IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i23p16016-d989195.html
   My bibliography  Save this article

Self-Assessment and Learning Motivation in the Second Victim Phenomenon

Author

Listed:
  • Stefan Bushuven

    (Institute for Infection Control and Infection Prevention, Hegau-Jugendwerk Gailingen, Health Care Association District of Constance, 78262 Gailingen, Germany
    Institute for Medical Education, University Hospital, LMU Munich, 80336 Munich, Germany
    Department of Anesthesiology and Critical Care, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg im Breisgau, Germany)

  • Milena Trifunovic-Koenig

    (Institute for Infection Control and Infection Prevention, Hegau-Jugendwerk Gailingen, Health Care Association District of Constance, 78262 Gailingen, Germany
    Training Center for Emergency Medicine (NOTIS e.V.), 78234 Engen, Germany)

  • Michael Bentele

    (Training Center for Emergency Medicine (NOTIS e.V.), 78234 Engen, Germany
    Institute for Anesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Hegau-Bodensee Hospital Singen, 78224 Singen, Germany)

  • Stefanie Bentele

    (Training Center for Emergency Medicine (NOTIS e.V.), 78234 Engen, Germany
    Department of Emergency Medicine, University-Hospital Augsburg, University of Augsburg, 86156 Augsburg, Germany)

  • Reinhard Strametz

    (Wiesbaden Business School, Rhein Main University of Applied Sciences, 65183 Wiesbaden, Germany)

  • Victoria Klemm

    (Wiesbaden Business School, Rhein Main University of Applied Sciences, 65183 Wiesbaden, Germany)

  • Matthias Raspe

    (Department of Internal Medicine, Infectious Diseases and Respiratory Medicine, Charité—Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany)

Abstract

Introduction: The experience of a second victim phenomenon after an event plays a significant role in health care providers’ well-being. Untreated; it may lead to severe harm to victims and their families; other patients; hospitals; and society due to impairment or even loss of highly specialised employees. In order to manage the phenomenon, lifelong learning is inevitable but depends on learning motivation to attend training. This motivation may be impaired by overconfidence effects (e.g., over-placement and overestimation) that may suggest no demand for education. The aim of this study was to examine the interdependency of learning motivation and overconfidence concerning second victim effects. Methods: We assessed 176 physicians about overconfidence and learning motivation combined with a knowledge test. The nationwide online study took place in early 2022 and addressed about 3000 German physicians of internal medicine. Statistics included analytical and qualitative methods. Results: Of 176 participants, 83 completed the assessment. Analysis showed the presence of two overconfidence effects and in-group biases (clinical tribalism). None of the effects correlated directly with learning motivation, but cluster analysis revealed three different learning types: highly motivated, competent, and confident “experts”, motivated and overconfident “recruitables”, and unmotivated and overconfident “unawares”. Qualitative analysis revealed four main themes: “environmental factors”, “emotionality”, “violence and death”, and “missing qualifications” contributing to the phenomenon. Discussion: We confirmed the presence of overconfidence in second victim management competencies in about 3% of all persons addressed. Further, we could detect the same three learning motivation patterns compared to preceding studies on learning motivation in other medical competencies like life support and infection control. These findings considering overconfidence effects may be helpful for safety managers, medical teachers, curriculum developers and supervisors to create preventive educational curricula on second victim recognition and management.

Suggested Citation

  • Stefan Bushuven & Milena Trifunovic-Koenig & Michael Bentele & Stefanie Bentele & Reinhard Strametz & Victoria Klemm & Matthias Raspe, 2022. "Self-Assessment and Learning Motivation in the Second Victim Phenomenon," IJERPH, MDPI, vol. 19(23), pages 1-19, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16016-:d:989195
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/23/16016/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/23/16016/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Milena Trifunovic-Koenig & Stefan Bushuven & Bianka Gerber & Baerbel Otto & Markus Dettenkofer & Florian Salm & Martin R. Fischer, 2022. "Correlation between Overconfidence and Learning Motivation in Postgraduate Infection Prevention and Control Training," IJERPH, MDPI, vol. 19(9), pages 1-20, May.
    2. David L B Schwappach & Katrin Gehring, 2014. "Silence That Can Be Dangerous: A Vignette Study to Assess Healthcare Professionals’ Likelihood of Speaking up about Safety Concerns," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-8, August.
    3. Reinhard Strametz & Johannes C. Fendel & Peter Koch & Hannah Roesner & Max Zilezinski & Stefan Bushuven & Matthias Raspe, 2021. "Prevalence of Second Victims, Risk Factors, and Support Strategies among German Nurses (SeViD-II Survey)," IJERPH, MDPI, vol. 18(20), pages 1-15, October.
    4. Milena Trifunovic-Koenig & Reinhard Strametz & Bianka Gerber & Sneha Mantri & Stefan Bushuven, 2022. "Validation of the German Version of the Moral Injury Symptom and Support Scale for Health Professionals (G-MISS-HP) and Its Correlation to the Second Victim Phenomenon," IJERPH, MDPI, vol. 19(8), pages 1-19, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hartwig Marung & Reinhard Strametz & Hannah Roesner & Florian Reifferscheid & Rainer Petzina & Victoria Klemm & Milena Trifunovic-Koenig & Stefan Bushuven, 2023. "Second Victims among German Emergency Medical Services Physicians (SeViD-III-Study)," IJERPH, MDPI, vol. 20(5), pages 1-11, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Maike Riegel & Victoria Klemm & Stefan Bushuven & Reinhard Strametz, 2022. "Self-Stigmatization of Healthcare Workers in Intensive Care, Acute, and Emergency Medicine," IJERPH, MDPI, vol. 19(21), pages 1-9, October.
    2. Angel Cobos-Vargas & Pastora Pérez-Pérez & María Núñez-Núñez & Eloísa Casado-Fernández & Aurora Bueno-Cavanillas, 2022. "Second Victim Support at the Core of Severe Adverse Event Investigation," IJERPH, MDPI, vol. 19(24), pages 1-9, December.
    3. Samuel Ganahl & Mario Knaus & Isabell Wiesenhuetter & Victoria Klemm & Eva M. Jabinger & Reinhard Strametz, 2022. "Second Victims in Intensive Care—Emotional Stress and Traumatization of Intensive Care Nurses in Western Austria after Adverse Events during the Treatment of Patients," IJERPH, MDPI, vol. 19(6), pages 1-9, March.
    4. Stefan Bushuven & Markus Dettenkofer & Sonia Sippel & Sarah Koenig & Stefanie Bushuven & Wulf Schneider-Brachert, 2020. "Speaking up behavior and cognitive bias in hand hygiene: Competences of German-speaking medical students," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-17, September.
    5. Risto Nikunlaakso & Kirsikka Selander & Elina Weiste & Eveliina Korkiakangas & Maria Paavolainen & Tiina Koivisto & Jaana Laitinen, 2022. "Understanding Moral Distress among Eldercare Workers: A Scoping Review," IJERPH, MDPI, vol. 19(15), pages 1-14, July.
    6. Martina Schmiedhofer & Christina Derksen & Johanna Elisa Dietl & Freya Haeussler & Reinhard Strametz & Beate Huener & Sonia Lippke, 2022. "The Impact of a Communication Training on the Birth Experience: Qualitative Interviews with Mothers after Giving Birth at Obstetric University Departments in Germany," IJERPH, MDPI, vol. 19(18), pages 1-17, September.
    7. Elisabeth Krommer & Miriam Ablöscher & Victoria Klemm & Christian Gatterer & Hannah Rösner & Reinhard Strametz & Wolfgang Huf & Brigitte Ettl, 2023. "Second Victim Phenomenon in an Austrian Hospital before the Implementation of the Systematic Collegial Help Program KoHi: A Descriptive Study," IJERPH, MDPI, vol. 20(3), pages 1-9, January.
    8. Martina Schmiedhofer & Christina Derksen & Franziska Maria Keller & Johanna Elisa Dietl & Freya Häussler & Reinhard Strametz & Ilona Koester-Steinebach & Sonia Lippke, 2021. "Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses," IJERPH, MDPI, vol. 18(3), pages 1-16, January.
    9. Tedone, Archana Manapragada & Lanz, Julie J., 2024. "Staying silent during a crisis: How workplace factors influence safety decisions in U.S. nurses," Social Science & Medicine, Elsevier, vol. 341(C).
    10. Hartwig Marung & Reinhard Strametz & Hannah Roesner & Florian Reifferscheid & Rainer Petzina & Victoria Klemm & Milena Trifunovic-Koenig & Stefan Bushuven, 2023. "Second Victims among German Emergency Medical Services Physicians (SeViD-III-Study)," IJERPH, MDPI, vol. 20(5), pages 1-11, February.
    11. Milena Trifunovic-Koenig & Reinhard Strametz & Bianka Gerber & Sneha Mantri & Stefan Bushuven, 2022. "Validation of the German Version of the Moral Injury Symptom and Support Scale for Health Professionals (G-MISS-HP) and Its Correlation to the Second Victim Phenomenon," IJERPH, MDPI, vol. 19(8), pages 1-19, April.
    12. Milena Trifunovic-Koenig & Stefan Bushuven & Bianka Gerber & Baerbel Otto & Markus Dettenkofer & Florian Salm & Martin R. Fischer, 2022. "Correlation between Overconfidence and Learning Motivation in Postgraduate Infection Prevention and Control Training," IJERPH, MDPI, vol. 19(9), pages 1-20, May.
    13. Dominik Hinzmann & Marion Koll-Krüsmann & Andrea Forster & Andreas Schießl & Andreas Igl & Susanne Katharina Heininger, 2022. "First Results of Peer Training for Medical Staff—Psychosocial Support through Peer Support in Health Care," IJERPH, MDPI, vol. 19(24), pages 1-15, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16016-:d:989195. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.