Frontline Supervisor Survey Instrument Report. APPENDIX C: BJBC Supervisor Survey

08/29/2008

This appendix is a recreation of the questions asked on the survey.
See the PDF version at http://aspe.hhs.gov/daltcp/reports/2008/FSSinst.pdf for a copy of the actual survey.

Better Jobs Better Care
Building a Strong Long-Term Care Workforce

Tell Us About Your Job

Your employer is one of over 130 that are part of the Better Jobs, Better Care Demonstration -- People like you in the state of Iowa, North Carolina, Oregon, Pennsylvania, and Vermont are being asked to complete this important survey.

Your answers to these questions are very important to the success of this project. Please answer them as honestly as you can. Remember that your answers will be kept completely confidential. Your employer will not see any of your responses. Your answers will go directly to the Penn State Survey Research Center and you will not be identified.

A Confidential Survey
Conducted by the Survey Research Center at Penn State

Paperwork Reduction Act Statement

A federal agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Public reporting burden for this collection of information is estimated to be 30 minutes per response.

INSTRUCTIONS: If circles are provided, please completely fill in the circle next to your answer (example: Yes No). If boxes are provided, write your numeric answer in the boxes (example: ). If you are asked to specify an answer, please clearly print your response in the space provided.

  1. How long have you worked as a supervisor of direct care workers? _______years _______months

  2. Have you ever worked as a direct care worker? _______Yes _______No

  3. How long have you worked for this employer? _______years _______months

  4. How long have you worked as a supervisor for this employer? _______years _______months

  5. How many direct care workers do you typically supervise? _______

  6. Do any direct care worker supervisors report to you? _______Yes _______No

  7. Please indicate the extent of your responsibility as a direct care worker supervisor to perform the following tasks.

      My responsibility alone My responsibility but others do this too Not my responsibility but I sometimes do this I never do this
    a. Act as a mentor to direct care workers.        
    b. Ensure that direct care workers are giving proper care to clients/residents.        
    c. Interview direct care worker applicants.        
    d. Schedule direct care workers.        
    e. Provide feedback to direct care workers on job performance.        
    f. Document direct care worker performance problems.        
    g. Initiate disciplinary action.        
    h. Recommend training for direct care workers.        
    i. Conduct on-the-job clinical training        
    j. Directly respond to job concerns raised by direct care workers.        
  8. For each statement below, please indicate if you strongly disagree, somewhat disagree, somewhat agree, or strongly agree.

      Strongly disagree Somewhat disagree Somewhat agree Strongly agree
    a. I have learned the skills necessary to do my job well.        
    b. I have the opportunity to work in teams.        
    c. I am confident in my ability to do my job.        
    d. I could get a job that paid more than this job.        
  9. Overall, how satisfied are you with your job?
    _______Extremely satisfied
    _______Somewhat satisfied
    _______Somewhat dissatisfied
    _______Extremely dissatisfied
    _______Don't know

  10. During the past year, did you receive any formal training (inservice, workshop, etc.) on ...

    Training If yes, how useful was it?
    Not At All Useful Somewhat Useful Very Useful Extremely Useful
    a. Communicating effectively with other employees _______Yes -->
    _______No
           
    b. Communicating effectively with patients/residents/clients _______Yes -->
    _______No
           
    c. Diversity or cultural issues _______Yes -->
    _______No
           
    d. Effective disciplinary procedures _______Yes -->
    _______No
           
    e. Skills for managing people _______Yes -->
    _______No
           
  11. How often are the following management practices used for the direct care workers you supervise?

      Never Seldom Occasionally Frequently Always
    a. Permanent assignment to patients/residents/clients.          
    b. Rotation of assignments to different services or units.          
    c. Cross-training (learning new skills not traditionally used by direct care workers, such as medication administration or assisting with physical therapy).          
    d. Self-managed work groups that include direct care workers.          
    e. Flex time for direct care workers.          
  12. What mechanisms are used in your organization to handle employee concerns? (Mark all that apply)
    _______Talk with supervisor
    _______Toll-free "hotline"
    _______Organizational ombudsman
    _______Mediation
    _______Arbitration
    _______Other:_________________________
    _______Don't use any specific method

  13. What approaches are used to handle poor performance or negative behaviors at your organization? Mark all that apply)
    _______Counseling by supervisor in the work unit
    _______Counseling by senior manager
    _______Written documentation
    _______Final warning conference
    _______Probation
    _______Suspension
    _______Termination
    _______Other:_________________________
    _______Don't use any specific method

  14. How often do direct care workers in your organization ...

      Never Seldom Occasionally Frequently Always
    a. Have input into changes in patient/resident/client care plans          
    b. Actively participate in developing patient/resident/client care plans          
    c. Write in patient/resident/client care charts          
    d. Communicate in writing with other direct care workers to rely information about residents/patients/clients          
    e. Communicate verbally with other direct care workers to relay information about residents/patients/clients          
    f. Communicare information either in writing or verbally about residents/patients/clients by reporting to their supervisors          
    g. Meet formally or informally with a supervisor to discuss patient/resident/client care issues          
    h. Receive verbal feedback about their everyday job performance          
    i. Receive written feedback about their everyday job performance          
  15. Please estiamte the overall competency level of direct care workers you supervise using the following benchmark:
    _______0 = All require constant supervision and guidance
    _______1
    _______2
    _______3
    _______4
    _______5 = All have an average level of competency for the position
    _______6
    _______7
    _______8
    _______9
    _______10 = All perform their jobs well with minimal guidance

  16. Approximately what percentage of the direct care workers you supervise ...

      None 1-25% 26-50% 50-75% 76-100%
    a. Currently participate in a career ladder program for the direct care worker to advance to a higher level of direct care worker (for example, team leader or dementia care specialist)          
    b. Currently participate in a career ladder program for the direct care worker to become a Licensed Practical Nurse          
    c. Currently have a designated peer mentor          
    d. Participate in formal inservice programs beyond those required for certification          
  17. During the past year, approximately what percentage of the direct care workers you supervise ...

      None 1-25% 26-50% 50-75% 76-100%
    a. Have completed a self-directed educational video or computer-based training program while at work          
    b. Have attended a conference or workshop away from work          
    c. Received formal training (inservice, workshop, etc.) on communicating effectively with other employees          
    d. Received formal training (inservice, workshop, etc.) on communicating effectively with patients/residents/clients          
    e. Received formal training (inservice, workshop, etc.) on diversity or cultural issues          
  18. If a friend or family member asked your advice about taking a job as a direct care worker at the place where you work, would you ...
    _______Definitely recommend it
    _______Probably recommend it
    _______Probably not recommend it
    _______Definitely not recommend it

  19. If a friend or family member needs care and asked your advice about getting care from the place where you work, would you ...
    _______Definitely recommend it
    _______Probably recommend it
    _______Probably not recommend it
    _______Definitely not recommend it

  20. Now, we'd like to ask if you agree or disagree with the following statements about your organization. It is important that your confidential responses to these questions be honest and accurate.

      Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree
    a. Employees take personal responsibility for their behavior.          
    b.The organizational culture encourages risk-taking.          
    c. The organizational culture encourages continuous improvement.          
    d. Senior management has presented a clear vision of the future of the organization.          
    e. The organization rewards staff for being innovative.          
    f. Management communicates effectively with staff in all levels of the organization.          
    g. Management solicits input from all levels of staff when deciding on purchases related to care delivery.          
    h. Management solicits input from all levels of the organization when deciding on policies and protocols.          
  21. Think about your job right now. Fill in the circle that best indicates how much, if at all, each of the following is a rewarding part of your job. Is it not at all rewarding, somewhat rewarding, very rewarding, or extremely rewarding?

      Does not apply to my job Not at all rewarding Somewhat rewarding Very rewarding Extremely rewarding
    a. Helping others is ...          
    b. Being able to work on your own is ...          
    c. Getting credit for your work is ...          
    d. Finding your work interesting is ...          
    e. Liking your coworkers is ...          
    f. Making a difference in other people's lifes is ...          
    g. Feeling a sense of accomplishment and competence from doing your job is ...          
    h. Having your job fit your skills is ...          
    i. Having the chance to learn new things is ...          
    j. Being valued by supervisors and management is ...          
    k. Being needed by others is ...          
    l. Having the power you need to get your job done without getting permission from someone else is ...          
    m. Having a lot of different things to do is ...          
    n. Getting support from coworkers is ...          
    o. Having your job fit your interests is ...          
    p. The income you earn is ...          
    q. Being valued by residents or clients and their families is ...          
    r. Having the freedom to decide how to do your work is ...          
    s. The team spirit in your work group is ...          
  22. Continue thinking about your job right now. Indicate how much, if at all, each of the following is a problem or concern in your job. Is it not at all a problem, somewhat a problem, a big problem, or an extremely big problem?

      Not at all a problem Somewhat a problem A big problem An extremely big problem
    a. Having too much work to do is ...        
    b. Having to deal with emotionally hard situations is ...        
    c. Not having support from your supervisor in your job is ...        
    d. Finding your job boring or doing too much of the same thing is ...        
    e. Having your job take too much out of you is ...        
    f. Having little chance to get promoted is ...        
    g. Dealing with unrealistic expectations from your supervisor for your work is ...        
    h. Not having the job use your skills is ...        
    i. Catching an illness is ...        
    j. Not having the chance to develop job skills is ...        
    k. Not being valued by your supervisor for your work is ...        
    l. Being on your own too much is ...        
    m. Getting hurt is ...        
    n. The physical conditions (equipment, temperature, smell, etc.) at your job is ...        
    o. Not having enough help when you need it is ...        
    p. That your supervisor is not good at her/his job is ...        
    q. That the job is physically hard is ...        
    r. The time it takes to get to work is ...        
  23. Please indicate the degree to which you agree with the following statements about how you are respected as a part of your organization's health care team (those who provide clinical services) by filling in the appropriate circle.

      Not at all a problem Agree somewhat Agree a great deal
    a. Residents' or clients' families respect me as part of the health care team.      
    b. Residents or clients respect me as part of the health care team.      
    c. Direct care workers respect me as part of the health care team.      
    d. My supervisor respects me as part of the health care team.      
  24. Please indicated the degree to which you agree with the following statements about how you are respected as a part of your organization's management team (those who establish and maintain work-related policies) by filling in the appropriate circle.

      Not at all a problem Agree somewhat Agree a great deal
    a. Residents' or clients' families respect me as part of the management team.      
    b. Residents or clients respect me as part of the management team.      
    c. Direct care workers respect me as part of the management team.      
    d. My supervisor respects me as part of the management team.      
  25. How likely is it that you will leave this job in the next year?
    _______Very likely
    _______Somewhat likely
    _______Not at all likely

  26. How often do you think about quitting?
    _______All of the time
    _______Some of the time
    _______Rarely
    _______Never

  27. Now, we'd like to ask if you agree or disagree with the following statements about your organization in the context of the Better Jobs, Better Care project.

      Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree
    a. The Better Jobs, Better Care project is being supported by a senior level executive in your organization.          
    b. All levels of management are committed to the Better Jobs, Better Care project.          
    c. Senior management has clearly articulated the need for the Better Jobs, Better Care project.          
    d. The Better Jobs, Better Care project conflicts with other major activities going on in the organization.          
    e. The programs that are part of the Better Jobs, Better Care project have been well executed.          
    f. The Better Jobs, Better Care project's overall impact on this organization will be positive.          
  28. What is the single most important thing your employer could do to improve the job of direct care workers? _________________________

  29. What is the single most important thing your employer could do to improve your ability to do your job as a supervisor of direct care workers? _________________________

  30. In your current job with this employer, what is your hourly wage? $_______ per hour

  31. Do you receive health insurance through this employer?
    _______Yes, I receive health insurance through my employer.
    _______My employer offers health insurance to me, but I am not enrolled.
    _______My employer does not offer health insurance to me.

  32. What is your gender?
    _______Male
    _______Female

  33. What is your age?
    _______Less than 25 years old
    _______25-34
    _______35-44
    _______45-54
    _______55-64
    _______65 or older

  34. Did you earn a high school diploma or GED?
    _______No
    _______Yes ––>

    34a. If yes, what is your highest level of education?
       _______High School or GED
       _______Some college/trade school
       _______College graduate or post-college
  35. Are you a nurse?
    _______No
    _______Yes ––>

    35a. If yes, are you a ...
       _______LPN
       _______RN
       _______Diploma RN
       _______BSN
       _______MSN
       _______Advanced Practice Nurse
  36. Are you of Hispanic or Latino origin?
    _______No
    _______Yes

  37. Please indicate your race. (Please select one or more)
    _______American Indian or Alaska Native
    _______Asian
    _______Black or African American
    _______Native Hawaiian or Other Pacific Islander
    _______White


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