Table 3.

Reliability of the factors, and replicability index

Factors	ORION Reliability	Cronbrach’s Alpha (α)	G- H* Index
F1: Impact of simulation on care (6)	0.918	0.758	0.902
F2: Benefits of feedback in simulation (3)	0.903	0.701	0.915
F3: Benefits or usefulness of pre-planning (objectives, infrastructure) (4)	0.772	0.612	0.846
F4. Benefits on teamwork and critical thinking (4)	0.914	0.759	0.910
F5. Benefits on learning, safety and confidence	0.924	0.812	0.870
F6. Benefits on communication with patient and family	0.818	0.709	0.810

* The H-index evaluates how well a set of elements represents a common factor. It is bounded between 0 and 1 and approaches unity as the magnitude of factor loadings and/or the number of items increases. High H values (>0.80) suggest a well-defined latent variable, which is more likely to be stable across studies, while low H values suggest a poorly defined latent variable, which is likely to change across studies [34].