TRAINING NEEDS ASSESSMENT FOR NURSES Name: ____________________________________________ Date: _________________ Job Position: _________________________________ Area Assignment: _____________

Work History How long have you worked as a nurses in TDMH? Less than 3 months 3-6 months 6 months to 1 year more than 1 year Competency Level Please take a moment to think how you would answer the following questions about your professional work as a nurses under the three knowledge areas namely Basic, Intermediate, or Advanced. Then indicate your overall level of knowledge by checking the appropriate box. Basic
o

Intermediate o Questions for Experienced Nurse

Advanced o Questions for Nurse Specialist

Questions for Beginning Nurse

I assess my overall level of competency as a nurse at (Please check one box only):
Basic: Intermediate:

I can answer some or all questions under Basic I can answer all questions under Basic, and some or the questions under Intermediate.

Advanced:

I can answer all questions under Basic and Intermediate, and some of the questions under Advanced

Self-Assessment of knowledge, skills, and attitudes Listed below are some knowledge, skills, and attitudes specific to a Nurses role in caring for patients. Please read them and then circle the number in the right column that best represents your level of knowledge, skills, and attitude TODAY. 1 = low Skill in performing thorough patient assessment Skill in providing health education Skill in recognizing the needs of a patient 5 = high 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1

Overall knowledge on every clients case catered on your service area Skills in implementing care to patients Skill in counseling patients Evaluation of care rendered to patients Upholds professionalism in the care of patients

1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5

Training Methods What are the THREE most effective and efficient methods for you to receive training? Please rank your chosen three from 1 (most preferred) to 3 (least preferred).

Case studies Instructional Websites Lectures Preceptorships Videotape instruction Clinical consultations (On-site) Clinical consultations (Off-site*) Individual Mentoring** Other (please specify) ______________

* Off-site clinical consultations with an expert practitioner which may include consultation by phone, fax, or e-mail. ** Mentoring is defined here as the development of a one-on-one relationship with an expert practitioner that works with you over the long-term to render care to patients. Mentors provide direct training and education, consultation, precepting, or facilitate additional education as needed if you have specific training needs outside her/his realm of expertise. Personal learning How do you best acquire and retain information? And in what language WRITTEN ORAL VISUAL HANDS-ON Training topics Please choose the top five topics you would like to receive training on. Prioritize your choices, with 1 being the most important training you could use, and 5 being of lesser importance.
(Possible topics to be given as in-service training)

English English English English

Tagalog Tagalog Tagalog Tagalog

Others _______________ Others _______________ Others _______________ Others _______________

Other training priorities 2

If you could receive other training on THREE other topics other than those listed above, what would they be? _______________________________________________________________________________________ ________________________________________________________________________________________ _______________________________________________________________________________________ ________________________________________________________________________________________ _____________________________________________________________________________________ Recent training Have you received training in any of the above topics in the last 6 months?
No Yes

If YES, which topics? ___________________________________________________________________________________________ ___________________________________________________________________________________________ ________________________________________________________________________________________ Additional needs What else do you need to have or know to enhance your role in providing care and treatment? ___________________________________________________________________________________________ ___________________________________________________________________________________________ ________________________________________________________________________________________