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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

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Select your nursing department:
 
3T
 
3W
 
4T
 
5T
 
6T
 
7T
 
7W
 
8N
 
8W
 
MCICU/CVICU
 
Emergency Department
 
Peri-operative Services
 
Procedural Areas
 
 
Scheduling
Group that makes decisions Group that you believe should make decisions
1 Management
2 Primarily management - some staff nurse input
3 Equally shared by management and staff nurses
4 Primarily staff nurses - some management
5 Staff nurses only
 
 
Unit coverage
Group that makes decisions Group that you believe should make decisions
1 Management
2 Primarily management - some staff nurse input
3 Equally shared by management and staff nurses
4 Primarily staff nurses - some management
5 Staff nurses only
 
 
Development of practice standards
Group that makes decisions Group that you believe should make decisions
1 Management
2 Primarily management - some staff nurse input
3 Equally shared by management and staff nurses
4 Primarily staff nurses - some management
5 Staff nurses only
 
 
Definition of scope of practice
Group that makes decisions Group that you believe should make decisions
1 Management
2 Primarily management - some staff nurse input
3 Equally shared by management and staff nurses
4 Primarily staff nurses - some management
5 Staff nurses only
 
 
Monitoring of RN practice standards
Group that makes decisions Group that you believe should make decisions
1 Management
2 Primarily management - some staff nurse input
3 Equally shared by management and staff nurses
4 Primarily staff nurses - some management
5 Staff nurses only
 
 
Evaluation of staff nurse practice
Group that makes decisions Group that you believe should make decisions
1 Management
2 Primarily management - some staff nurse input
3 Equally shared by management and staff nurses
4 Primarily staff nurses - some management
5 Staff nurses only
 
 
Recruitment of RNs to practice on my unit
Group that makes decisions Group that you believe should make decisions
1 Management
2 Primarily management - some staff nurse input
3 Equally shared by management and staff nurses
4 Primarily staff nurses - some management
5 Staff nurses only
 
 
Interview of RNs for hire on my unit
Group that makes decisions Group that you believe should make decisions
1 Management
2 Primarily management - some staff nurse input
3 Equally shared by management and staff nurses
4 Primarily staff nurses - some management
5 Staff nurses only
 
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