Strongly Agree

Moderate Agree

Agree

Disagreed

Moderate Disagreed

Strongly Disagreed

Questions

Work Life/Home Life Dimension

I am able to balance work with my family needs.

I am able to arrange for child-care when I am at work.

I have energy left after work.

I feel that rotating schedules negatively affect my life.

My organization’s policy for family-leave time is adequate.

I am able to arrange for day care for my elderly parents.

I am able to arrange for day care when my child is ill.

Work Design Dimension

I receive a sufficient amount of assistance from unlicensed support personnel.

I am satisfied with my job.

My workload is too heavy.

I have autonomy to make patient care decisions.

I perform many non-nursing tasks.

I experience many interruptions in my daily work routine.

I have enough time to do my job well.

There are enough RNs in my work setting.

I am able to provide good quality patient care.

I receive quality assistance from unlicensed support personnel.

Work Context Dimension

I am able to communicate well with my nurse manager/supervisor.

I have adequate patient care supplies and equipment.

My nurse manager/supervisor provides adequate supervision.

Friendships with my co-workers are important to me.

My work setting provides career advancement opportunities

I feel like there is teamwork in my work setting.

I feel like I belong to the “work family”.

I am able to communicate with other therapists (physical, respiratory, etc.).

I receive feedback on my performance from my nurse manager/supervisor.

I am able to participate in decisions made by my nurse manager/supervisor.