Form 494 HRSA NELRP and NSP Participant Questionnaire

HRSA NELRP and NSP Satisfaction Questionnaire

Health Resources and Services Administration Bureau of Clinician Recruitment Service

NELRP and NSP

Participant Satisfaction Survey

Survey to be administered via the Web. Instructions and headings in BOLD and question numbers will not be seen by the respondents. Respondent will see either NSP or NELRP information throughout, based on sample identification.

Survey Introduction

The Nursing Education Loan Repayment Program (NELRP)/Nursing Scholarship Program (NSP) is committed to continuous performance improvement. As part of this commitment, we are requesting feedback on your experiences with the NELRP/NSP.

This survey is hosted on a secure server and your responses will remain strictly confidential. This survey is authorized by Office of Management and Budget Control No. 1090-0007.

This survey will take approximately 15 minutes to complete. Thank you in advance for your participation.

Please click on the “Next” button below to begin.

TYPE OF SERIVCE (IDENTIFIED IN SAMPLE):

1. Nursing Education Loan Repayment Program (NELRP)

2. Nursing Scholarship Program (NSP)

Introduction/Retention [Both NSP and NELRP, unless otherwise specified]

Q1. Which one of the following best describes your service status?

1. In School [only for NSP – Skip to Q18]

2. Graduated, but not yet serving [only for NSP – Skip to Q18]

3. Currently serving

4. Completed service obligation [Ask Q2, Q3 (if NSP) and Q4, then skip to Q8]

Q2. [If Q1=4] On what date did you complete your service obligation with the NSP/NELRP?

[NOTE: Drop down box for month and year selection]

Q3. [IF NSP and Q1 = 2, 3, or 4] Did it take you longer than six months to find employment?

1 Yes

2 No

Q4. [If Q1= 3 or 4] Where are you currently serving or where did you serve? (Select one)

1 Hospital

a Critical Access Hospital

b Disproportionate Share Hospital

c Nonprofit, Non-Disproportionate Share Hospital

d Public Hospital

2 Ambulatory Care

a Ambulatory Surgical Center

b Federally Qualified Health Center (FQHC) or Look-Alike

c Indian Health Service Health Center

d Native Hawaiian Health Center

e Rural Health Clinic

3 Public Health (State or Local Public Health or Human Service Department)

4 Long Term Care

a Home Health Agency

b Hospice Program

c Nursing Home

d Skilled Nursing Facility

5 Nursing School [NELRP Only]

a Nurse Faculty at a public nursing school

b Nurse Faculty at a private nonprofit nursing school

6 Other, please specify

Q5. [If Q1=3] Do you plan to remain at your current site after you have fulfilled your NSP/NELRP service obligation? 

1. Yes

2. No

3. I don’t know right now

Q6. [If Q5=1] About how long do you plan to remain at this site?

1. Less than 1 year

2. 1 year to less than 2 years

3. 2 to 5 years

4. More than 5 years

5. I don’t know right now

Q7. [If Q5=1] Which of the following has influenced your decision to continue providing services after your service obligation is complete? (Select all that apply)

1. Overall experience with the NSP/NELRP

2. NSP/NELRP program benefits

3. Sense of community with peers

4. Relationship with current employer

5. Current site experience

6. Commitment to underserved communities

7. Salary and benefits

8. Becoming part of the community; able to put down “roots”

9. Job security

10. Difficulty finding another job

11. Other (please specify)

Q8. [If Q1=4] Are you still at the critical shortage facility or nursing school where you fulfilled your NELRP/NSP service obligation?

1. Yes

2. No (Skip to Q10)

Q9. [If Q8=1] About how long do you plan to remain at this site?

1. Less than 1 year

2. 1 year to less than 2 years

3. 2 to 5 years

4. More than 5 years

5. I don’t know right now

Q10. [If Q8=2] For what reasons have you decided to leave this site? Please select up to five; if more than five reasons led to your decision, please choose the top five.

1. Financial considerations such as salary or benefits

2. Too geographically isolated

3. Long hours - no balance of personal and professional life

4. Personal reasons, such as started a family, spouse/family was unhappy or other family considerations

5. Joined private practice

6. Change of career

7. Problems with employer or site

8 Didn’t like the community or lifestyle

9 Cost of living

10 Little to no peer-to-peer relationships

11 Other, please specify

Q11. [If Q10=7] Please describe the problem you were having with your employer or at the site. (Select all that apply)

1. Lack of distance learning opportunities

2. Lack of resources to do my job well

3. Lack of employer efforts around retention

4. Lack of upward mobility

5. Lack of administrative/management opportunities

6. Lack of telehealth (the use of electronic information and telecommunication technologies)

7. Lack of advanced technology

8. Other, please specify

Q12. [If Q8=2] Have you chosen to continue at a different critical shortage facility or nursing school after fulfilling your service obligation with the NELRP/NSP program?

1. Yes (Continue to Q13)

2. No (Skip to Q15)

Q13. [If Q12=1] Why did you move to a different critical shortage facility or nursing school instead of remaining at the site where you fulfilled your service obligation with the NELRP/NSP program? (Capture open-end response)

Q14. [If Q12=1] Since completion of the service obligation with the NELRP/NSP program, how long have you been practicing at your current critical shortage facility or nursing school?

1. Less than 1 year

2. 1 year to less than 2 years

3. 2 to 5 years

4. More than 5 years

Q15. [If Q12=2] For what reasons did you not remain practicing at a critical shortage facility or nursing school after fulfilling your service obligation with the NELRP/NSP program? Please select up to five; if more than five reasons led to your decision, please choose the top five.

1. Financial considerations such as salary or benefits

2. Too geographically isolated

3. Long hours - no balance of personal and professional life

4. Personal reasons, such as started a family, spouse/family was unhappy or other family considerations

5. Joined private practice

6. Change of career

7. Problems with employer or site

8. Didn’t like the community or lifestyle

9. Cost of living

10. Little to no peer-to-peer relationships

11. Other, please specify

Q16. [If Q15=7] Please describe the problem you were having with your employer or at the site. (Select all that apply)

1. Lack of distance learning opportunities

2. Lack of resources to do my job well

3. Lack of employer efforts around retention

4. Lack of upward mobility

5. Lack of administrative/management opportunities

6. Lack of telehealth (the use of electronic information and telecommunication technologies)

7. Lack of advanced technology

8. Other, please specify

Q17. [If Q12=2] What would have made you more likely to continue at a critical shortage facility or nursing school? (Select up to five)

1. Better benefits and salary

2. Better experience at site

3. Site operation/direction more aligned with personal goals

4. Opportunities for distance learning

5. Better community support

6. Opportunities for telehealth (the use of electronic information and telecommunication technologies)

7. More work/life balance – better schedule/hours

8. More employment opportunities for my spouse

9. Family/spouse wanted to stay in community

10. Better school district

11. Lower cost of living

12. Closer to extended family/parents and siblings

13. Increased employer efforts around retention

14. Greater resources to help me do my job well

15. More upward mobility

16. More administrative/management opportunities

17. More peer relationships

18. Other, please specify

Recruitment [Both NSP and NELRP, unless otherwise specified]

Q18. How did you learn about the NSP/NELRP? (Select all that apply)

1. Current NSP/NELRP member

2. NSP/NELRP alumnus

3. NSP/NELRP Website

4. Other websites

5. NSP/NELRP Literature/Materials

6. Social Media (such as Facebook or MySpace)

7. Site Administrator or Site Staff

8. Exhibit at a professional meeting

9. Through online research

10. Through faculty at school/training programs

11. Through a colleague

12. Advertisements (print, newsletters, etc.)

13. Other (please specify)

Q19. [NELRP only] Did you know about the NELRP program before you began working at a critical shortage facility?

1 Yes

2 No

Q20. [NELRP only] [If Q19=1] Did you seek employment at this site because of the NELRP?

1 Yes

2 No

Application Process [Both NSP and NELRP]

Please think about the application process when you applied for a scholarship/loan repayment from the NELRP/NSP.

Using a scale from 1 to 10, where 1 is “Poor” and 10 is “Excellent”; please rate the application process on the following statements. If a question does not apply to you, please select: “N/A.”

Q21. Clarity and ease of understanding the online application

Q22. Clarity and ease of understanding the program guidance documents

Q23. Ease of getting the information required to fill out the application

Q24. Amount of time it took to complete the application

Q25. Ease of submitting the application and supporting documents electronically

Q26. Responsiveness of support

Q27. Sufficiency of support

Q28. Timeliness of award notification

Q29. Ease of understanding the terms and conditions of acceptance

NELRP/NSP Portal [Both NSP and NELRP]

Q30. Have you visited the NELRP/NSP online portal during the past year?

1. Yes

2. No (skip to Q37)

Q31. Did you use the online portal to seek assistance for an inquiry or concern?

1. Yes

2. No

Please think about your experiences while visiting the NELRP/NSP online portal. Using a scale from 1 to 10, where 1 means “Poor” and 10 means “Excellent”, please rate…

Q32. Ease of navigation

Q33. Overall online portal design

Q34. Ability to find the information needed

Q35. [If Q31=1] Ease of communicating through the online portal

Q36. [If Q31=1] Timeliness of response to your inquiry or concern

Customer Service [Both NSP and NELRP]

Q37. Have you contacted NELRP/NSP during the past 12 months?

1. Yes

2. No (skip to Q49)

Q38. How did you most recently contact NELRP/NSP? (Select one)

1. Program Analyst

2. Call Center via phone

3. Via email (for example, [email protected])

4. Through the online portal

5. Other, please specify

Q39. What was the reason for your most recent contact with the NELRP/NSP program? (Select one)

1. Financial question

2. Question about service

3. Policy related issues

4. Question about placement

5. Request for site change

6. Request for technical assistance (for example, access to the online portal)

7. Other (please specify)

Q40. Approximately how long did it take for the NELRP/NSP to first respond to, or acknowledge, your initial contact?

1. Within 24 hours

2. Within 1 to 2 days

3. Within 3 to 4 days

4. Within 5 to 7 days

5. Within 1 month

6. Within a few months

7. They never responded to my initial contact

Q41. Ideally, how long should the NELRP/NSP take to first respond to, or acknowledge, your initial contact?

1. No more than 24 hours

2. No more than 1 to 2 days

3. No more than 3 to 4 days

4. No more than 5 to 7 days

5. No more than 1 month

Q42. [If Q40=1-6] Was the NELRP/NSP representative able to resolve your issue?

1. Yes

2. No

Please think about your experiences with NELRP/NSP customer service during the past year. Using a scale from 1 to 10, where 1 means “Poor” and 10 means “Excellent”, please rate the following…

Q43. Ease of reaching a NELRP/NSP representative

Q44. Courteousness of the NELRP/NSP representative

Q45. Knowledge of the NELRP/NSP representative

Q46. Timeliness of the representative’s response to your inquiry or concern

Q47. Relevance of the information provided by the NELRP/NSP representative

Q48. Level of service provided by the NELRP/NSP representative

Information/Communication [Both NSP and NELRP]

Q49. Which of the following types of NELRP/NSP communications were most helpful in keeping you informed in the last 12 months? (Select all that apply)

1. Participant online portal

2. Email updates

3. Webinars (such as the Application or Orientation webinars)

4. NELRP/NSP website updates

5. Other, please specify

Please think about communications received from the NELRP/NSP program in the last 12 months. Using a scale from 1 to 10, where 1 means “Poor” and 10 means “Excellent”, please rate…

Q50. The timeliness of the communications

Q51. The relevance of the information provided

Q52. Received enough detail to meet your needs

Q53. Your understanding of the information

Q54. The frequency of receiving information

Q55. Ideally, how would you like to receive future communications from the NELRP/NSP program? (Select all that apply)

1. Electronic Newsletters

2. Participant online portal

3. Email

4. Postal mail

5. Website

6. Text Message (SMS)

7. Group Conference Calls

8. Webinars

9. Facebook or other Social Media

10. Other, please specify

Q56. How often would you like to receive communications from the NELRP/NSP?

1. More than once per month

2. Monthly

3. Quarterly

4. Twice per year

5. Yearly

Site Experience [Both NSP and NELRP] [If Q1=3,4]

Q57. Using a scale from 1 to 10, where 1 means “Poor” and 10 means “Excellent”, please rate your overall experience at the site where you have fulfilled/are fulfilling your service obligation with the NELRP/NSP.

Q58. Please explain the reason for the rating you provided of your overall experience at the site where you have fulfilled/are fulfilling your service obligation with the NELRP/NSP. (Capture open-ended response)

Q59. Using a scale from 1 to 10, where 1 means “Poor” and 10 means “Excellent”, please rate how prepared you felt for dealing with the patient population at your site while you fulfilled/are fulfilling your service obligation with the NELRP/NSP.

Q60. What types of support did/do you need as you fulfilled/are fulfilling your service obligation with NELRP/NSP? (Select all that apply)

1 Peer to Peer communication

2 Conferences

3 Network opportunities

4 Continuing education

5 Other, please specify

ACSI Benchmark Questions [Both NSP and NELRP]

Q61. Please consider all of the experiences you have had with the NELRP/NSP program. Using a 10-point scale on which 1 means “Very Dissatisfied” and 10 means “Very Satisfied”, how satisfied are you with the NELRP/NSP program?

Q62. Using a 10-point scale on which 1 means “Falls Short of Your Expectations” and 10 means “Exceeds Your Expectations”, to what extent has the NELRP/NSP program fallen short of or exceeded your expectations?

Q63. Imagine an ideal scholarship and loan repayment program. How well do you think the NELRP/NSP compares with that ideal program? Please use a 10-point scale on which 1 means “Not Very Close to Ideal”, and 10 means “Very Close to Ideal”.

Outcome Measures/Retention [Both NSP and NELRP]

Q64. On a scale from 1 to 10 where 1 means “Not at All Likely” and 10 means “Very Likely”, how likely are you to continue to provide health services in a critical shortage facility after your service obligation is completed?

Q65. On a scale from 1 to 10 where 1 means “Completely Disagree” and 10 means “Completely Agree”, to what extent do you agree that the Nursing Education Loan Repayment Program/Nursing Scholarship Program is delivering a meaningful experience to its members?

Q66. On a scale from 1 to 10 where 1 means “Not at All Likely” and 10 means “Very Likely”, how likely are you to recommend the Nursing Education Loan Repayment Program/Nursing Scholarship Program to someone else?

Demographics [Both NSP and NELRP]

Q67. What is your gender? (Select one)

1. Male

2. Female

3. Transgender Male

4. Transgender Female

5. Prefer not to say

Q68. What is your age? (Select one)

1. 17 or under

2. 18 to 24

3. 25 to 34

4. 35 to 44

5. 45 to 54

6. 55 to 64

7. 65 and older

8. Prefer not to say

Q69. What is your race? (Select one)

1. White

2. Black/African American

3. Asian and Pacific Islander

4. American Indian/Alaskan Native

5. Native Hawaiian

6. Unknown

7. Other, please specify

8. Prefer not to say

Q70. What is your ethnicity? (Select one)

1. Hispanic/Latino

2. Non-Hispanic

3. Prefer not to say

Q71. [If Q1=3,4] Are you currently practicing or have you practiced in an underserved area that is within 200 miles of where you grew up?

1. Yes

2. No

Q72. [If Q1=3,4] Are you currently practicing or have you practiced in an underserved area that is within 200 miles of where you completed your clinical training?

1. Yes

2. No

Q73. [If Q1=3,4] From the drop-down box below, please select the state where you practice currently?

Q74. Please use this space for any additional information you would like to provide NELRP/NSP regarding ways we can improve the program. (Capture open-ended response)

Thank you for your time. The Health Resources and Services Administration’s Nursing Education Loan Repayment Program/Nursing Scholarship Program appreciates your input!

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1/30/21 Questionnaire – Page 18