Pilot testing
Pilot testing involved thirty women attending OPH services (Aug-Dec 2018) at two different hospital sites (Birmingham Women’s and Children’s NHS Foundation Trust and Walsall Healthcare NHS Trust) in the West Midlands region of the United Kingdom. Participation was voluntary, and all feedback was anonymous. Women were asked to reflect on the experience of the care they had received while completing the survey, and to provide feedback regarding its content, layout and format of the pilot survey. They were all asked if the survey represented aspects important to them and made suggestions for improvement. This informed successive revisions of the pilot survey until a final version was agreed. Hence, pilot testing helped provide an understanding of women’s OPH journey and facilitated the modification of the pilot survey into its final form.
Four key themes representing women’s OPH journey were identified (Figure 2). These included aspects of care representing the continuum of their OPH journey (before, during and after) and their overall experience. The Women’s OPH journey model (Figure 2) was used as a template to draft and order the content of the final OPH-PSS. As a result, a two-page survey representing women’s OPH journey was created, ready for national role out (Appendix S1). The final OPH-PSS was shared for feedback with over 100 nurse and medical OPH practitioners who were attending a national BSGE Ambulatory Care Network (ACN) meeting in March 2019 and a national role out to facilitate benchmarking of OPH experience was agreed by the ACN. Minor amendments to the content were made in response to the ACN feedback at this stage. This included deletion of one duplicate statement and addition of a box to input operator code for appraisal purposes.