The process we used to create the QACAP had several limitations. First, the use of a convenience sample and relatively small sample size limit the generalizability of our results. Another limitation was the lack of psychometric properties of the data collection instruments developed for this study, which constitute a threat to the validity of this project’s findings. Finally, extreme responses bias could have occurred when the respondents were drive to answer the data collection tools with “very satisfied” and “strongly agree” responses.28
