Hand to Hold Podcast Evaluation
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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.
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Title
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NICU Heroes Podcast
True or False: During his daughters’ stay in the NICU, Adam never had a NICU professional talk to him personally about what he was going through.
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True
False
True or False: Adam’s anxiety and depression increased when his daughter had surgery.
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True
False
According to Adam, what can NICU professionals change in regards to the care provided to NICU dads?
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Give them more freedom in the NICU
Make sure they have alone time with the babies
Have the mindset that everything that affects the mom can also affect the dad
None of the above
Evaluate the Presentation Style and Content -- Adam Busby
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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) --
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Rate how well the presentation met the following learning objectives.
Excellent
Very Good
Good
Fair
Poor
Identify two or more potential triggers of increased stress and anxiety for dads in the NICU
Provide an example of at least one intervention that offers emotional support to dads in the NICU
The content was relevant to my daily practice
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Excellent
Very Good
Good
Fair
Poor
The content was presented without commercial bias
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Excellent
Very Good
Good
Fair
Poor
Overall, this presentation was
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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
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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
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Hospital Name
Hospital State
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Enter any other comments here. Thank you for your time!
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Module
Supporting Dads in the NICU
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Course Code Prefix
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Template Color
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Number of Units Earned
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(Example: 1 hour, 3 hours, 10 magic beans -- be sure to add the measurement)
CONTACT INFORMATION
Email for Questions – ceuprovider@nursekathi.com