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Overconfidence in infection control proficiency.

Stefan Bushuven1, Jana Juenger2, Andreas Moeltner3

  • 1Institute for Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Hegau-Bodensee-Hospital Singen, Singen, Germany; Institute for Hospital Hygiene and Infection Control, Health Care Association District of Constance, Germany.

American Journal of Infection Control
|December 12, 2018
PubMed
Summary
This summary is machine-generated.

Healthcare providers overestimate their infection control skills due to overconfidence. This flawed self-assessment in hand hygiene and communication creates motivation barriers for essential training.

Keywords:
Clinical tribalismFeedbackHand hygieneHeuristic errorsOverconfidence effectSpeaking up

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Area of Science:

  • Healthcare quality and patient safety
  • Medical education and training
  • Infection prevention and control

Background:

  • Effective infection control relies heavily on healthcare providers' (HCPs) hygiene and communication skills.
  • Motivation for continuous training in infection control is suboptimal among HCPs.
  • Heuristic errors, like the overconfidence effect, contribute to HCPs' underestimation of their training needs.

Purpose of the Study:

  • To quantify the extent of flawed self-assessment in infection control skills among healthcare providers.
  • To investigate the overplacement effect in perceived proficiency of hand hygiene and communication.

Main Methods:

  • A cross-sectional, multicenter study involving 255 healthcare providers from various specialties.
  • Utilized a 29-item, 5-point Likert scale questionnaire to assess self-perceived proficiency.
  • Assessed perceived skills in hand hygiene and communication for oneself and others (colleagues, trainees, supervisors).

Main Results:

  • Respondents significantly overestimated their hand hygiene skills compared to colleagues, trainees, and supervisors (P < .001).
  • Self-rated feedback skills were also significantly higher than those of others (P < .001).
  • Healthcare providers consistently rated those in other specialties as less proficient in all assessed aspects (P < .001).

Conclusions:

  • A notable overplacement effect exists in healthcare providers' self-assessment of infection prevention skills.
  • The belief in being well-educated creates a subjective barrier to recognizing the need for further hand hygiene training.
  • Specialized educational programs are necessary to address these motivation barriers and improve infection control practices.