INTRODUCTION Adverse events (AEs) are a leading cause of patient morbidity and mortality, greatly impacting healthcare providers' well-being (second victim (SV) phenomenon). Since it is not accurately captured by existing psychometric instruments, we developed a clinimetric instrument for assessing SVs' emotional distress before and after an AE. METHODS Content validity and clinical utility of the WITHSTAND-PSY Questionnaire (WS-PSY-Q) were examined using cognitive interviews. Rasch analysis (n = 284) was applied for clinimetric assessment (i.e., construct, concurrent, and clinical validity, internal consistency), considering two crucial psychological facets of the SV phenomenon (1st: emotional impact of the AE, 2nd: current emotional state). RESULTS The Rasch partial credit model was used. The 1st facet demonstrated overall acceptable clinimetric properties with the subscale anxiety meeting clinimetric threshold values (e.g., all items with ordered thresholds, Loevinger's coefficient h ≥ 0.40; Person Separation Reliability Index (PSI) = 0.7). The 2nd facet showed overall better clinimetric properties for both subscales (e.g., h ≥ 0.40, PSI = 0.82 and 0.79, respectively; receiver operating characteristic area of 0.80 and 0.86, respectively). For both datasets, item fit statistics, except those for item 19, were within the critical range (z-score < ±2.5), and meaningful differential functioning analysis was observed for only 4 (out of 24) items. Local dependency was not observed, except for two item couples in the depression subscales. CONCLUSIONS The WS-PSY-Q is the first clinimetric tool assessing SVs' emotional distress. It should be regarded as part of the armamentarium used by clinicians to assess in-depth healthcare providers' psychological reactions in the aftermath of an AE to mitigate burnout and allostatic overload.

中文翻译：

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筛查第二名受害者的情绪困扰：WITHSTAND-PSY 问卷的临床测量特性评估。


简介 不良事件 (AE) 是患者发病和死亡的主要原因，极大地影响医疗保健提供者的福祉（第二受害者 (SV) 现象）。由于现有的心理测量仪器无法准确捕捉到这一点，因此我们开发了一种临床测量仪器，用于评估 SV 在 AE 前后的情绪困扰。方法 使用认知访谈检查WITHSTAND-PSY 问卷（WS-PSY-Q）的内容有效性和临床实用性。 Rasch 分析 (n = 284) 用于临床评估（即结构、并发和临床有效性、内部一致性），考虑 SV 现象的两个关键心理方面（第一：AE 的情绪影响，第二：当前情绪状态） ）。结果使用Rasch部分信用模型。第一个方面表现出整体可接受的临床测量特性，子量表焦虑满足临床测量阈值（例如，所有具有有序阈值的项目，Loevinger 系数 h ≥ 0.40；人员分离可靠性指数（PSI）= 0.7）。第二个方面显示两个子量表总体上更好的临床测量特性（例如，h ≥ 0.40，PSI 分别= 0.82 和0.79；接收器操作特征面积分别为0.80 和0.86）。对于这两个数据集，项目拟合统计数据（第 19 项除外）均在临界范围内（z 得分 < ±2.5），并且仅对 4 个项目（共 24 个项目）观察到有意义的差异功能分析。除了抑郁量表中的两个项目对外，没有观察到局部依赖性。结论 WS-PSY-Q 是第一个评估 SV 情绪困扰的临床测量工具。 它应该被视为临床医生用来评估医疗保健提供者在 AE 发生后的心理反应以减轻倦怠和稳态超负荷的武器库的一部分。