Transforming Care at the Bedside (TCAB)

Healthcare Team Vitality Instrument (HTVI)

(Enter Hospital Name here)

The following questions ask you about your current work environment. Circle the number that most closely
indicates the extent to which the item is present in your current job:

Please specify by checking the Respondent Type that most closely matches your position
Registered Nurse Dietary personnel
Physician Respiratory Therapist
LPN Physical Therapist
Nursing Assistant Other
Unit Clerk

Circle the correct numeric response to each question

Survey Scale: 1=Strongly Disagree
2=Disagree 3=Neutral 4=Agree 5=Strongly
# Question Agree

I have easy access to the supplies and equipment I need to

1
do my work on this unit. 1 2 3 4 5

2 The support services to this unit respond in a timely way. 1 2 3 4 5

I can discuss challenging issues with care team members on

3
this unit. 1 2 3 4 5

4 My ideas really seem to count on this unit. 1 2 3 4 5

5 I speak up if I have a patient safety concern. 1 2 3 4 5

Care team members on this unit feel free to question the

6
decisions or actions of those with more authority. 1 2 3 4 5

Important patient care information is exchanged during shift

7
changes. 1 2 3 4 5

If I have an idea about how to make things better on this unit,

8
the manager and other staff are willing to try it. 1 2 3 4 5

Care professionals communicate complete patient information

9
during hand-offs. 1 2 3 4 5

Essential patient care equipment is in good working condition

10
on this unit. 1 2 3 4 5
 Circle the correct numeric response to each question
Survey Scale: 1=Strongly Disagree
2=Disagree 3=Neutral 4=Agree 5=Strongly
# Question Agree

PLEASE COMPLETE SURVEY BY: (enter due date)

RETURN TO: (enter location/person)
THANK YOU!
© Betsy Lee and Valda Upenieks, August 2007
Database Summary
Q_1 Q_2 Q_3 Q_4 Q_5 Q_6
MEAN #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
MODE #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!
StDev #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
StErr #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

Database
Cat Respondent Type Q_1 Q_2 Q_3 Q_4 Q_5 Q_6
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
 90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
 Q_7 Q_8 Q_9 Q_10
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#VALUE! #VALUE! #VALUE! #VALUE!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! #DIV/0! #DIV/0!

Q_7 Q_8 Q_9 Q_10 Sum Q1 to 10 Rank Q1 to 10

0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
0 1
Respondent Type
Registered Nurse
Physician
LPN
Nursing Assistant
Unit Clerk
Dietary personnel
Respiratory Therapist
Physical Therapist
Other
Total Number of Surveys Err:504
 Healthcare Team Vitality Instrument (HTVI)

Survey Scale: 1=Strongly Disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree

Course Evaluation Survey # 1's #2's #3's #4's #5's n MEAN MODE SEM

1. I have easy access to the supplies and equipment I need

0
to do my work on this unit.

2. The support services to this unit respond in a timely way. 0

3. I can discuss challenging issues with care team members

0
on this unit.

4. My ideas really seem to count on this unit. 0

5. I speak up if I have a patient safety concern. 0

6. Care team members on this unit feel free to question the

0
decisions or actions of those with more authority.

7. Important patient care information is exchanged during

0
shift changes.

8. If I have an idea about how to make things better on this

0
unit, the manager and other staff are willing to try it.

9. Care professionals communicate complete patient

0
information during hand-offs.

10. Essential patient care equipment is in good working

0
condition on this unit.

Respondent Type Counts

Registered Nurse0

Physician 0

LPN0

Nursing Assistant 0

Unit Clerk 0

Dietary personnel 0
 Physician 0

LPN0
Survey Scale: 1=Strongly Disagree 2=Disagree 3=Neutral 4=Agree 5=Strongly Agree
Course Evaluation Survey # 1's #2's #3's #4's #5's n MEAN MODE SEM
Nursing Assistant 0

Unit Clerk 0

Dietary personnel 0

Respiratory Therapist 0

Physical Therapist 0

Other0

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1

 Healthcare Team Vitality Instrument (HTVI)

1. I have easy access to the supplies and equipment I need to do my work on this unit.

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's

2. The support services to this unit respond in a timely way.

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's

3. I can discuss challenging issues with care team members on this unit.

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's

4. My ideas really seem to count on this unit.

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's
 5. I speak up if I have a patient safety concern.
1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's

6. Care team members on this unit feel free to question the decisions or actions of those with more authority.

0.8

0.6

0.4

0.2

0
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's

7. Important patient care information is exchanged during shift changes.

0.8

0.6

0.4

0.2

0
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's

8. If I have an idea about how to make things better on this unit, the manager and other staff are willing to try it.

0.8

0.6

0.4

0.2

0
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's
 9. Care professionals communicate complete patient information during hand-offs.

0.8

0.6

0.4

0.2

0
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's

10. Essential patient care equipment is in good working condition on this unit.

1
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's
 Healthcare Team Vitality Instrument (HTVI)

1. I have easy access to the supplies and equipment I need to do my work on this unit. 2. The support services to this unit respond in a timely way.

1 1
0.9 1 0.9 2
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0

# 01's 0
#2's 0
#3's 0
#4's 0
#5's #0
1's 0
#2's 0
#3's 0
#4's 0
#5's

3. I can discuss challenging issues with care team members on this unit. 4. My ideas really seem to count on this unit.

1 1
0.9 0.9
0.8
0.7
3 0.8
0.7
4
0.6 0.6
0.5 0.5
0.4
0.4
0.3
0.3
0.2
0.2
0.1
0.1
0
0
# 01's 0 0 0 0
#0 0 0 0 0
#2's #3's #4's #5's
1's #2's #3's #4's #5's

5. I speak up if I have a patient safety concern. 6. Care team members on this unit feel free to question the decisions or actions of those with more authority.
1
0.9
0.8 1
0.7 5 0.9 6
0.8
0.6
0.7
0.5 0.6
0.4 0.5
0.4
0.3 0.3
0.2 0.2
0.1
0.1
0
0
# 01's 0
#2's 0
#3's 0
#4's 0
#5's
#0
1's 0
#2's 0
#3's 0
#4's 0
#5's

7. Important patient care information is exchanged during shift changes. 8. If I have an idea about how to make things better on this unit, the manager and other staff are willing to try it.

1
1
0.9 7 0.9 8
0.8 0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1 0.1
0 0

# 01's 0
#2's 0
#3's 0
#4's 0
#5's #01's 0
#2's 0
#3's 0
#4's 0
#5's
 9. Care professionals communicate complete patient information during hand-offs. 10. Essential patient care equipment is in good working condition on this unit.

1
1
0.9 9 0.9
0.8
10
0.8
0.7 0.7
0.6 0.6
0.5 0.5
0.4 0.4
0.3 0.3
0.2 0.2
0.1
0.1
0
0
# 01's 0 0 0 0
# 01's 0 0 0 0
#2's #3's #4's #5's
#2's #3's #4's #5's