Agency Evaluation of Faculty

Directions: The goal of the UH Hilo Baccalaureate Nursing Program is to educate students that can perform at the beginning/novice practice level. Please use the dropdown boxes for each statement to indicate your response and enter any comments into the textbox at the end of the survey. Then submit your survey. Thank you for your input. All answers will be for program evaluation and will be held confidentially.

Please enter the following information.

1.	Name of Clinical Agency:

2.	Unit/Specialty:

3.	Name of Faculty:

Please provide your answers to the questions below. (Select from the dropdown boxes.)

4.	Provider of Care--The faculty was knowledgeable in the clinical area.

5.	Provider of Care--The faculty was competent in clinical skills.

6.	Communicator--The faculty communicated well with students, staff members and clients/families.

7.	Teacher--The faculty consistently supervised the students' client teaching.

8.	Manager of Care--The faculty consistently supervised the students' plans of care.

9.	Investigator--The faculty evaluated students' focused data to prioritize client care.

10.	Member of Profession--The faculty displayed caring attitudes toward students, clients, families, and staff members.

11.	Member of the Profession--The faculty acted in a manner that reflected high levels of professional nursing standards.

12.	Promoter of Transcultural Care--The faculty demonstrated culturally congruent care.

13.	Elaborate on the criteria regarding the faculty's performance. Additional comments are welcomed.