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Atlanta VA Medical Center
Shared Governance Practice Council
RN/MD Communication and Collaboration Survey
Directions: The purpose of this tool is to determine the extent of collaborative behaviors which generally exist between you and the physicians with whom you work. In addition to the demographic information, for each statement, please check the one answer that indicates how often you believe that each behavioral statement occurs.
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- Identify your primary area of practice:
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- Identify your level of practice:
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- Do nurses and physicians share in decision-making?
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- Do nurses and physicians cooperate in decisions?
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- Do nurses and physicians plan together before making decisions?
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- Is there open communication between physicians and nurses in making decisions?
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- I get relevant information on the status of patients from physicians.
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- There are no delays in relaying information regarding patient care.
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- Physicians return calls in a timely manner.
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- I receive complete information from physicians.
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- I have good communication with physicians.
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- I feel certain about the accuracy of information from physicians.
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- I enjoy collaborating with physicians.
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- It is easy to ask the physicians questions.
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- Please offer comments and suggestions to enhance communication and collaboration.
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