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

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  • Stefan Bushuven
  • Markus Dettenkofer
  • Sonia Sippel
  • Sarah Koenig
  • Stefanie Bushuven
  • Wulf Schneider-Brachert

Abstract

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

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0239444
    DOI: 10.1371/journal.pone.0239444
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    References listed on IDEAS

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    1. Ulrike Malmendier & Geoffrey Tate, 2005. "CEO Overconfidence and Corporate Investment," Journal of Finance, American Finance Association, vol. 60(6), pages 2661-2700, December.
    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.
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