STUDENT NURSE
CLINICAL FACILITY EVALUATION
Name of Facility: ______Madera Community Hospital____________Date: _____________
Instructions:
Please circle the number that bests describes your assessment of each statement.
The number representations are as follows:
5-Strongly Agree 4-Somewhat Agree
3-Neutral
2-Somewhat Disagree 1-Strongly Disagree
1. The clinical setting provided a receptive and positive learning environment.
5
4
3
2
2. The orientation to the clinical setting was satisfactory.
5
4
3
2 1
3. The clinical objectives were met at this facility.
5
4
3
2
1
4. Sufficient variety of health problems were in the patient population.
5
4
3
2
1
5. A supportive teamwork atmosphere existed between personnel and faculty.
5
4
3
2
1
6. There was adequate opportunity to apply theory concepts.
5
4
3
2
1
7. The ethnic and cultural diversity of the patient population was adequate.
5
4
3
2
1
What part of the rotation was most effective to you? And why?
What part of the rotation was least effective to you? And why?
What suggestions do you have for improving this clinical experience?
Name (optional):
Revised 1/18/12
1