 0

Rate the following *

Scoring Key: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor

	5	4	3	2	1
Course content.	Course content. - 5	Course content. - 4	Course content. - 3	Course content. - 2	Course content. - 1
Rose Allen, DNP, MSM/HM, R.N., CHPN	Rose Allen, DNP, MSM/HM, R.N., CHPN - 5	Rose Allen, DNP, MSM/HM, R.N., CHPN - 4	Rose Allen, DNP, MSM/HM, R.N., CHPN - 3	Rose Allen, DNP, MSM/HM, R.N., CHPN - 2	Rose Allen, DNP, MSM/HM, R.N., CHPN - 1

Was this course fair, balanced and without commercial bias? *

Yes

No

If you checked "No,” please explain why: *

How many patients will you see in your practice who will likely be impacted by what you learned at this activity? *

1-5

6-10

Over 10

Not applicable to my practice

What do you intend to do differently in the treatment of your patients as a result of what you learned? What new strategies will you apply in your practice of patient care? *

If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so. *

List topics related to this lecture that you want to learn more about?

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Building Collaborative Leadership Evaluation: Meeting 4, October 10, 2019