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A case in point concerns the item 'Peaceful Purposes'.
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At the item level, item 2, "In this clinical area, it is difficult to speak up if I perceive a problem with patient care", raised validity concerns: the item-factor loading was below the acceptable threshold of 0.03, and the subscale-corrected item-total correlation indicated a weak relationship with the other items in the scale, thus impairing discriminative ability.
Another limitation concerns the items included in the CHEC list.
A second limitation concerns the items used to assess the completeness of the medical record (QI 1).
Another limitation concerns the items used in our language latent variables, which were drawn from a measure designed to be used as a screening instrument of language difficulties.
The results concerning the item parameter estimation are presented in Table 2.
No distinction is made concerning the item's visibility, its creator, and the domain in which it is created.
A common finding concerning the item format is that "relative to males, females perform better on constructed-response than on multiple-choice items" (Bennet 1993: p. 20). 2.
If two or more participants did not like a particular item or shared a particular concern, the item was reviewed and modified by the research team.
The RSM, however, indicated large differences concerning the item discriminating capacity and was therefore considered not suitable for the data (data not shown).
In a second step, a Rasch model analysis indicated large differences concerning the item discriminating capacity and was therefore considered not suitable for the data.
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