Table 2.
Individual Inspector agreement on domain allocation and rating for the vignettes – Krippendorff’s alpha (Ka) and percentage agreement (PA).
| Vignette | Description | Domain |
Rating |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S | E | C | R | W | PA | Ka (unit) | I | RI | G | O | PA | K a | ||
| V1 | Interpreting services are easily accessible | 5.1% | 15.4% | 8.2% | 70.9% | 0.3% | 53% | 0.41 | 1.0% | 3.7% | 92.9% | 2.4% | 87% | – |
| V2 | Complementary therapies are available to patients nearing the end of life to aid relaxation and symptom control | 0.7% | 11.6% | 73.3% | 14.0% | 0.3% | 57% | 0.45 | 0.7% | 2.4% | 59.4% | 37.5% | 49% | – |
| V3 | Staff left ampules of medicines in labour rooms instead of locking them away | 97.6% | 1.4% | 0.7% | 0.3% | 0.0% | 95% | 0.94 | 63.7% | 35.3% | 1.0% | 0.0% | 53% | – |
| V4 | Managers are developing a plan to address bullying following concerns reported in the national annual staff survey | 2.4% | 1.4% | 0.3% | 18.2% | 77.7% | 64% | 0.54 | 1.0% | 50.7% | 47.6% | 0.7% | 48% | – |
| V5 | The children's community nursing team cannot access local authority systems to check for safeguarding issues on discharge | 69.5% | 19.2% | 0.3% | 8.9% | 3.1% | 53% | 0.40 | 53.6% | 45.1% | 1.0% | 0.3% | 49% | – |
| V6 | Nurses undertake hourly rounds | 26.4% | 25.6% | 26.0% | 8.9% | 3.1% | 27% | 0.07 | 0.0% | 3.4% | 87.4% | 9.2% | 77% | – |
| V7 | New medication was researched so that a patient with a very complex condition could return home to die as they preferred | 1.0% | 16.1% | 30.5% | 51.7% | 0.7% | 38% | 0.22 | 0.3% | 1.4% | 37.3% | 61.0% | 51% | – |
| V8 | 40% of staff are not up to date with their mandatory training | 42.5% | 17.5% | 0.0% | 2.4% | 37.7% | 35% | 0.18 | 45.2% | 54.4% | 0.3% | 0.0% | 50% | – |
| V9 | Systems ensure that medical patients remain under the care of the medical team when moved to another ward | 26.7% | 49.3% | 2.4% | 14.0% | 7.5% | 34% | 0.16 | 0.0% | 5.5% | 91.4% | 3.1% | 84% | – |
| V10 | Frail elderly patients with complex needs are given additional guidance and rehabilitation to prepare for surgery | 3.1% | 34.2% | 26.7% | 34.9% | 1.0% | 31% | 0.12 | 0.3% | 1.7% | 75.5% | 22.4% | 63% | – |
| Overall agree ment | 49% | 0.35 | 61% | 0.79 | ||||||||||
| LL95%CI | 38% | 0.17 | 53% | 0.41 | ||||||||||
| UL95%CI | 62% | 0.53 | 71% | 0.90 | ||||||||||
Key for column headings: domains: S, safe; E, effective; C, caring; R, responsive; W, well-led.
Ratings: I, Inadequate; RI, Requires Improvement; G, Good; O, Outstanding.