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Day Surgery Unit Staff Survey
1
Ward Culture
2
Staffing Levels
3
Supporting Staff
4
Safety and Risks
5
Incidents and Learning Lessons
6
Patient Communication
7
Privacy and Dignity
8
Providing Care
Unique ID
Ward Culture
Is there a culture of transparency and openness?
Always
Usually
Sometimes
Rarely
Never
Can you articulate the 6Cs? Please list.
Do you feel the 6Cs are embedded in the theatre culture?
Yes
No
Can you list the trust's vision?
Can you list the values of the trust?
Do you feel the trust's vision and values are embedded in the department?
Yes
No
Do your senior practitioners inspire you?
Always
Usually
Sometimes
Rarely
Never
Do trust leaders inspire you?
Always
Usually
Sometimes
Rarely
Never
Do you feel that trust nursing leaders are visible?
Always
Usually
Sometimes
Rarely
Never
If not, what do you consider to be a trust leader (grade, etc.)?
Do you feel that departments managers have the same concerns as you?
Always
Usually
Sometimes
Rarely
Never
Do you feel that the trust promotes equality and inclusion in the workforce?
Always
Usually
Sometimes
Rarely
Never
Do you feel staff in the department work well together as a team?
Always
Usually
Sometimes
Rarely
Never
Do staff and teams resolve conflict quickly and constructively?
Always
Usually
Sometimes
Rarely
Never
Do you receive feedback from managers in a constructive and motivating way, which enables you to know what action you need to take?
Always
Usually
Sometimes
Rarely
Never
Do you know and understand what is expected of you in terms of responsibility and accountability on a daily basis?
Always
Usually
Sometimes
Rarely
Never
Have you been involved in any service improvement?
Yes
No
Does the department work well with members of the multidisciplinary team?
Always
Usually
Sometimes
Rarely
Never
Would you recommend the department as a place to work?
Yes
No
Would you recommend the trust as a place to work?
Yes
No
Would you recommend the NHS as a place to work?
Yes
No
Staffing Levels
Does the agreed staffing level for this department TODAY meet agreed activity with the department?
Yes
No
Do you think the agreed staffing arrangements enable safe practice?
Yes
No
Can the service recover from situational demands or changes in risk levels on a day to day or hour to hour basis, for example unexpected increase in activity or rapidly deteriorating patients?
Always
Usually
Sometimes
Rarely
Never
Does the department receive support in situations of extra demand or changes in risk?
Always
Usually
Sometimes
Rarely
Never
Supporting Staff
Do you feel you have had adequate induction and training to carry out your role effectively?
Yes
No
Are you up to date with your training?
Yes
No
Have you had a PDR in the last 12 months?
Yes
No
Were you able to act on any learning needs identified?
Yes
No
Do you receive clinical supervision?
Yes
No
If you needed any support whilst working in this department to complete your daily role, such as Occupational Health, counselling, was this given?
Yes
No
I have not needed support
Do managers make staff feel supported, respected and valued?
Always
Usually
Sometimes
Rarely
Never
Do managers ensure your rights and wellbeing are protected?
Always
Usually
Sometimes
Rarely
Never
Are managers caring?
Always
Usually
Sometimes
Rarely
Never
Would you feel comfortable to challenge poor practice?
Yes
No
Do you feel supported / empowered to raise problems and concerns?
Yes
No
Have you ever felt penalised, bullied or harassed on this department because concerns were raised?
Yes
No
Are you able to support non-registered members of staff to your satisfaction?
Always
Usually
Sometimes
Rarely
Never
Safety and Risks
Can you articulate the top 3 risks on the ward today?
Do you feel that care is safe today?
Yes
No
How confident are you that care will be safe in the future?
Yes
No
Is data gained and recorded from technology confidential within theatres?
Yes
No
Do you feel that the department environment is safe for patients?
Yes
No
Do you feel that the department environment is safe for staff?
Yes
No
Incidents and Learning Lessons
Do you understand your responsibilities to raise and report incidents, concerns and near misses?
Yes
No
Can you give an example of a recent incident reported and what action was taken?
Does the department show honesty and transparency from all levels of staff and leadership following an incident?
Always
Usually
Sometimes
Rarely
Never
Do you understand your Duty of Candour requirements?
Yes
No
Does the department adhere to Duty of Candour requirements?
Always
Usually
Sometimes
Rarely
Never
Do you feel that the department learns lessons and identifies themes as a result of investigations when things go wrong?
Always
Usually
Sometimes
Rarely
Never
Are you provided with feedback that you can learn from, from incidents and incident investigations?
Always
Usually
Sometimes
Rarely
Never
Patient Communication
Would you be able to recognise a patient who may require an enhanced need for advocacy?
Yes
No
Are you given enough time on a shift to listen to patients?
Always
Usually
Sometimes
Rarely
Never
Are you given enough time on a shift to answer patients' questions?
Always
Usually
Sometimes
Rarely
Never
Are you given enough time on a shift to provide patients with information?
Always
Usually
Sometimes
Rarely
Never
Does the department enable and encourage open communication with patients, their family, friends and other carers?
Always
Usually
Sometimes
Rarely
Never
Are people's concerns and complaints listened and responded to?
Always
Usually
Sometimes
Rarely
Never
Are complaints in the department handled well?
Always
Usually
Sometimes
Rarely
Never
Are you provided with the opportunity to learn from complaints?
Always
Usually
Sometimes
Rarely
Never
Do you get feedback from compliments and complaints?
Always
Usually
Sometimes
Rarely
Never
Privacy and Dignity
How do you make sure that people's privacy and dignity needs are understood and always respected, including during physical or intimate care?
Does the department environment ensure that people’s privacy and dignity needs are met?
Always
Usually
Sometimes
Rarely
Never
Do you respond in a compassionate, timely and appropriate way when people experience physical pain, discomfort or emotional distress?
Always
Usually
Sometimes
Rarely
Never
Can people be as independent as they want to be?
Always
Usually
Sometimes
Rarely
Never
Providing Care
How do you ensure that you understand a person’s care plan?
Do you treat people with kindness, respect and compassion?
Always
Usually
Sometimes
Rarely
Never
Are you able to respond to patients needs as quickly as you would like to?
Always
Usually
Sometimes
Rarely
Never
Do you support people to express their views when making decisions about their care, support and treatment as far as possible?
Always
Usually
Sometimes
Rarely
Never
Do you recognise when people need support to understand their care?
Always
Usually
Sometimes
Rarely
Never
Any further comments?
Phone
This field is for validation purposes and should be left unchanged.
