From the Research Institute at Nationwide Children's Hospital.
Nationwide Children's Hospital.
J Patient Saf. 2021 Dec 1;17(8):531-540. doi: 10.1097/PTS.0000000000000659.
The aim of the study was to validate a revised version of the Second Victim Experience and Support Tool (SVEST-R). The SVEST survey instrument was developed to measure the emotional and professional impact of medical errors and adverse patient events on healthcare providers and can help healthcare organizations evaluate the effectiveness of support resources.
An SVEST-R was completed by 316 healthcare providers from seven neonatal intensive care units affiliated with a large, pediatric hospital. The original 29-item measure was expanded to 43 items to assess eight psychosocial domains (psychological distress, physical distress, colleague support, supervisor support, institutional support, nonwork-related support, professional self-efficacy, resilience) and two employment-related domains (turnover intentions, absenteeism) associated with the second victim experience. Seven additional items assessed desired forms of support (e.g., time away from the unit). A confirmatory factor analysis evaluated the factor structure of the modified measure.
The initial confirmatory factor analysis did not reveal an acceptable factor structure; thus, eight items were removed because of inadequate factor loadings or for conceptual reasons. This resulted in an acceptable model for the final 35-item measure. The final version included nine factors (i.e., psychological distress, physical distress, colleague support, supervisor support, institutional support, professional self-efficacy, resilience, turnover intentions, and absenteeism), with Cronbach α ranging from 0.66 to 0.86.
The SVEST-R is a valid measure for assessing the impact of errors or adverse events on healthcare providers. Importantly, the SVEST-R now includes positive outcomes (i.e., resilience) that may result from the second victim experience.
本研究旨在验证第二受害者体验与支持工具（SVEST-R）的修订版。SVEST 调查工具旨在衡量医疗差错和不良患者事件对医疗保健提供者的情绪和专业影响，并帮助医疗保健组织评估支持资源的有效性。
来自一家大型儿童医院的七个新生儿重症监护病房的 316 名医护人员完成了 SVEST-R。原始的 29 项措施扩展到 43 项，以评估与第二受害者体验相关的八个社会心理领域（心理困扰、身体困扰、同事支持、主管支持、机构支持、非工作相关支持、专业自我效能、韧性）和两个与就业相关的领域（离职意愿、缺勤）。另外 7 项评估了所需的支持形式（例如，离开单位的时间）。验证性因素分析评估了修正后测量的因素结构。
初始验证性因素分析未显示出可接受的因素结构；因此，由于因子负荷不足或出于概念原因，删除了八项。这导致最终 35 项措施的模型可接受。最终版本包括九个因素（即心理困扰、身体困扰、同事支持、主管支持、机构支持、专业自我效能、韧性、离职意愿和缺勤），Cronbach α 范围为 0.66 至 0.86。
SVEST-R 是评估错误或不良事件对医疗保健提供者影响的有效工具。重要的是，SVEST-R 现在包括可能源于第二受害者体验的积极结果（即韧性）。
