Self- Assessment Survey Survey Terms: In this survey the following terms are used: Collaborating Physician a physician who works closely with a nurse practitioner in a collaborative practice. Collaborative Practice a relationship among a nurse practitioner, a physician or group of physicians, an employing organization and other health professionals and staff. Patient/Resident the individual who is the recipient of nurse practitioner services. Practice of a Nurse Practitioner the application of advanced nursing knowledge, skills and judgment which includes: Making a diagnosis, identifying a disease, disorder or condition; Communicating the diagnosis to the patient and health care professionals, as appropriate; Performing procedures; Initiating consultations and referrals; Ordering and interpreting screening and diagnostic tests; and Prescribing or reordering drugs, blood, blood products, and related paraphernalia. Scope of Practice the roles, functions, and accountabilities that nurse practitioners are educated, competent, and authorized to perform. 1. To the best of your knowledge, what is the size of the community in which you practice? O Less than 5,000 O 5,000-49,999 O Greater than 50,000 2. Please indicate your number of years of practice as a Registered Nurse, including those as a Nurse Practitioner. O Less than 5 years O 11-15 years O Greater than 20 years O 6-10 years O 16-20 years 3. Please indicate your number of years of practice as a Nurse Practitioner. O Less than 5 years O 11-15 years O Greater than 20 years O 6-10 years O 16-20 years 4. Please indicate the number of clients you see in an average day. O Less than 5 O 16-20 O 6-10 O More than 20 O 11-15 College of Registered Nurses of Nova Scotia, 2014 1 P a g e
5. Which one of the following best describes your practice? O Family all ages O Neonatal O Adult O Other O Paediatrics 6. In which one of the following settings do you primarily practice? O Community health centre O Long-term care facility O Family practice/clinic office O Other O Hospital 7. In the past year, approximately what percentage of your work time (out of a total of 100%) did you spend doing the following activities? Note: some of these activities may be difficult to categorize as they may be done together. Clinical work (including education of individual clients and families) % Administrative work (e.g., documentation, consultation, follow-up, phone calls) % Advocacy/Community development (e.g., needs ment, outreach clinics, developing community programs) % Mentorship/Leadership(e.g., nurses, other health professionals) % Research(e.g., knowledge translation, best practice development, conducting research) % (Total working time) % 8. Which one of the following is your most frequent means of contact with your collaborating physician(s)? O By telephone (voice) O In person (work in the same hospital) O By telephone (text) O In person (work in the same community) O By letter O By fax O By email O Other O In person (work in the same office) 9. How accessible is/are your collaborating physician(s)? O Very accessible O Not very accessible O Somewhat accessible O Not all accessible College of Registered Nurses of Nova Scotia, 2014 2 P a g e
10.In the past year, how often did you participate in each of the following continuing education activities? Weekly Monthly Semiannually Annually Did not participate a. Journal reading (including ejournals) O b. Conferences O c. Preparing presentations O d. Formal coursework O e. Case review O f. Continuing medical education O g. Continuing pharmacy education O h. Academic detailing O i. Grand rounds O j. Telehealth CNE O k. Short education sessions/lectures (e.g. Lunch & Learn) O 11.Please indicate the extent to which you agree or disagree with each of the following statements. If you do not know, or if a statement does not apply to you, choose the 'does not apply' response. Completely agree Mostly agree Mostly disagree Completely disagree Does not apply a. There are systems in place to support your practice b. You directly receive the diagnostic and laboratory reports for your patients O O c. Specialists accept referrals from you O d. Specialists send referral letters back to you after seeing a patient referred by you e. Administrative support personnel are available to facilitate your practice as a nurse practitioner (e.g. book appointments, provide support for shadow billing, filling on patient record, answering telephone) f. A formal performance evaluation process is in place g. Your employer supports your engagement in continuing education and professional development activities (e.g. workshops, conferences, committee work) O O O O College of Registered Nurses of Nova Scotia, 2014 3 P a g e
For each of the following Nurse Practitioner behaviours, rate yourself using the scale below. If any statement is not relevant to you, choose the 'unable to ' response. 12.As a Nurse Practitioner, I: Management of Health Assessment & Diagnosing a. Perform comprehensive health histories b. Perform focused health histories c. Gather information related to psychosocial factors that impact the patient's health status d. Gather information related to determinants of health that impact patient's health status e. Perform comprehensive physical examinations f. Perform focused physical examinations g. Select appropriate diagnostic tests for health screening according to current clinical practice guidelines or best practices h. Interpret diagnostic tests and other ment data accurately i. Use effective diagnostic reasoning to formulate differential and /or definitive diagnoses j. Select appropriate diagnostic tests to monitor the patient's ongoing condition 13.As a Nurse Practitioner, I: Management of Health Therapeutics a. Select appropriate pharmaceuticals, taking into consideration individual patient circumstances b. Select appropriate pharmaceuticals, taking into consideration current clinical guidelines and evidence c. Select appropriate non-pharmaceutical therapeutics, taking into consideration current clinical guidelines and evidence d. Provide patients with relevant information and counselling on pharmaceutical therapy e. Provide patients with cost effective alternative choices for pharmaceutical therapy, as applicable f. Consult/collaborate with pharmacists as appropriate g. Write prescriptions accurately and completely h. Monitor patient response to pharmaceutical therapy i. Consult with a physician about prescribing j. Report adverse events associated with pharmaceuticals and other therapies to patients, relevant health care providers, and national or provincial reporting agencies k. Recognize the influence of pharmaceutical marketing strategies on prescriptive practice and independently reviews evidence College of Registered Nurses of Nova Scotia, 2014 4 P a g e
14.As a Nurse Practitioner, I: Management of Health Consultation & Referral a. Consult with collaborating physician(s) about patient care b. Refer patients to collaborating physician(s) c. Accept referrals from physician(s) d. Provide consultation to physician(s) e. Consult with other physicians (including specialists), health care professionals and community agencies f. Refer to other physicians (including specialists), health care professionals and community agencies g. Follow up on the outcome of referrals and consultations 15.As a Nurse Practitioner, I: Management of Health Procedures a. Obtain informed consent b. Perform procedures competently c. Monitor outcomes of procedures d. Document procedures e. Document procedure outcomes Unable to 16.As a Nurse Practitioner, I: Management of Health - Health Promotion /Prevention a. Identify at-risk populations b. Promote activities to improve health outcomes of at-risk populations c. Teach, coach, and support individuals and families to promote health and prevent illness/injury d. Collaborate with interdisciplinary teams and communities to develop, implement, and evaluate health promotion and illness prevention programs e. Advocate for healthy public policy, support programs, and resources to support patient and community needs College of Registered Nurses of Nova Scotia, 2014 5 P a g e
17.As a Nurse Practitioner, I: Communication a. Demonstrate respect, empathy, and compassion when communicating with patients and their families b. Communicate to the patient in a timely manner the reasons, benefits, and risks associated with required diagnostic tests c. Communicate to the patient in a timely manner the results of diagnostic tests d. Provide information and counselling to patients/families regarding the diagnosis e. Develop plan of care in consultation with patients/families f. Manage health records according to accepted standards g. Communicate effectively with other health care team members h. Am an advocate for patients/families on decisions that affect health and quality of life Unable to i. Manage conflict effectively 18.As a Nurse Practitioner, I: Professional Accountability & Leadership a. Engage in continuing education b. Demonstrate accountability c. Engage in reflective practice through selfevaluation d. Seek feedback from other health care providers to improve practice Unable to e. Act as an effective role model and mentor f. Provide consultation to the community, health care institutions, and policy makers on nursing and health care g. Demonstrate leadership for change to improve patient care outcomes h. Translate research findings into practice to impact the care of the patient population i. Clearly articulate the role of a Nurse Practitioner to community members, other health care providers, and policy makers j. Participate in activities related to the profession 19.What factors, if any, have facilitated your practice as a Nurse Practitioner? College of Registered Nurses of Nova Scotia, 2014 6 P a g e
20.What factors, if any, have inhibited your practice as a Nurse Practitioner? 21.Please feel free to write any further comments: College of Registered Nurses of Nova Scotia, 2014 7 P a g e