|Items with need for adjustments|
|Item||Item statement||Reason for adjustment||Recommended improvements|
|15||Working in this hospital is like being part of a large family.||Low CVI||Translational adaptations needed because of cultural distinctions|
|17||I am proud to work at this hospital||Low CVI|
|22||Fatigue impairs my performance during emergency situations (e.g., emergency resuscitation, seizure).||Low CVI, high percentage of MV|
|24a&b||Management does not knowingly compromise the safety of patients. Hospital and unit level||Low CVI, high percentage of MV, bimodal distribution||Translational adaptation needed because of problems in comprehensibility and clearness.|
|23b||Management supports my daily efforts. Hospital level only||high percentage of MV||Specification of the term “hospital level” needed|
|25b||Problem personnel are dealt constructively in hospital. Hospital level only||high percentage of MV|
|26b||I am provided with adequate, timely information about events in the hospital that might affect my work. Hospital level only||high percentage of MV|
|27, 28||27: The levels of staffing in this clinical area are sufficient to handle the number of patients||Cross loadings and high modification index in CFA||Problem known from other studies. Allocation to other factors is possible.|
|28: This hospital does a good job of training new personnel|
CVI Content validity Index, MV Missing Values, CFA Confirmatory factor analysis.
Zimmermann et al.
Zimmermann et al. BMC Health Services Research 2013 13:347 doi:10.1186/1472-6963-13-347