Table 2

Rationale for item removal

Item removedRationale
Consensus group discussionItem analysis
The following aspects of the ward made it difficult for staff to do their jobs: lighting levelsResearchers/research nurses highlighted that frequently patients did not respond to this item with regard to themselves, and therefore the item was often not answered as intended, that is, how lighting levels affect staff.Low variability SD=0.59
Staff were always able to get advice from other teams about my care if neededResearchers/research nurses highlighted that frequently patients did not respond to this item in terms of what the item is attempting to tap, that is, specialist staff, etc.Low variability SD=0.67
High inter-item correlations with ‘I got answers to all the questions I had about my care’ (0.51)
When staff talked about my care with others, the information they shared was correctResearchers/research nurses highlighted that frequently patients did not respond to this item in terms of what the item is attempting to tap that is, information sharing between staff.Low variability SD=0.61
The following aspects of the ward made it difficult for staff to do their jobs: position of nurses’ stationResearchers/research nurses highlighted that participants often struggled to respond to this item from the patient perspective.Low variability SD=0.71
There was equipment that staff found difficult to use (eg, monitoring equipment, beds, hoists)Researchers/research nurses highlighted that frequently patients reported that it would be more appropriate for staff to respond to this item.Low variability SD=0.64
Staff were kept waiting for my test resultsResearchers/research nurses felt this issue was covered elsewhere in the measure, that is, ‘Information about me that my health care team needed was always available’.
The following aspects of the ward made it uncomfortable for me: lack of spaceResearchers/research nurses felt that lack of space was assessed elsewhere in the measure, although in relation to staff rather than patients.
‘The following aspects of the ward made it difficult for staff to do their jobs: Lack of space’.
High inter-item correlations with ‘The following aspects of the ward made it difficult for staff to do their jobs: Lack of space’ (0.51)
Staff always seemed to know what they were meant to be doingResearchers/research nurses highlighted that patients often felt they could not answer this. Researchers/researcher nurses also felt there was conceptual overlap with another item, that is, ‘I got answers to all the questions I had about my care’.Low variability SD=0.59
Staff always agreed about my treatment/careResearchers/research nurses felt there was conceptual overlap with another item, that is, ‘Staff gave me different information about my care’.Low variability SD=0.60
Nurses were always able to get help from other staff when they asked for itResearchers/research nurses felt there was conceptual overlap with another item, that is, ‘Staff seemed to struggle to get help when they needed it’.Low variability SD=0.59
I knew who to go to if I needed to ask a questionResearchers/research nurses felt other items capture this issue.
The following aspects of the ward made it difficult for staff to do their jobs: clutter and untidinessLow variability SD=0.67
Equipment needed for my care was always working properlyResearchers/research nurses highlighted that frequently patients reported that it would be more appropriate for staff to respond to this item.Low variability SD=0.71
The following aspects of the ward made it uncomfortable for me: other—please specifyResearchers/research nurses felt this item could be removed due to low response rate.
  • SD, Standard Deviation.