Character Reference Request

Nursing is a profession that is demanding and requires many skills and qualities such as intellectual discipline, psychomotor skills, personal integrity, accountability, and emotional maturity.

has applied for registration with the Dominica Nursing Council (DNC). The Council would appreciate a candid evaluation of the applicant’s potential and motivation to pursue this career.

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Questionnaire

Please answer the following questions to the best of your knowledge and return your responses to: Dominica Nursing Council, Dominica- China Friendship Hospital, Goodwill or gncdominica@cwdom.dm / gncdominica@gmail.com

1. How do you know the applicant:

2. How long have you known the applicant:

3. How well do you know the applicant:

Rating

To the RESPONDENT: we appreciate and value your answers and comments regarding this applicant’s academic ability and personal characteristics, as detailed below Rating
1. Self-awareness: The aspiring nurse must know him/herself reasonably well, and on the whole, should like him/herself. The knowledge of his/her own personal strengths and weaknesses should allow the helping person to focus on working effectively with others.
2. Ability to work with others: A nurse must work well with colleagues, patients, and families
3. Professional Commitment: The professional nurse needs to have a strong commitment to the profession of nursing and the ethical standards of the profession. The nurse should work collaboratively with others to use professional knowledge, values, and skills to bring about the changes necessary for people to achieve life goals more easily.
4. Knowledge as a base for practice skills and the ability to apply to the practice setting: The practice of the nurse must be grounded in relevant social, behavioral, psychological, and biological science knowledge. Nursing is a practice profession. It is essential that the applicant be able to demonstrate the ability to apply knowledge gained in course work to the practice setting
5. Objectivity and acceptance of diversity: The professional nurse must be able to recognize the worth and dignity of every human being and be willing to serve in an appropriate manner all persons in need of assistance regardless of race, religion (or lack thereof), gender, disability, sexual orientation, age, or value system.
6. Empathy: Empathy is the ability to comprehend another’s subjective reality and feelings. Empathy and support are necessary to enable the patient to use both personal and outside resources and to develop and implement a solution to his/her problem.
7. Energy: Nursing is an exhausting activity; not only does it require careful use of knowledge skills, but it is also a constant drain on feelings and emotions. The professional nurse must work on avoiding burnout by developing cooperative and facilitating interactions with users of services
8. Freedom from chemical dependency or unresolved emotional issues: Since nurses must serve as healthy role models, they must be mentally healthy and free from chemical dependency problems, i.e., violent or aggressive behavior.
9. Trustworthiness: A nurse must protect patient’s confidential information. Discretion must be used at all times re: when and where to share and discuss information with appropriate individuals
10. Communication: A nurse must possess excellent skills to relate to patients and other health care workers. This includes the ability to listen, follow instructions, and demonstrate professional courtesy when communicating.
11. Honesty: A nurse must have integrity and be honest at all times. Accountability for actions is critical.

Overall Recommendation

Acknowledgements

Reference Details

Evaluator's Signature