Aikawa Gen, Ikeda Mitsuki, Fukushima Ayako, Sakuramoto Hideaki, Ouchi Akira, Uchi Michiko, Shimojo Nobutake
From the College of Nursing, Kanto Gakuin University, Yokohama, Kanagawa, Japan.
Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
J Patient Saf. 2025 Jan 1;21(1):1-8. doi: 10.1097/PTS.0000000000001292. Epub 2024 Oct 3.
Healthcare workers involved in, and negatively affected by, patient safety incidents are referred to as second victims. The Second Victim Experience and Support Tool-Revised (SVEST-R) can reveal the second victim's degree of negative experiences and the desirability of the support options. However, a Japanese version of the SVEST-R (J-SVESTR) has not yet been developed. This study aimed to translate and adapt the SVEST-R into Japanese and validate its psychometric properties.
We performed forward and back translations of the SVEST-R and evaluated its clarity and content validity. Subsequently, we administered a cross-sectional questionnaire survey to evaluate the construct validity, internal consistency, and retest reliability of the J-SVESTR.
The J-SVESTR was finalized with clarity and content validity supported by a pilot test and an expert panel. In total, 224 healthcare workers responded to the J-SVESTR survey. The 9 factors and 35 items model indicated an acceptable fit (χ 2 / df = 1.811, root mean square error of approximation = 0.060, comparative fit index = 0.871, Tucker-Lewis index = 0.854, standardized root mean squared residual = 0.077). Cronbach's α values ranged from 0.68 to 0.85. The intraclass correlation coefficients ranged from 0.63 to 0.87.
The J-SVESTR retained 9 factors and 35 items, with no item changes from the original. The psychometric properties of the J-SVESTR are acceptable. The J-SVESTR can help investigate the actual situation and desired support options for second victims in Japan.
参与患者安全事件并受到负面影响的医护人员被称为“第二受害者”。《第二受害者经历与支持工具修订版》（SVEST-R）能够揭示第二受害者的负面经历程度以及支持选项的可取性。然而，SVEST-R的日语版本（J-SVESTR）尚未开发出来。本研究旨在将SVEST-R翻译成日语并进行改编，同时验证其心理测量特性。
我们对SVEST-R进行了正向和反向翻译，并评估了其清晰度和内容效度。随后，我们进行了一项横断面问卷调查，以评估J-SVESTR的结构效度、内部一致性和重测信度。
通过预试验和专家小组的支持，J-SVESTR在清晰度和内容效度方面最终确定。共有224名医护人员对J-SVESTR调查做出了回应。9因素35项目模型显示拟合度可接受（卡方/自由度=1.811，近似均方根误差=0.060，比较拟合指数=0.871，塔克-刘易斯指数=0.854，标准化残差均方根=0.077）。克朗巴哈α值范围为0.68至0.85。组内相关系数范围为0.63至0.87。
J-SVESTR保留了9个因素和35个项目，与原始版本相比项目没有变化。J-SVESTR的心理测量特性是可接受的。J-SVESTR有助于调查日本第二受害者的实际情况和期望的支持选项。
