Kontakt X:X | DOI: 10.32725/kont.2026.061

Translation, adaptation, and psychometric evaluation of the SeViD instrument in a sample of Slovak nursesNursing - Original article

Branislav Malý ORCID..., Katarína ®iaková ORCID..., Radka Kurucová * ORCID...
Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Nursing, Martin, Slovak Republic

Objectives: To translate and psychometrically validate the Slovak version of SeViD on a sample of nurses.

Methods: The SeViD instrument was translated using ISPOR guidelines, including from English into Slovak using forward-backward translation. The study was carried out at Martin University Hospital with 240 nurses. Psychometric evaluation included the Bartlett test of sphericity, Kaiser-Meyer-Olkin test, confirmatory factor analysis, and internal consistency analysis using Cronbach alpha.

Results: Content validity index ranged from 0.83 to 1.0 for individual items, with an overall scale content validity index of 0.925. Both the symptom and support domains demonstrated excellent internal consistency (Cronbach's α = 0.90). Confirmatory factor analysis supported a predominantly unidimensional structure for both domains. Modified models showed acceptable to good fit indices (CFI = 0.86-0.95, TLI = 0.83-0.93, RMSEA = 0.069-0.086, SRMR = 0.047-0.068) with standardized factor loadings ranging from 0.40 to 0.77 for symptoms and 0.52 to 0.74 for support strategies.

Conclusion: The Slovak version of SeViD shows very good internal consistency and satisfactory validity, confirming its psychometric validity. Internationally, this study strengthens the evidence for the psychometric validity of SeViD in hospital nurses and supports its use in identifying drivers of second victim experiences and support needs among Slovak nurses in healthcare settings.

Keywords: Confirmatory factor analysis; Nurses; Psychometric validation; Second victim; SeViD; Slovakia
Grants and funding:

The implementation of this study was supported by the Comenius University grant UK/1448/2026 "Second victims among nurses: The Impact of Adverse Events".

Conflicts of interest:

The authors have no potential conflict of interest to declare.

Received: April 13, 2026; Revised: June 19, 2026; Accepted: August 21, 2026; Prepublished online: October 8, 2026 

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    References

    1. Brown TA (2015). Confirmatory factor analysis for applied research, 2nd ed. New York, NY, US: The Guilford Press, 462 p.
    2. Burlison JD, Scott SD, Browne EK, Thompson SG, Hoffman JM (2017). The Second Victim Experience and Support Tool: Validation of an Organizational Resource for Assessing Second Victim Effects and the Quality of Support Resources. J Patient Saf 13(2): 93-102. DOI: 10.1097/PTS.0000000000000129. Go to original source...
    3. Busch IM, Moretti F, Purgato M, Barbui C, Wu AW, Rimondini M (2020). Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events: a Systematic Review and Meta-Analysis. J Patient Saf 16(2): e61-74. DOI: 10.1097/PTS.0000000000000589. Go to original source... Go to PubMed...
    4. Bushuven S, Trifunovic-Koenig M, Bunz M, Weinmann-Linne P, Klemm V, Strametz R, Müller BS (2024). Applicability and Validity of Second Victim Assessment Instruments among General Practitioners and Healthcare Assistants (SEVID-IX Study). Healthcare (Basel) 12(3): 351. DOI: 10.3390/healthcare12030351. Go to original source... Go to PubMed...
    5. Fisher J (2025). Critical Thinking and Mental Health Nurse Education. Int J Mental Health Nurs 34(2): e70021. DOI: 10.1111/inm.70021. Go to original source... Go to PubMed...
    6. Gunawan J, Marzilli C, Aungsuroch Y (2021). Establishing appropriate sample size for developing and validating a questionnaire in nursing research. Belitung Nurs J 7(5): 356-360. DOI: 10.33546/bnj.1927. Go to original source...
    7. Gurková E, Kalánková D, Kurucová, R, ®iaková K (2020). Assessment of patient safety climate by nurses in Slovak Public and private hospitals. J Nurs Manag 28(7): 1644-1652. DOI: 10.1111/jonm.13120. Go to original source...
    8. Kalánková D, Kirwan M, Bartoníčková D, Kurucová R, ®iaková K, Gurková E (2020). How adverse event reporting in the Slovak Republic is influenced by nurse characteristics and working arrangements: a cross-sectional study. Kontakt 23(2): 97-103. DOI: 10.32725/kont.2020.033. Go to original source...
    9. Kappes M, Delgado-Hito P, Contreras VR, Romero-García M, et al. (2023). Prevalence of the second victim phenomenon among intensive care unit nurses and the support provided by their organizations. Nurs Crit Care 28(6): 1022-1030. DOI: 10.1111/nicc.12967. Go to original source...
    10. Klemm V, Potura E, Fuerst S, Roesner H, Strametz R (2025). The second victim phenomenon among midwives in Austria (SeViD-A3): A cross-sectional study. Eur J Midwifery 9: 1-8. DOI: 10.18332/ejm/206922. Go to original source... Go to PubMed...
    11. Kline RB (2016). Principles and practice of structural equation modeling. 4th ed. New York: Guilford Press, 534 p.
    12. Kupkovicova L, Skoumalova I, Madarasova Geckova A, Dankulincova Veselska Z (2024). Medical Professionals' Responses to a Patient Safety Incident in Healthcare. Int J Public Health 69: 1607273. DOI: 10.3389/ijph.2024.1607273. Go to original source... Go to PubMed...
    13. Kyriazos TA (2018). Applied Psychometrics: Sample Size and Sample Power Considerations in Factor Analysis (EFA, CFA) and SEM in General. Psychology 9(8): 2207-2230. DOI: 10.4236/psych.2018.98126. Go to original source...
    14. Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Branes BA, et al. (1991). The Nature of Adverse Events in Hospitalized Patients. N Engl J Med 324(6): 377-384. DOI: 10.1056/NEJM199102073240605. Go to original source... Go to PubMed...
    15. Marung H, Strametz R, Roesner H, Reifferscheid F, Petzina R, Klemm V, et al. (2023). Second Victims among German Emergency Medical Services Physicians (SeViD-III-Study). Int J Environ Res Public Health 20(5): 4267. DOI: 10.3390/ijerph20054267. Go to original source...
    16. Mousa O, Sadeq Alghazal M, Abdullah AlBather A, Nasser Alhassan A, Hussain Alamer M, Taher Alghadeer Z, Fayea Alasiri S (2023). A Study on Patient Safety Incidents and the Second Victim Phenomenon Among Healthcare Providers in Al-Ahsa, Saudi Arabia. Cureus 15(11): e49324. DOI: 10.7759/cureus.49324. Go to original source... Go to PubMed...
    17. Nydoo P, Pillay BJ, Naicker T, Moodley J (2020). The second victim phenomenon in health care: A literature review. Scand J Public Health 48(6): 629-637. DOI: 10.1177/1403494819855506. Go to original source... Go to PubMed...
    18. Pacutova V, Geckova AM, de Winter AF, Reijneveld S (2023). Opportunities to strengthen resilience of health care workers regarding patient safety. BMC Health Serv Res 23(1): 1127. DOI: 10.1186/s12913-023-10054-0. Go to original source... Go to PubMed...
    19. Potura E, Klemm V, Roesner H, Sitter B, Huscsava H, Trifunovic-Koenig M, et al. (2023). Second Victims among Austrian Pediatricians (SeViD-A1 Study). Healthcare (Basel) 11(18): 2501. DOI: 10.3390/healthcare11182501. Go to original source... Go to PubMed...
    20. Potura E, Roesner H, Trifunovic-Koenig M, Tsikala P, Klemm V, Tsikala P, et al. (2024). Second Victims Among Austrian Nurses (SeViD-A2 Study). Healthcare (Basel) 12(20): 2061. DOI: 10.3390/healthcare12202061. Go to original source... Go to PubMed...
    21. R Core Team (2023). R: a language and environment for statistical computing [computer program]. Vienna, Austria: R Foundation for Statistical Computing.
    22. Revelle W (2023). psych: procedures for psychological, psychometric, and personality research [computer program]. Version 2.3.9. Evanston, IL: Northwestern University.
    23. Rosseel Y, Oberski D, Byrnes J, Oberski D, Byrnes J, Vanbrabant L, et al. (2017). Package 'lavaan' [computer program]. Ghent, Belgium: Ghent University.
    24. Seys D, Wu AW, Van Gerven E, Vleugels A, Euwema M, Panella M, et al. (2013). Health care professionals as second victims after adverse events: A systematic review. Eval Health Prof 36(2): 135-162. DOI: 10.1177/0163278712458918. Go to original source... Go to PubMed...
    25. Strametz R, Fendel JC, Koch P, Roesner H, Zilezinski M, Bushuven S, Raspe M (2021a). Prevalence of Second Victims, Risk Factors, and Support Strategies among German Nurses (SeViD-II Survey). Int J Environ Res Public Health 18(20): 10594. DOI: 10.3390/ijerph182010594. Go to original source... Go to PubMed...
    26. Strametz R, Koch P, Vogelgesang A, Burbridge A, Rösner H, Abloescher M, et al. (2021c). Prevalence of second victims, risk factors and support strategies among young German physicians in internal medicine (SeViD-I survey). J Occup Med Toxicol 16(1): 11. DOI: 10.1186/s12995-021-00300-8. Go to original source...
    27. Strametz R, Rösner H, Ablöscher M, Huf W, Ettl B, Raspe M (2021b). Entwicklung und Validation eines Fragebogens zur Beurteilung der Inzidenz und Reaktionen von Second Victims im Deutschsprachigen Raum (SeViD). Zbl Arbeitsmed 71(1): 19-23. DOI: 10.1007/s40664-020-00400-y. Go to original source...
    28. Vanhaecht K, Seys D, Russotto S, Strametz R, Mira J, Sigurgeirsdóttir S, et al. (2022). An Evidence and Consensus-Based Definition of Second Victim: A Strategic Topic in Healthcare Quality, Patient Safety, Person-Centeredness and Human Resource Management. Int J Environ Res Public Health 19(24): 16869. DOI: 10.3390/ijerph192416869. Go to original source... Go to PubMed...
    29. Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, et al. (2005). Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health 8(2): 94-104. DOI: 10.1111/j.1524-4733.2005.04054.x. Go to original source... Go to PubMed...

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