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CODE YOU Retreat Evaluation Form

Participants can earn 6 contact hours for full completion of the course. Partial contact hours will be given for each section completed. (one hour for today) This nursing continuing professional development activity was approved by Oregon Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Requirements for Successful Completion of this Educational Activity. To obtain a CE certificate for this activity, the learner must complete the following criteria: • Sign the attendance sheet • Complete the post-course evaluation. • Complete the Compassion Fatigue and Sacred Pathways Assessments • Start a Spiritual Care plan that includes but is not limited to an assessment portion, two measurable goals, and 4 attainable interventions. With completion, the CE certificate will be emailed to you. The planners and all presenters declare no conflicts of interest in the development and implementation of this educational activity.

Licensure
What were your compassion fatigue assessment results?
What is/are your sacred pathway/s (check all that apply)

Course Evaluation Section

Your honest feedback is an important (and required) part of this course activity. Thank you for taking the time to complete this short survey.

The content was appropriate for the purpose and objectives.
Always
Often
Sometimes
Seldom
Never
The teaching/learning methods were effective/appropriate for the subject matter.
Always
Often
Sometimes
Seldom
Never
The teaching was effective, presented well, and had clarity.
Always
Often
Sometimes
Seldom
Never
The content/educational materials were useful and added to my knowledge and personal development.
A Great Deal
Much
Somewhat
Little
None
How much did you learn in this course that you can personally apply as a professional within your larger interprofessional healthcare team?
A Great Deal
Much
Somewhat
Little
None
Do you identify with this statement? “Participating in this educational and personal development activity will assist me to enhance my well-being and strengthen my ability to care holistically for my patients
A Great Deal
Much
Somewhat
Little
None
How certain are you that you will implement your spiritual care plan?
Very Certain
Certain
Maybe
Not Certain
Will Not Implement
Please identify barriers to implementing your spiritual care plan (Check all that apply)
How certain are you that you will overcome these barriers? *
Very Certain
Certain
Maybe
Not Certain
There are no barriers to overcome
The program was presented in a fair and unbiased manner.
A Great Deal
Much
Somewhat
Little
None
What is your level of interest in participating in our Wholistic Nursing Leadership Course (15 CE Hours)
A Great Deal
Much
Somewhat
Little
None
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