Cohen Rinat, Sela Yael, Catz Or, Nissanholtz-Gannot Rachel
Department of Health System Management, School of Health Science, Ariel University, 65 Ramat HaGolan St., Ariel 4070000, Israel.
Nursing Department, Ramat Gan Academic College, 87 Pinhas Rotenberg St., Ramat-Gan 5211401, Israel.
Nurs Rep. 2024 Dec 9;14(4):3919-3932. doi: 10.3390/nursrep14040286.
Adverse medical events not only harm patients and families, but also have a significant negative impact on healthcare providers, with the potential to compromise future professional functioning. These "second victims" may need organizational support and rehabilitation to return to functionality.
We analyzed the validity of an adapted tool, the Second Victim Experience and Support Tool (SVEST), on a population in Israel, H-SVEST.
The H-SVEST was completed by 172 nurse participants working in a variety of patient care settings. All of the participants reported experiencing SVP. The H-SVEST was assessed for content validity, internal consistency, and construct validity with confirmatory factor analysis (CFA).
The CFA, when run on the initial model with 9 factors and 29 items, did not meet criteria for suitability of fit. After removing three items based on their low-factor loadings and the correlation, the model fit significantly improved with acceptable CFI, TLI, RMSEA, and SRMR. The final version included 26 items and 9 factors with Cronbach α values ranging from 0.66 to 0.94.
The H-SVEST demonstrates robust psychometric properties and valuable insights into the second victim experience in the Israeli context. Comparative analysis with other versions highlights potential cultural influences and areas for further investigation. Implementing this tool and developing evidence-based interventions based on its results can significantly improve the well-being and resilience of healthcare providers in Israel and other countries with diverse cultural populations.
不良医疗事件不仅会伤害患者及其家庭，还会对医疗服务提供者产生重大负面影响，有可能损害其未来的职业功能。这些“第二受害者”可能需要组织支持和康复才能恢复功能。
我们分析了一种改编工具——第二受害者体验与支持工具（SVEST）在以色列人群（H-SVEST）中的有效性。
172名在各种患者护理环境中工作的护士参与者完成了H-SVEST。所有参与者都报告经历过第二受害者事件（SVP）。通过验证性因素分析（CFA）对H-SVEST进行内容效度、内部一致性和结构效度评估。
在最初包含9个因素和29个条目的模型上运行CFA时，未达到拟合适宜性标准。基于低因素负荷和相关性去除三个条目后，模型拟合显著改善，CFI、TLI、RMSEA和SRMR均可接受。最终版本包括26个条目和9个因素，克朗巴哈α值范围为0.66至0.94。
H-SVEST在以色列背景下展现出强大的心理测量特性，并能为第二受害者体验提供有价值的见解。与其他版本的比较分析突出了潜在的文化影响和有待进一步研究的领域。实施该工具并根据其结果制定循证干预措施，可显著提高以色列以及其他具有多元文化人口的国家医疗服务提供者的幸福感和恢复力。
