Health Care Worker task-shifting in a Zimbabwean public tertiary healthcare hospital.

Dear Sir or Madam,

Please take a few minutes of your time to complete the following questionnaire.

What is task shifting?

It is a process of delegation whereby healthcare tasks are moved to be completed by less specialised healthcare workers.

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Health Care Worker task-shifting in a Zimbabwean public tertiary healthcare hospital.

Age

Sex

What is your level of education?

What professional qualification do you hold for your current employment post?

How many years experience do you have for your current post?

List the tasks you are delegated in your current post but have not been formally trained in or they are not in your scope of practice

How satisfied are you with your physical working conditions?

How satisfied are you with support from colleagues and supervisors when completing task-shifted tasks

How satisfied are you with your ability to complete task-shifting tasks independently?

How satisfied are you with identifying if a task shifted task has been competently completed?

How satisfied are you with the amount of task-shifting responsibility delegated?

How satisfied are you with the added Income (remuneration for task shifting)?

How satisfied are you with availability of guidelines or standard operating procedures that address and assist you in task shifting

How satisfied are you with your mental health in relation to working conditions associated with task shifting?

How satisfied are you with the provision of required work resources to task shift?

Overall, how satisfied are you with the task shifting practice?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you to perform observation of vital parameters such as temperature, blood pressure, pulse?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in medication management, such as giving painkillers (e.g., paracetamol)?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in wound management?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in consultation of patients?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in vaccination management?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in administration of IV medication?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in documentation of patient notes?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in understanding the significance or interpretation of collected patient vital signs?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in your knowledge of when or how to escalate issues observed in patients while performing tasks?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in preforming clinical tasks without supervision?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in diagnosing clinical conditions?

If this is not in your scope of practice or you have not been formally trained for it but are performing it as a delegated task: How confident are you in prescribing medication?

If this is not in your scope of practice, but you are performing it as a delegated task: Is performing observations of vital parameters such as temperature, blood pressure, pulse challenging and thus demanding when task shifting?

If this is not in your scope of practice, but you are performing it as a delegated task: Is performing essential medication management, such as giving painkillers (e.g. paracetamol) challenging and thus demanding?

If this is not in your scope of practice, but you are performing it as a delegated task: Is performing wound management challenging and thus demanding?

If this is not in your scope of practice, but you are performing it as a delegated task: Is consultation of patients challenging and thus demanding?

If this is not in your scope of practice, but you are performing it as a delegated task: Is patient health education challenging and thus demanding?

If this is not in your scope of practice, but you are performing it as a delegated task: Is documentation of patient notes challenging and thus demanding?

If this is not in your scope of practice, but you are performing it as a delegated task: Is understanding or interpretation of collected patient vital signs challenging and thus demanding?

If this is not in your scope of practice, but you are performing it as a delegated task: Is knowledge of when or how to escalate issues observed in patients while performing tasks challenging and thus demanding?

If this is not in your scope of practice, but you are performing it as a delegated task: Is unsupervised execution of clinical tasks challenging and thus demanding?

If this is not in your scope of practice, but you are performing it as a delegated task: Is diagnosing clinical conditions challenging and thus demanding?

If this is not in your scope of practice, but you are performing it as a delegated task: Is prescription of medication challenging and thus demanding?

If this is not in your scope of practice, but you are performing it as a delegated task: Is counselling of patients challenging and thus demanding?

How is task shifting relevant for patient care in promoting a transparent and honest relationship with patients?

How is task shifting relevant for patient care in promoting the acceptance of health care workers by patients?

How is task shifting relevant for patient care in increasing patient satisfaction in relation to the services provided?

The benefit of task shifting is that it gives higher qualified or specialised and experienced healthcare workers more time to use their specialised skills in patient care.

The benefit of task shifting is that it minimises the workload on available staff, especially during staff shortages.

The benefit of task shifting is that the efficiency and productivity of healthcare workers are improved.

The benefit of task shifting is that health care services and coverage are still accessible to patients as it allows an increase in these.

The benefit of task shifting is that health service providers' numbers are increased due to the efficient use of available human resources.

The benefit of task shifting is that it can save health system costs.

The benefit of task shifting is that it can be used to train alternate health care workers s to carry out tasks generally considered to be within the scope of a few.