Table 1 Evaluation form items and response modes
Item number | Item | Response mode |
|---|---|---|
1 | I understood the purpose of the Safety Survey | Likert scale, 1–5 (1 = Agree, 3 = Neither Agree or Disagree, 5 = Disagree) |
2 | I understood what was meant by ‘your recent transfer’ | Likert scale, 1–5 (1 = Agree, 3 = Neither Agree or Disagree, 5 = Disagree) |
3 | I understood each of the questions | Likert scale, 1–5 (1 = Agree, 3 = Neither Agree or Disagree, 5 = Disagree) |
4 | The questions asked accurately captured what made me feel safe or unsafe | Likert scale, 1–5 (1 = Agree, 3 = Neither Agree or Disagree, 5 = Disagree) |
5 | There was nothing missing from the Safety Survey | Likert scale, 1–5 (1 = Agree, 3 = Neither Agree or Disagree, 5 = Disagree) |
6 | I did not experience difficulties completing the Safety Survey | Likert scale, 1–5 (1 = Agree, 3 = Neither Agree or Disagree, 5 = Disagree) |
7 | I felt that the colour scheme was useful | Likert scale, 1–5 (1 = Agree, 3 = Neither Agree or Disagree, 5 = Disagree) |
8 | The size of the text was appropriate | Likert scale, 1–5 (1 = Agree, 3 = Neither Agree or Disagree, 5 = Disagree) |
9 | The Safety Survey allows me to provide useful feedback about the healthcare I have received | Likert scale, 1–5 (1 = Agree, 3 = Neither Agree or Disagree, 5 = Disagree) |
10 | By receiving this form I feel I am more educated about patient safety | Likert scale, 1–5 (1 = Agree, 3 = Neither Agree or Disagree, 5 = Disagree) |
11 | Please use the space to expand on your answers or say anything about the survey that you think is relevant | Free-text |