“PROFESSIONAL QUALITIES AND WORK RELATIONSHIP AMONG NURSES AND DOCTORS AS

CORRELATES TO QUALITY OF PATIENT CARE AT SAINT ANTHONY COLLEGE

OF ROXAS CITY, INC. (HOSPITAL)”

QUESTIONNAIRE

This questionnaire is intended to measure the Professional Qualities and Work

Relationship among Nurses and Doctors as correlates to Quality of Patient Care at

Saint Anthony College of Roxas city, Inc. (Hospital)”. Do not leave any item in the questionnaire

unanswered. Please answer the questions truthfully. Your answers in this questionnaire shall be

treated with utmost confidentiality.

PART I. DEMOGRAPHIC PROFILE OF RESPONDENTS

Direction: Please indicate your answer by checking the appropriate boxes below.

Age: Gender:

21 - 30 Female

31 – 40 Male

41 – 50

50 And above

Civil status: Educational attainment:

Single Bachelor’s Degree

Married High school Graduate

Widowed

Occupation: Length of Stay

Employed 1-7 Days

Unemployed 8-14 Days

15-21 Days

3 Weeks Above
Ward Admitted

Private Rooms

Ward Unit

PART II. QUALITY OF CARE RENDERED BY DOCTORS & NURSES

Direction: Please rate some things about care rendered during your hospital stay in terms of
whether they were Excellent, Very Good, Good, Fair or Poor. Please check only one rating for
each statement.

5 – Excellent
4 – Very Good
3 – Good
2 – Fair
1 – Poor

Statements Excellent Very Good Fair Poor

5 good 3 2 1
4
INFORMATION YOU WERE GIVEN: How clear and
complete the explanation about tests, treatments, and
what to expect.
INSTRUCTIONS: How well doctors and nurses explained
how to prepare for tests and operations.
EASE OF GETTING INFORMATION: Willingness of
doctors and nurses to answer your questions.
INFORMATION GIVEN BY HEALTH TEAM: How well
doctors and nurses communicated with patients,
families, and co-workers
INFORMING FAMILY OR FRIENDS: How well the doctors
nurses kept them informed about your condition and
needs.
INVOLVING FAMILY OR FRIENDS IN YOUR CARE: How
much they were allowed to help in your care.
CONCERN AND CARING BY HEALTH TEAM: Courtesy
and respect you were given; friendliness and kindness.
ATTENTION OF DOCTORS & NURSES TO YOUR
CONDITION: How often doctors & nurses checked on
you and how well they kept track of how you were
doing.
RECOGNITION OF YOUR OPINIONS: How much doctors
& nurses ask you what you think is important and give
you choices.
CONSIDERATION OF YOUR NEEDS: Willingness of the
team to be flexible in meeting your needs.
THE DAILY ROUTINE: How well they adjusted their
schedules to your needs.
HELPFULNESS: Ability of the doctors nurses to make
you comfortable and reassure you.
NURSING STAFF RESPONSE TO YOUR CALLS: How quick
they were to help.
SKILL AND COMPETENCE OF THE TEAM: How well
things were done, like giving medicine and handling IVs.
COORDINATION OF CARE: The teamwork between
nurses and other hospital staff who took care of you.
RESTFUL ATMOSPHERE PROVIDED BY THE TEAM:
Amount of peace and quiet.
PRIVACY: Provisions for your privacy by doctors &
nurses.
DISCHARGE INSTRUCTIONS: how clearly and
completely the doctors and nurses told you what to do
and what to expect when you left the hospital.
COORDINATION OF CARE AFTER DISCHARGE: Team
efforts to provide for your needs after you left the
hospital.
OVERALL PERCEPTIONS: Overall quality of care and
services you received during your hospital stay