Building Collaborative Leadership Evaluation: Meeting 6, November 4, 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
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: *

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 6, November 4, 2019