Building Collaborative Leadership Evaluation: Meeting 6, May 19, 2021

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
Apply skills of listening, being present and exercising empathy.	Apply skills of listening, being present and exercising empathy. - 5	Apply skills of listening, being present and exercising empathy. - 4	Apply skills of listening, being present and exercising empathy. - 3	Apply skills of listening, being present and exercising empathy. - 2	Apply skills of listening, being present and exercising empathy. - 1	Apply skills of listening, being present and exercising empathy. - 0
Review and discuss faith, culture and the role of Pastoral Care.	Review and discuss faith, culture and the role of Pastoral Care. - 5	Review and discuss faith, culture and the role of Pastoral Care. - 4	Review and discuss faith, culture and the role of Pastoral Care. - 3	Review and discuss faith, culture and the role of Pastoral Care. - 2	Review and discuss faith, culture and the role of Pastoral Care. - 1	Review and discuss faith, culture and the role of Pastoral Care. - 0
Describe and apply the core competencies for ethics consultation based on the American Society for Bioethics and Humanities Ethics Consultation Guidelines 2nd Ed.	Describe and apply the core competencies for ethics consultation based on the American Society for Bioethics and Humanities Ethics Consultation Guidelines 2nd Ed. - 5	Describe and apply the core competencies for ethics consultation based on the American Society for Bioethics and Humanities Ethics Consultation Guidelines 2nd Ed. - 4	Describe and apply the core competencies for ethics consultation based on the American Society for Bioethics and Humanities Ethics Consultation Guidelines 2nd Ed. - 3	Describe and apply the core competencies for ethics consultation based on the American Society for Bioethics and Humanities Ethics Consultation Guidelines 2nd Ed. - 2	Describe and apply the core competencies for ethics consultation based on the American Society for Bioethics and Humanities Ethics Consultation Guidelines 2nd Ed. - 1	Describe and apply the core competencies for ethics consultation based on the American Society for Bioethics and Humanities Ethics Consultation Guidelines 2nd Ed. - 0
Successfully complete the ethics consultation proctoring requirements for final credentialing.	Successfully complete the ethics consultation proctoring requirements for final credentialing. - 5	Successfully complete the ethics consultation proctoring requirements for final credentialing. - 4	Successfully complete the ethics consultation proctoring requirements for final credentialing. - 3	Successfully complete the ethics consultation proctoring requirements for final credentialing. - 2	Successfully complete the ethics consultation proctoring requirements for final credentialing. - 1	Successfully complete the ethics consultation proctoring requirements for final credentialing. - 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: *

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Building Collaborative Leadership Evaluation: Meeting 6, May 19, 2021