目的 编制护士第二受害者伤害评估量表并检验其信效度。方法 以前期构建的第二受害者伤害评价指标为基础，通过指标筛选转换，编制护士第二受害者伤害评估量表初稿。2024年5—7月，采用便利抽样法选取山西、湖北两省的1005名护士为研究对象，进行信效度检验。结果 护士第二受害者伤害评估量表包括生理伤害、心理伤害和社会影响3个维度，共31个条目。量表各条目的内容效度为0.833~1.000，总量表Cronbach’s α系数为0.984、折半信度为0.915，重测信度为0.984。探索性因子分析提取3个公因子，累计方差贡献率86.737%。验证性因子分析显示，模型拟合良好。结论 护士第二受害者伤害评估量表具有良好的信效度，可作为医疗机构开展护士第二受害者系统化评估、动态监测及精准干预的测评工具。

Objective To develop the second victim harm assessment scale for nurses and test its reliability and validity.Methods Based on the previously established second victim harm evaluation indicator system,the initial version of the scale was developed through indicator screening and conversion.From May to July 2024,1005 nurses from Shanxi and Hubei provinces were conveniently selected for the reliability and validity test.Results The final second victim harm assessment scale for nurses comprises 31 items across three dimensions:physical harm,psychological harm and social impact.The item-level content validity index of the scale ranged from 0.833 to 1.000,the overall Cronbach’s α coefficient for the scale was 0.984,the split-half reliability was 0.915,and the test-retest reliability was 0.984.Exploratory factor analysis extracted 3 common factors,and the cumulative variance contribution rate was 86.737%.Confirmatory factor analysis showed that the model fit well.Conclusions The second victim harm assessment scale for nurses has good reliability and validity,which can be used as an assessment tool for healthcare organizations to carry out systematic assessment,dynamic monitoring and precise intervention for nurse second victims.

R47

山西省科技战略研究专项（202104031402143）