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Exit Survey
 
 
Patient Family Resource Center


The questionnaire below is for a student project about nurses’ impressions of the effectiveness of NYULMC’s current methods of patient education. Your identity is not needed and no personal information will be asked of you.
 
 
 
Please check all times during the continuum of care in which you are engaged in patient teaching. (Select all that apply)
 
Admission
 
Discharge
 
Medication Administration
 
Pre-Op (procedures/surgeries)
 
Post-Op (procedures/surgeries)
 
Other
 

 
 
 
Which usual method(s) of patient teaching do you use the most? (Select all that apply)
 
Verbal Teaching
 
Print Materials
 
Video
 
Demonstration
 
Print and Verbal
 
Video and Verbal

 
 
 
Do you ask patients their preferred method of learning?
 
Yes
 
No
 
 
 
What, if any, resources do you use to aid in teaching patients?
   
How do you access them?
   
 
 
 
Which of the following NYULMC online resources are you aware of? (Select all that apply)
 
NYULMC Patient Handouts
 
Ask-A-Librarian
 
Symptom Checker (Healthwise ®)
 
NYU Patient Libraries Facebook Page
 
Other
 

 
 
 
How do you assess patient understanding of the information you have provided? (Select all that apply)
 
Demonstrating Verbal Understanding
 
Return Demonstration
 
Teach back
 
Other
 

 
 
 
What immediate actions are taken if the patient has not understood the information they have been provided?
   
What if they fail to understand the information provided before being discharged?
   
 
 
 
After discharge, is there any follow up with patients to assess for further educational needs or to answer any questions they may have?
 
Yes
 
No
 
 
 
If you answered yes to the previous question, please explain what kind of follow up is done for patients after discharge.