Learning from a role model: A cascade or whirlpool effect?

Leeuw, H.G.A. Ria Jochemsen-van der; Buwalda, Nienke; Waard, Margreet Wieringa–de; Dijk, Nynke van

doi:10.3109/0142159x.2014.956061

Cited by 7 publications

(9 citation statements)

References 23 publications

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“…This may be additionally aggravated by the diffusion of responsibility ("Why should I clean my hands, when nobody does?") [18] and corrupted model learning [19] may then further impair hand hygiene behavior.…”

Section: Introductionmentioning

confidence: 99%

Speaking up behavior and cognitive bias in hand hygiene: Competences of German-speaking medical students

Dettenkofer¹,

Sippel

Koenig

et al. 2020

PLoS ONE

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Introduction Infection prevention and speaking up on errors are core qualities of health care providers. Heuristic effects (e.g. overconfidence) may impair behavior in daily routine, while speaking up can be inhibited by hierarchical barriers and medical team factors. Aim of this investigation was to determine, how medical students experience these difficulties for hand hygiene in daily routine. Methods On the base of prior investigations we developed a questionnaire with 5-point Likert ordinal scaled items and free text entries. This was tested for validity and reliability (Cronbach's Alpha 0.89). Accredited German, Swiss and Austrian universities were contacted and medical students asked to participated in the anonymous online survey. Quantitative statistics used parametric and non-parametric tests and effect size calculations according to Lakens. Qualitative data was coded according to Janesick. Results 1042 undergraduates of 12 universities participated. All rated their capabilities in hand hygiene and feedback reception higher than those of fellow students, nurses and physicians (p<0.001). Half of the participants rating themselves to be best educated, realized that faulty hand hygiene can be of lethal effect. Findings were independent from age, sex, academic course and university. Speaking-up in case of omitted hand hygiene was rated to be done seldomly and most rare on persons of higher hierarchic levels. Qualitative results of 164

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Section: Introductionmentioning

confidence: 99%

Speaking up behavior and cognitive bias in hand hygiene: Competences of German-speaking medical students

Dettenkofer¹,

Sippel

Koenig

et al. 2020

PLoS ONE

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“…Firstly item 7: ‘my clinical teacher demonstrates enthusiasm for his work’ fitted both components. We did not omit this item as it addresses a key aspect of role modelling [41]. Secondly, item 17: ‘my clinical teacher is professionally competent in difficult clinical situations and able to cope with adversity’, fitted the ‘Caring Attitude’ component in our study whereas it belonged to the ‘Effectiveness’ component in the primary study [18].…”

Section: Discussionmentioning

confidence: 99%

Role modelling in the training of hospital-based medical specialists: a validation study of the Role Model Apperception Tool (RoMAT)

Said¹,

Leeuw²,

Spek³

et al. 2019

Perspect Med Educ

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Introduction Role modelling is a key component in the training of doctors that influences professional behaviour, identity and career choices. Clinical teachers and residents are often unaware of this, thereby risking transmission of negative behaviour. On the other hand, awareness positively affects role model behaviour. To assess role model behaviour, the Role Model Apperception Tool (RoMAT) was developed and validated in general practice training. The aim of the current study was to validate the RoMAT in the hospital-based training setting. Methods The authors asked first to last year residents, regardless of their specialty, to participate after written approval from their clinical teachers. The tool was completed online in 2017. The authors performed a principal component analysis and investigated internal consistency, construct validity, inter-rater reliability, known-groups comparisons and floor and ceiling effects. Results Of the 473 residents contacted, 187 (40%) completed the questionnaire. As in the primary validation study, the authors extracted two components: ‘Caring Attitude’ and ‘Effectiveness’, explaining 67% of the variation with a Cronbach’s alpha of 0.94 and 0.93 respectively. Evidence for construct validity was found and there were no floor or ceiling effects, but inter-rater reliability was low. Discussion The RoMAT was internally consistent and valid to assess role model behaviour of the clinical teacher towards the resident in the hospital-based training of medical specialists. The poor inter-rater reliability, most likely due to homogeneous RoMAT responses, should be borne in mind when evaluating RoMAT scores on individual clinical teachers. Electronic supplementary material The online version of this article (10.1007/s40037-019-00527-6) contains supplementary material, which is available to authorized users.

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“…Für die Etablierung einer Sicherheitskultur ist es entscheidend, das Lernangebot zu optimierenaber auch, die Umsetzung einzufordern. Sowohl die Vorbildfunktion von Vorgesetzten durch aktives Handeln [36] als auch das konsequente Einfordern dieses Handelns sind entscheidende Stellgrößen für die Nachhaltigkeit einer Schulungsmaßnahme. Der Umgang mit Fehlern und Verstößensowohl den ungewollt als auch den bewusst eingegangenenist dabei eine zentrale Herausforderung für Führungskräfte.…”

Section: Einfordern Der Umsetzungunclassified

Was Pflichtfortbildung mit „Pflicht“ und „Fortbildung“ zu tun hat

Bushuven¹,

Strametz²,

Arn³

2020

Krankenhaushygiene up2date

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Learning from a role model: A cascade or whirlpool effect?

Cited by 7 publications

References 23 publications

Speaking up behavior and cognitive bias in hand hygiene: Competences of German-speaking medical students

Speaking up behavior and cognitive bias in hand hygiene: Competences of German-speaking medical students

Role modelling in the training of hospital-based medical specialists: a validation study of the Role Model Apperception Tool (RoMAT)

Was Pflichtfortbildung mit „Pflicht“ und „Fortbildung“ zu tun hat

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Learning from a role model: A cascade or whirlpool effect?

Cited by 7 publications

References 23 publications

Speaking up behavior and cognitive bias in hand hygiene: Competences of German-speaking medical students

Speaking up behavior and cognitive bias in hand hygiene: Competences of German-speaking medical students

Role modelling in the training of hospital-based medical specialists: a&nbsp;validation study of the Role Model Apperception Tool (RoMAT)

Was Pflichtfortbildung mit „Pflicht“ und „Fortbildung“ zu tun hat

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Role modelling in the training of hospital-based medical specialists: a validation study of the Role Model Apperception Tool (RoMAT)