1. Prepare
you overall for your current nursing role
2. Generate nursing
knowledge
3. Critique
nursing knowledge
4. Test nursing
knowledge through research
5. Develop innovative
approaches to health-related needs
6. Provide leadership
in addressing health needs of selected groups
7. Disseminate
nursing knowledge through presentations and lectures
8. Disseminate
nursing knowledge through publications
9. Obtain funding
for research and scholarly activities
10. Collaborate
with nursing colleagues
11. Engage in
continued self-assessment and continued professional development.
12. Influence
your thinking about nursing and health care
13. Collaborate
with interdisciplinary colleagues
14. Influence
health care trends or practice in your setting.
15. On a scale of 1 to 5,
1 indicating "not satisfied at all"2, indicating "somewhat satisfied", 3 indicating "satisfied", 4 indicating "mostly satisfied" and 5 "indicating very satisfied", how satisfied were you with the following
in your program:
1. Academic advising
Select a value
1
2
3
4
5
Not Applicable
Select a value
1
2
3
4
5
Not Applicable
Select a value
1
2
3
4
5
Not Applicable
Select a value
1
2
3
4
5
Not Applicable
16. In the text box below,
please provide any additional comments
17. What do you think are the strengths
of the PhD program?
18. What suggestions
for change or improvements do you have?
19. Are there any other
comments you would like to share with us?
20. On a scale of 1 to 5, 1 indicating "not satisfied at all"2, indicating "somewhat satisfied", 3 indicating "satisfied", 4 indicating "mostly satisfied" and 5 "indicating very satisfied", how satisfied were you with
the quality of the College of Nursing Program?
21. Indicate your substantive
area of research:
22. Please select the program
in which you were enrolled.
23. Indicate semester and
year of graduation
graduation Year:
24. Current Employment
Name of Employer:
Employer Address:
Address
(cont):
City:
State:
Zip:
Title of your position:
Salary (optional):
Unit of Department:
Type of Position
Employed:
# of years in current position:
If not employed:
Professional / Scholarly Activities
25. Publications
Have you published since graduation?
Yes
if yes, please indicate the number of publications
26. Presentations
Have you presented since graduation?
Yes
If yes, please check all that apply and indicate number of presentations below.
27. Research / Scholarship
Have you been involved in any research or scholarly projects since graduation?
Yes
If yes, please check all that apply and indicate number below.
28. Healthcare Media Production
Have you been involved in the production of any healthcare media such as online resources, videos, DVDs, podcasting, since graduation?
Yes
If yes, please indicate the type and how many.
29. Organizational Membership/ Service
Do you serve in a leadership capacity for any organization?
Yes
If yes, please check all that apply below and indicate the name of the organization below.
30. Involvement in Policy Development
Are you involved in policy development?
Yes
If yes, please check all that apply below.
Have you had any involvement in influencing public health policy at the local, state, or national levels?
Yes
If yes, please indicate how so.
pasvogel@nursing.arizona.edu
QUESTIONS? Please contact:
The University of Arizona College of Nursing, Office
of Academic Affairs at 520-626-6151.
