La experiencia de la segunda víctima: adaptación transcultural de un instrumento para el contexto brasileño

Sordi, Luisa Petelincar De; Lourenção, Daniela Campos de Andrade; Gallasch, Cristiane Helena; Baptista, Patrícia Campos Pavan

Acessibilidade / Reportar erro

Brasil

Revista Gaúcha de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Rev. Gaúcha Enferm. 43 • 2022 • https://doi.org/10.1590/1983-1447.2022.20210010.en copiar

La experiencia de la segunda víctima: adaptación transcultural de un instrumento para el contexto brasileño

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo

Adaptar y analizar transculturalmente la evidencia de validez de contenido de la Second Victim Experience and Support Tool para el idioma portugués hablado en Brasil.

Método

Estudio psicométrico de adaptación transcultural siguiendo los pasos del Patient-Reported Outcome Measurement Information System. Se evaluaron equivalencias semánticas, idiomáticas, experimentales y conceptuales. La validez de contenido se verificó mediante el índice de validez de contenido. 31 profesionales de la salud de la ciudad de São Paulo participaron en la prueba preliminar.

Resultados

El análisis de equivalencias mostró una tasa de acuerdo del 88,7%. La validez de contenido presentó 86% de los ítems con valores de Tasa de Validez de Contenido por encima de lo estipulado. En la prueba previa, los participantes informaron que entendieron los ítems del instrumento y solo el 10% de los participantes dijeron que tenían dificultades para entender algún ítem.

Conclusión

La versión brasileña del Cuestionario de Experiencia y Apoyo a Segundas Víctimas mostró una buena calidad de traducción y buena evidencia de validez de contenido.

Palabras clave
Salud laboral; Seguridad del paciente; Estudio de validación; Psicometría; Personal de salud; Enfermería

Item	Mean CVR
Psychological Distress
ITEM 1: I have experienced embarrassment from these instances.	0.714
ITEM 2: My involvement in these types of instances has made me fearful of future occurrences.	0.619
ITEM 3: My experiences have made me feel miserable.	0.810
ITEM 4: I feel deep remorse for my past involvements in these types of events.	0.905
Physical Distress
ITEM 5: The mental weight of my experience is exhausting.	0.619
ITEM 6: My experience with these occurrences can make it hard to sleep regularly.	0.905
ITEM 7: The stress from these situations has made me feel queasy or nauseous.	0.905
ITEM 8: I hardly have an appetite when I think about these situations.	0.905
Colleague Support
ITEM 9: I appreciate my co-workers’ attempts to console me, but their efforts can come at the wrong time.	0.810
ITEM 10: Discussing what happened with my colleagues provides me with a sense of relief.	0.905
ITEM 11: My colleagues can be indifferent to the impact these situations have had on me.	0.905
ITEM 12: My colleagues help me feel that I am still a good healthcare provider despite any mistakes I have made.	1.000
Supervisor Support
ITEM 13: I feel that my supervisor treats me appropriately after these occasions.	0.905
ITEM 14: My supervisor’s responses are fair.	0.524
ITEM 15: My supervisor blames individuals.	0.810
ITEM 16: feel that my supervisor evaluates these situations in a manner that considers the complexity of patient care practices.	0.905
Institutional Support
ITEM 17: The institution where I work understands that those involved may need help to understand any effects these events may have on care providers.	0.905
ITEM 18: The institution where I work offers a variety of resources to help me get over the effects of involvement with these instances.	0.905
ITEM 19: The concept of concern for the well-being of those involved in these situations is not strong at where I work.	0.905
Non-Work-Related Support
ITEM 20: I look to close friends and family for emotional support after one of these situations happens.	0.905
ITEM 21: The love from my closest friends and family helps me get over these occurrences.	0.905
Professional Self-Efficacy
ITEM 22: Following my involvement I experienced feelings of inadequacy regarding my patient care abilities.	0.810
ITEM 23: My experience makes me wonder if I am not really a good healthcare provider.	0.810
ITEM 24: After my experience, I became afraid to attempt difficult or high-risk procedures.	0.905
ITEM 25: These situations do not make me question my professional abilities.	0.905
Intentions to Leave Work
ITEM 26: My experience with these events has led to a desire to take a position outside of patient care.	0.810
ITEM 27: Sometimes the stress from being involved with these situations makes me want to quit my job.	0.905
Absenteeism
ITEM 28: My experience with an adverse patient event or medical error has resulted in me taking a mental health day.	0.810
ITEM 29: I have taken time off after one of these instances occurs.	0.905
Desired Forms of Support
ITEM 30: The ability to immediately take time away from my unit for a little while.	0.429
ITEM 31: specified peaceful location that is available to recover and recompose after one of these types of events.	0.905
ITEM 32: A respected peer to discuss the details of what happened.	0.905
ITEM 33: An employee assistance program that can provide free counseling to employees outside of work.	0.905
ITEM 34: A discussion with my manager or supervisor about the incident.	0.905
ITEM 35: The opportunity to schedule a time with a counselor at my hospital to discuss the event.	0.905
ITEM 36: A confidential way to get in touch with someone 24 hours a day to discuss how my experience may be affecting me.	0.905

Sociodemographic and work variables	n	%
Gender
Female	25	81%
Male	6	19%
Age
20 to 29 years	8	26%
30 to 39 years	17	55%
40 to 49 years	3	10%
> 50 years	3	10%
Training
Medicine	5	16%
Nursing	5	16%
Nutrition	5	16%
Nursing Technician	5	16%
Physical therapy	3	10%
Pharmacy	3	10%
Psychology	3	10%
Speech Therapy	2	6%
Graduation time
< 9 years	19	61%
From 10 to 19 years	9	29%
From 20 to 29 years	1	3%
> 30 years	2	6%
Employment relationship
CLT	16	52%
Self Employed	8	26%
Public Service	5	16%
Third	1	3%
Other	1	3%
Occupation area
Hospital	26	84%
Primary Health Care	5	16%
Weekly workload
< 30 hours	1	3%
30 hours	6	19%
36 hours	1	3%
40 hours	11	35%
44 hours	7	22%
> 50 hours	5	16%
Employment relationships
1 relationship	27	87%
2 relationships	3	10%
More than 3 relationships	1	3%

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
E-mail: revista@enf.ufrgs.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author:
Luisa Petelincar De Sordi Email: luisa.desordi@gmail.com