Communication Coach Pre-Training Survey: Coaches

During the hospice delivery system redesign, some staff expressed concern that they lacked confidence in knowing what to say and how to talk with families about what to expect during the dying process.
This concern was echoed by Midwest CareCenter's score on a part of NHPCO's Family Evaluation of Hospice Care (FEHC). Communication Coach, a state-of-the-art, online training program was designed to utilize our best practices to provide employees an opportunity to gain confidence in these skills in a safe training environment.

Please rate your responses to a number of statements BEFORE you participate in Communication Coach training.

Once you have been using this tool for a number of months, we will distribute another survey to gauge the training’s effectiveness.

Your responses are confidential. It is critical that you be as honest as possible in responding to the questions so we can evaluate the effectiveness of this training. If effective, as measured by in-house surveys and the FEHC, we will build upon the success to get grants for conintued training.

Thank you for taking the time to complete this survey.


A red asterisk (*) indicates required questions.

  1. Region or Department:*
    Access
    Hospice Region One
    Hospice Region Two
    Hospice Region Three
    PCS Practitioners
    Music Care Services
    Counseling Services


  1. Years of Hospice Experience:*
    0-2 Years
    2-4 Years
    4-6 Years
    6-10 Years
    More than 10 Years of Experience


  1. For the following questions below, please use the following 1- 5 scale.

    I am “present” during my conversations with patients/families*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am comfortable asking about what is happening, how the patient is doing.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I ask open-ended questions to help clarify what the patient/family member has communicated.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I provide information or education about what is really happening and what the medical options are.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I check regularly about the level of confidence by asking,
    “Do you feel confident about …?”
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I honor the patient’s/family member’s cultural and religious
    beliefs and values.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I provide positive encouragement and reinforcement to build confidence.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am comfortable in knowing what to say to patient/families about what to expect during the dying process.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am comfortable in knowing how to talk with patients/families about what to expect during the dying process. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Many thanks for helping Midwest CareCenter provide
    the best possible care for patients and families.
    Is there any other comments you would like to share as we begin this process?
    *





Abbe Leffel
IL