2021 Virtual ONE Conference
Step
1
of
7
14%
2021 ONE Conference (Session #4) Evaluation:
Thank you for your time. This survey will only take you a FEW minutes to complete. Please note, that each individual requesting a Continuing Education Certificate must complete a separate evaluation form.
Hidden
Title of Conference
*
2021 ONE Conference
Hidden
Module:
General Session #4
Can put the company's name if applicable. Will appear below the title of the webinar on the CE certificate. Must remove sample name.
Evaluate the Presentation Style and Content --
*
Mary Coughlin, MS, NNP, RNC-E
Excellent
Very Good
Good
Fair
Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias
Evaluation of Objectives -- Rate how well the presentation met the following learning objectives.
*
Stories Matter - Embracing Our Collective Stories to Heal and Connect
Excellent
Very Good
Good
Fair
Poor
Define Carper's concept of personal knowing
Describe how stories bind us together and help us make sense of our experiences
List 3 ways stories heal and connect our patients and ourselves
Evaluate the Presentation Style and Content --
*
Kim Marsh, APRN, NNP
Excellent
Very Good
Good
Fair
Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias
Evaluate the Presentation Style and Content --
*
Heather Young, OTR/L
Excellent
Very Good
Good
Fair
Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias
Evaluation of Objectives -- Rate how well the presentation met the following learning objectives.
*
Increasing Skin to Skin in a Level IV NICU: A Quality Improvement Project
Excellent
Very Good
Good
Fair
Poor
Identify at least (3) multidisciplinary team members needed to promote skin to skin holding practice in the NICU
Identify (2) potential barriers to supporting skin to skin in a NICU
Identify (2) interventions to safely increase the rate of skin to skin holding occurrences in a NICU
Evaluate the Presentation Style and Content --
*
Marilyn Sanders, MD, FAAP
Excellent
Very Good
Good
Fair
Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias
Evaluation of Objectives -- Rate how well the presentation met the following learning objectives.
*
Secure Attachment: Promoting Safety and Connectedness in the Mother-Infant Dyad
Excellent
Very Good
Good
Fair
Poor
List three biological expectancies of the human newborn
List three neuroceptive states of mammals
List two long-term clinical outcomes of secure attachments
Evaluate the Presentation Style and Content --
*
Jill Beck, MSN, RNC-NIC, C-NNIC
Excellent
Very Good
Good
Fair
Poor
The instructor’s ability to explain was
The pace of the material presented was
The content was clear and easy to follow
The content was presented without commercial bias
Evaluation of Objectives -- Rate how well the presentation met the following learning objectives.
*
The Stars Come Out at Night: Night Shift Nurses Shining a Light on Outcomes
Excellent
Very Good
Good
Fair
Poor
Describe a common perception of night shift nurses' role in the NICU
Identify at least one care practice as an opportunity for improvement
Describe two strategies to mitigate challenges, improve engagement and perceptions of night shift nurses
Evaluate the Conference Content --
The content was relevant to my daily practice
*
Excellent
Very Good
Good
Fair
Poor
Overall, these presentations were
*
Excellent
Very Good
Good
Fair
Poor
List one new thing you learned in this general session
Continuing Education & Certificate Information
Complete the information below to receive a certificate of Participation & Continuing Education. By entering your information below, you certify that you have personally watched the complete conference presentations for a total of 3 hours or more, that you are entering this information after doing so, and that you are submitting this form only for yourself.
Name
*
First
Last
Job Title/Credentials
Please provide your State License # (this will appear on the CE Certificate)
Enter any other comments here. Thank you for your time!
Billing Name
*
First
Last
Email
*
Your PDF Certificate will also be sent to this email
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Credit Card
*
Card Details
Cardholder Name
Add On CEs
Total
$0.00
Hidden
Course Code Prefix
*
These numbers will show BEFORE the course code on the template.
Hidden
Template Color - be sure to match to the company color
*
(Don't forget the #)
Hidden
Number of Units Earned
*
(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)
CONTACT INFORMATION
Email for Questions – ceuprovider@nursekathi.com