Overconfidence effects and learning motivation refreshing BLS: An observational questionnaire study

Aim of the study: Regular refresher skill courses are necessary to maintain competence in basic life support. The utilization of these training programs strongly depends on the motivation to learn. Learning motivation may be affected by overconfidence and clinical tribalism, as they both imply a hig...

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Main Authors: Stefan Bushuven, Joachim Bansbach, Michael Bentele, Milena Trifunovic-Koenig, Stefanie Bentele, Bianka Gerber, Fritz Hagen, Christian Friess, Martin R. Fischer
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Resuscitation Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666520423000127
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author Stefan Bushuven
Joachim Bansbach
Michael Bentele
Milena Trifunovic-Koenig
Stefanie Bentele
Bianka Gerber
Fritz Hagen
Christian Friess
Martin R. Fischer
author_facet Stefan Bushuven
Joachim Bansbach
Michael Bentele
Milena Trifunovic-Koenig
Stefanie Bentele
Bianka Gerber
Fritz Hagen
Christian Friess
Martin R. Fischer
author_sort Stefan Bushuven
collection DOAJ
description Aim of the study: Regular refresher skill courses are necessary to maintain competence in basic life support. The utilization of these training programs strongly depends on the motivation to learn. Learning motivation may be affected by overconfidence and clinical tribalism, as they both imply a higher competence compared to others, and therefore, a lower demand for training. This study aimed to assess how overconfidence in basic life support competencies affects learning motivation. Methods: We conducted a cross-sectional, observational, multicenter, anonymous online questionnaire survey using validated psychometric tests for healthcare professionals in Germany. Further, we tested participants’ knowledge and attitude regarding international basic life support guidelines. The study was conducted between March and April 2022, and healthcare providers from 22 German emergency medical services and hospitals at all levels were assessed. Results: Of 2,000 healthcare professionals assessed, 407 completed the assessment (response rate, 20.4%). We confirmed the presence of overconfidence and clinical tribalism (identity differentiation between social groups) among the 407 physicians, nurses, and emergency medical service providers who completed the survey. Three different learning-motivation groups emerged from cluster analysis: “experts” (confident and motivated), “recruitables” (overconfident and motivated), and “unawares” (overconfident and unmotivated). The three groups were present in all professional groups, independent of the frequency of exposure to cardiac arrest and educational level. Conclusions: These findings showed the presence of overconfidence effects and different learning motivation types in individuals learning basic life support, even in instructors.
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spelling doaj.art-71b577f2e85f4c5d961b55f2f30916312023-03-09T04:13:48ZengElsevierResuscitation Plus2666-52042023-06-0114100369Overconfidence effects and learning motivation refreshing BLS: An observational questionnaire studyStefan Bushuven0Joachim Bansbach1Michael Bentele2Milena Trifunovic-Koenig3Stefanie Bentele4Bianka Gerber5Fritz Hagen6Christian Friess7Martin R. Fischer8Department of Anesthesiology and Critical Care, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, Germany; Institute for Medical Education, University Hospital, LMU Munich, Munich, Germany; Institute for Infection Control and Infection Prevention, Hegau-Jugendwerk Gailingen, Health Care Association District of Constance, Germany; Training Center for Emergency Medicine (NOTIS e.V), Engen, Germany; Corresponding author at: Institute for Infection Control und Infection Prevention, Hausherrenstrasse 12, 78315 Radolfzell, Germany.Department of Anesthesiology and Critical Care, Medical Center – University of Freiburg, Faculty of Medicine, University of Freiburg, GermanyInstitute for Anesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Hegau-Bodensee Hospital Singen, Germany; Training Center for Emergency Medicine (NOTIS e.V), Engen, GermanyInstitute for Infection Control and Infection Prevention, Hegau-Jugendwerk Gailingen, Health Care Association District of Constance, Germany; Training Center for Emergency Medicine (NOTIS e.V), Engen, GermanyDepartment for Emergency Medicine, University-Hospital Augsburg, University of Augsburg, Augsburg, Germany; Training Center for Emergency Medicine (NOTIS e.V), Engen, GermanyInstitute for Anesthesiology, Intensive Care, Emergency Medicine and Pain Therapy, Hegau-Bodensee Hospital Singen, GermanyDepartment of Emergency Medicine and Paramedic and Fire Academy, Munich, GermanyDepartment of Emergency Medicine and Paramedic and Fire Academy, Munich, GermanyInstitute for Medical Education, University Hospital, LMU Munich, Munich, GermanyAim of the study: Regular refresher skill courses are necessary to maintain competence in basic life support. The utilization of these training programs strongly depends on the motivation to learn. Learning motivation may be affected by overconfidence and clinical tribalism, as they both imply a higher competence compared to others, and therefore, a lower demand for training. This study aimed to assess how overconfidence in basic life support competencies affects learning motivation. Methods: We conducted a cross-sectional, observational, multicenter, anonymous online questionnaire survey using validated psychometric tests for healthcare professionals in Germany. Further, we tested participants’ knowledge and attitude regarding international basic life support guidelines. The study was conducted between March and April 2022, and healthcare providers from 22 German emergency medical services and hospitals at all levels were assessed. Results: Of 2,000 healthcare professionals assessed, 407 completed the assessment (response rate, 20.4%). We confirmed the presence of overconfidence and clinical tribalism (identity differentiation between social groups) among the 407 physicians, nurses, and emergency medical service providers who completed the survey. Three different learning-motivation groups emerged from cluster analysis: “experts” (confident and motivated), “recruitables” (overconfident and motivated), and “unawares” (overconfident and unmotivated). The three groups were present in all professional groups, independent of the frequency of exposure to cardiac arrest and educational level. Conclusions: These findings showed the presence of overconfidence effects and different learning motivation types in individuals learning basic life support, even in instructors.http://www.sciencedirect.com/science/article/pii/S2666520423000127Basic Life SupportCardiopulmonary ResuscitationLifelong LearningOverconfidenceClinical Tribalism
spellingShingle Stefan Bushuven
Joachim Bansbach
Michael Bentele
Milena Trifunovic-Koenig
Stefanie Bentele
Bianka Gerber
Fritz Hagen
Christian Friess
Martin R. Fischer
Overconfidence effects and learning motivation refreshing BLS: An observational questionnaire study
Resuscitation Plus
Basic Life Support
Cardiopulmonary Resuscitation
Lifelong Learning
Overconfidence
Clinical Tribalism
title Overconfidence effects and learning motivation refreshing BLS: An observational questionnaire study
title_full Overconfidence effects and learning motivation refreshing BLS: An observational questionnaire study
title_fullStr Overconfidence effects and learning motivation refreshing BLS: An observational questionnaire study
title_full_unstemmed Overconfidence effects and learning motivation refreshing BLS: An observational questionnaire study
title_short Overconfidence effects and learning motivation refreshing BLS: An observational questionnaire study
title_sort overconfidence effects and learning motivation refreshing bls an observational questionnaire study
topic Basic Life Support
Cardiopulmonary Resuscitation
Lifelong Learning
Overconfidence
Clinical Tribalism
url http://www.sciencedirect.com/science/article/pii/S2666520423000127
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