Pilot testing
A pilot test of the MCQ was conducted with eighteen ED nurses
In the US before data was collected with Ghanaian nationals.
Wording of questions was also checked with a physician and nurse from Ghana. It was important t was important to ensure that to ensure that the questionnaire was , in terms of content and language, for Ghanaian nurses for whom English is an official language but was not necessarily their first language. Content was found to be valid the pilot testing and as a result of piloting no changes to the surveys were made.