Department of Obstetrics and Gynaecology, Odense University Hospital, Denmark.
Research Unit for User Perspectives, Institute of Public Health, University of Southern Denmark, Denmark.
Scand J Public Health. 2022 Jun;50(4):497-506. doi: 10.1177/14034948211004801. Epub 2021 Apr 16.
Health-care professionals (HCPs) who are involved in an unanticipated adverse patient event, a medical error or a patient-related injury can become second victims. Being a second victim can lead to various symptoms, affecting the well-being of HCPs and possible turnover intentions or absenteeism. An increasing number of hospitals have implemented a second-victim support programme. To achieve unique insights into what works and what does not work in second-victim support programmes, HCPs' perceptions are needed. The aim of this study was to translate the Second Victim Experience and Support Tool (SVEST) into Danish and test the psychometric properties of the Danish version (D-SVEST).
The SVEST self-administered questionnaire was translated into Danish following the World Health Organization's guidelines. Assessments of the content validity, construct validity and internal consistency were performed based on 171 participants.
The study demonstrated that the D-SVEST is content valid and fits the a priori defined structure. Yet, four items revealed unacceptable factor loadings (<0.4) and item-rest correlations <0.3. All Cronbach's alpha estimates for these five dimensions exceeded 0.70. The dimensions on colleague and institutional support did not contribute to the validity.
In conclusion, the D-SVEST is considered relevant and valid for measuring second-victim experiences and the adequacy of support resources. However, we recommend a modification of items 9 and 25 to enhance the measurement scale in a Danish context. The D-SVEST can be used by health-care management at Danish hospitals.
参与意料之外的患者不良事件、医疗差错或与患者相关的伤害的医疗保健专业人员（HCP）可能成为二次受害者。作为二次受害者可能会导致各种症状，影响 HCP 的健康福祉，并可能导致离职意愿或缺勤。越来越多的医院已经实施了二次受害者支持计划。为了深入了解二次受害者支持计划中哪些有效，哪些无效，需要了解 HCP 的看法。本研究的目的是将二次受害者体验和支持工具（SVEST）翻译成丹麦语，并测试丹麦版本（D-SVEST）的心理测量特性。
SVEST 自我管理问卷按照世界卫生组织的指南翻译成丹麦语。根据 171 名参与者对内容有效性、结构有效性和内部一致性进行评估。
研究表明，D-SVEST 具有内容有效性并且符合预先定义的结构。然而，有四个项目显示出不可接受的因子负荷（<0.4）和项目-残差相关性<0.3。这五个维度的所有 Cronbach's alpha 估计值均超过 0.70。同事和机构支持维度对有效性没有贡献。
总之，D-SVEST 被认为是测量二次受害者体验和支持资源充足性的相关和有效的工具。然而，我们建议修改项目 9 和 25 的内容，以增强丹麦语环境下的测量量表。丹麦医院的医疗保健管理可以使用 D-SVEST。
