Hand to Hold Podcast Evaluation
Step
1
of
4
25%
Hand to Hold Podcast 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
*
NICU Heroes Podcast
True or False: Darlene Barkman stated in this podcast that a partnership with her daughter's medical team helped her to better understand what was happening with her daughter's illness and treatment.
*
True
False
Which "lens" does a family consultant look through when working with families?
*
Outcome
Child
Family
Patient
According to Darlene Barkman, when medical professionals communicate with families, which part of the conversation is most critical?
*
Medical
Heart
Technical
Difficult
Evaluate the Presentation Style and Content -- Darlene Barkman
*
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
Evaluate the Presentation Style and Content -- Keira Sorrells
*
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
Evaluation of Learning Objective(s) --
*
Rate how well the presentation met the following learning objectives.
Excellent
Very Good
Good
Fair
Poor
Describe the importance of utilizing a "family consultant" in the NICU and how this role aids NICU nurses in understanding and improving the patient experience
Identify the most important part of communication using the "Language of Caring" concept
The content was relevant to my daily practice
*
Excellent
Very Good
Good
Fair
Poor
The content was presented without commercial bias
*
Excellent
Very Good
Good
Fair
Poor
Overall, this presentation was
*
Excellent
Very Good
Good
Fair
Poor
List one new thing you learned in this presentation
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 listened to the presentation and entered this information after doing so, and that you are submitting this form only for yourself.
Name
*
First
Last
Job Title/Credentials
Please provide one of the following -- You State License#, Employee#, Last 4 digits of your Social (One of these is required for CE Certificate)
Email
*
Hospital Name
Hospital State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Out of Country
Hospital City
Enter any other comments here. Thank you for your time!
Hidden
Module
Nothing About Us Without Us
Hidden
Course Code Prefix
*
These numbers will show BEFORE the course code on the template.
Hidden
Template Color
*
(Don't forget the #)
Hidden
Number of Units Earned
*
(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)
Δ
CONTACT INFORMATION
Email for Questions – ceuprovider@nursekathi.com