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Staff Nurse Template 1 -Form Fill

General Information
Q01

State
Q02

District name
Q03

code
Q04

Date of Assessment
Q05

Start time
Q06

End Time
Q07A

Respondent name
Q07B

Designation
Q07C

Period of service in this District

Q08

Consent Response
Q09

Interview Result
Q10

Interviewer name
Q11

code
Motivation to Work
A01

In this section, we would like to talk to you about your motivation to work here. I am going to read out a few statements about your work.

A01_1

Respect from community
A01_2

Support from co-workers
A01_3

Improving maternal and neonatal health outcomes

A01_4

Payment for my work
A01_5

Training opportunities
A01_6

Fair remuneration of work
A01_7

Sufficient resources to do my work (funds, medicine, equipment, infrastructure)
A01_8

Recognition from my supervisor
A01_9

Ensuring that we get high coverage of maternal and neonatal health services
A01_10

Long term security in the job
A01_11

Shouldering responsibility in my work
A01_12

Opportunity to use my skills in my work
A01_13

Accomplishing something worthwhile in this job
A01_14

Enjoyment from work
A01_15

Getting the job done right
A01_16

Meeting expectations in my job
A01_17

I feel a very high degree of personal responsibility for the work I do on this job
A01_18

I frequently think of quitting this job
A01_19

My opinion of myself goes up when I do my job well
A01_20

Whether or not this job gets done right is clearly my responsibility
A01_21

I work in this job because I always wanted to work in maternal and neonatal health sector
A01_22

I work here because I am doing the work I always liked
A01_23

I sometimes feel my work here is meaningless
A01_24

I am glad that I work in this facility rather than any other facility in the state

A01_25

Overall, I am motivated to work here
Work Climate
B01

How would you rate your satisfaction with the following aspects of your work?

B01_1

Opportunities for training
B01_2

Job security
B01_3

Amount of salary
B01_4

Your workload relative to the time that you have
B01_5

Amount of time that you get to spend with your family
B01_6

Attitude of co-workers
B01_7

Availability of drugs, supplies and equipment for your work
B01_8

Ease with which you can communicate with your supervisors
B01_9

Opportunities to contribute your ideas to improve services
B01_10

Autonomy to take decisions at work
B01_11

Timeliness in receiving salary payments
B01_12

Support your co-workers give you in your work
B01_13

Support your direct supervisor gives you in your work
B01_14

Coordination between medical officer / nurses / housekeeping staff / other staff in health facility
B01_15

Respect received from co-workers on performing well
B01_16

Fairness with which your performance is measured

B01_17

Appreciation of your ideas by the management

B01_18

Your participation in planning of services in health facility

B01_19

Respect received from supervisors on performing well

B01_20

Respect received from patients for doing this work

B01_21

Your personal safety while in the facility

B01_22

Level accountability you feel from your supervisors & co-workers

B01_23

Your safety from sexual harassment in your work

B01_24

Motivation received from higher authorities

B01_25

Processes by which decisions are taken by the health facility

B01_26

Communication with higher authorities

B01_27

Capability of co-workers
B01_28

Timeliness with which decisions made at meetings are implemented
B01_29

Mutual trust co-workers have for each other
B01_30

Cooperation amongst co-workers
B01_31

Management of your work
B01_32

Leadership received from higher authorities
B01_33

Your overall satisfaction with your job