Table 1.

Focus group feedback.

Focus group feedback
Theme	Code	Example quote
Experiences with communication in their setting	Communication challenges	“I also think that sometimes the other person to whom we are sending that message, does not receive it with the same importance in the way that we are taking the deterioration of the patient and maybe on those occasions is when the patient and the communication is lost.”
	Good communication	“But most of all I feel that it is the trust and the empowerment that one has on the tool to communicate with the doctor.”
	Impacts on patient care	“That is where the patient could be a transfer from intensive care when we could have performed actions before in the service. I think that bad communication between all would affect a lot.”
	Other communication	“And the focus area, because the communication between health workers, physician, nurses, between unit and the unit is very important.” “We know when to talk when need to transfer patients from one place to another there’s an adequate amount of concern over the critical state of the patient and all of those mechanisms are functioning well, effective communication.”
Report interpretation	Ease of interpretation	“I think that the graphs are very clear and that the extent of the report is obviously enough.”
	Report or score interpretation	“I would interpret that in general we are not doing too bad but we can improve in many of the aspects and go through the pages to see what we have to work on to improve.”
	Report use	“I consider that the report is good. It gives us the three … well it gives us the opportunities and strengths and under opportunities, we can guide ourselves or we can support ourselves from there to make improvement projects and later if we do the survey again to be able to measure how much we did, what we worked on and in what other things we can continue working.”
	Seeking additional guidance	“So, I’m not sure that we’ll be able to take specific action without a little bit more guidance based on these areas with room for improvement.”
	Written material	“I think that it’s very well written and summarized in a form that is very quick and easy because it provides us with all the information that has been collected in the survey so I think that it’s okay and just as [Doctor 3] said the extent of it is correct.”
	Domain graph	“I think that the graphs are very clear and that the extent of the report is obviously enough”
	Strengths and opportunities	“I think particularly the part that highlights the strengths and opportunities with the highest and lowest scores was helpful in just pulling that information to the front, but then having the opportunity to read and go deeper into the specific questions for each domain was up with scores was also helpful.” “Yes, I agree. It is very well broken down in that each item that we are evaluating or that they evaluated us and where it tells us where we had the highest or lowest score of each area … let’s say … team collaboration is where we are not doing well. We get to see each item where we were evaluated, and each question is very well explained, and it gives us as the idea of what we have to work. For me, it is quite good.”
	Second and third pages	“It’s not only about the opportunities that are highlighted two and three but also that we can break down every single item and see what are the aspects that we can also improve on.”
	Other components	“I believe, apart from everything that is being said, that in regards to the images that appear at each of the subtitles, I don’t know, maybe they should be a little larger or in color.”
	Overall report	“To me I do not think that anything else is needed. To me, it was complete and digestible.”
Recommendations for improvement	Confusion with the survey details	“Is it going to be for permanent staff or only for rotating substitute personnel? I think it would also be like specifying who the survey is addressed to.”
	Report feedback	“Yeah, I think just looking at the overall communication score, you can’t really tell much from it.” “What are some interventions or even further assessments that can be done to look at those areas of opportunities? So what can you give us to help improve the way the constructive criticism is received?”