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

Die Durchführung von Fortbildungen ist eine essenzielle Aufgabe des Personals der Krankenhaushygiene. Fachkräfte stoßen jedoch häufig auf reduzierte Motivation der Lernenden, die die Veranstaltungen eher als „Zwang“ wahrnehmen. Dieser dialogische Diskurs erörtert schrittweise die Problematik „Pflichtschulungen“. Die Fragestellung ist, ob und unter welchen Voraussetzungen „Pflicht-“ oder „Zwangsfortbildungen“ ethisch ge- oder verboten sind.

• Literatur

• 1 Haessler S, Bhagavan A, Kleppel R. et al. Getting doctors to clean their hands: lead the followers. BMJ Qual Saf 2012; 21: 499-502
• 2 Bushuven S, Weidenbusch M, Mohr S. et al. Cognitive bias in professional hand hygiene and feedback: A national online-survey on overconfidence in Germany. Infect Control Hosp Epidemiol 2019; 40: 943-946
• 3 Bushuven S, Juenger J, Moeltner A. et al. Overconfidence in infection control proficiency. Am J Infect Control 2019; 47: 545-550
• 4 Arn C. Agile Hochschuldidaktik. 2. Aufl. Weinheim: Beltz Juventa; 2017
• 5 Bushuven S. et al. Speaking Up Behavior and Cognitive Bias in Infection Control: Competences of German Medical Students. 2020 zur Veröffentlichung eingereicht
• 6 KRINKO. Händehygiene in Einrichtungen des Gesundheitswesens Empfehlung der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO) beim Robert Koch-Institut (RKI). Bundesgesundheitsblatt 2016; 59: 1189-1220
• 7 Leistner R, Hirsemann E, Bloch A. et al. Costs and prolonged length of stay of central venous catheter-associated bloodstream infections (CVC BSI): a matched prospective cohort study. Infection 2014; 42: 31-36
• 8 Makary MA, Daniel M. Medical error – the third leading cause of death in the US. BMJ 2016; 353: i2139
• 9 Destatis. Statistisches Bundesamt. Gesundheit, Personal. Fachserie 12, Reihe 7.3.1. Wiesbaden: Statistisches Bundesamt; 2017: 19-20
• 10 Kitson A, Rycroft-Malone J, Harvey G. et al. Evaluating the successful implementation of evidence into practice using the PARIHS framework: theoretical and practical challenges. Implement Sci 2008; 3: 1
• 11 Bushuven S, Dettenkofer M, Kahla-Witzsch HA. et al. Aus- und Fortbildung in der Infektionsprävention: Didaktik und Risikoanalyse. Krankenhaushygiene up2date 2019; 14: 203-222
• 12 Kant I. Grundlegung zur Metaphysik der Sitten. Herausgegeben von Valentiner T. Ditzingen: Reclam; 2017: 420-421
• 13 Cerasoli CP, Nicklin JM, Ford MT. Intrinsic motivation and extrinsic incentives jointly predict performance: a 40-year meta-analysis. Psychol Bull 2014; 140: 980-1008
• 14 Dunning D, Heath CH, Suls JM. Flawed Self-Assessment: Implications for Health, Education and the Workplace. Psychol Sci Public Interest 2004; 5: 69-106
• 15 Pelaccia T, Viau R. Motivation in medical education. Med Teach 2017; 39: 136-140
• 16 Bonini N, Pighin S, Rettore E. et al. Overconfident people are more exposed to “black swan” events: a case study of avalanche risk. Empir Econ 2019; 57: 1-25
• 17 Harris MM, Yuan J. “Oh, no, not another hand-washing in-service!”. Gastroenterol Nurs 1994; 16: 269-272
• 18 Hew KF, Lo CK. Flipped classroom improves student learning in health professions education: a meta-analysis. BMC Med Educ 2018; 18: 38
• 19 Arn C. Lernwirksamkeit in einem Satz. In: Forum agil lernen und lehren. Hattie sichtbar machen (Helix 2). Berlin: epubli; 2019: 6-11
• 20 Arn C. Selbst. Denken. Lehren: Eine Paradoxie praktisch umsetzen. Die Hochschullehre: Interdisziplinäre Zeitschrift für Studium und Lehre 2019; 5: 965-974
• 21 Hattie J, Timperley H. The Power of Feedback. Rev Educ Res 2007; 77: 81-112
• 22 McArdle FI, Lee RJ, Gibb AP. et al. How much time is needed for hand hygiene in intensive care? A prospective trained observer study of rates of contact between healthcare workers and intensive care patients. J Hosp Infect 2006; 62: 304-310
• 23 Schwappach DL. When silence is dangerous: “Speaking-up” about safety concerns. Z Evid Fortbild Qual Gesundhwes 2016; 114: 5-12
• 24 Brennan PA, Davidson M. Improving patient safety: we need to reduce hierarchy and empower junior doctors to speak up. BMJ 2019; 366: l4461
• 25 Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med 2018; 93: 602-605
• 26 Etchegaray JM, Ottosen MJ, Dancsak T. et al. Barriers to Speaking Up About Patient Safety Concerns. J Patient Saf 2017;
• 27 Landgren R, Alawadi Z, Douma C. et al. Barriers of Pediatric Residents to Speaking Up About Patient Safety. Hosp Pediatr 2016; 6: 738-743
• 28 Sur MD, Schindler N, Singh P. et al. Young surgeons on speaking up: when and how surgical trainees voice concerns about supervisors’ clinical decisions. Am J Surg 2016; 211: 437-444
• 29 Tucker S, Turner N. Sometimes it hurts when supervisors don’t listen: the antecedents and consequences of safety voice among young workers. J Occup Health Psychol 2015; 20: 72-81
• 30 Ahmed M, Arora S, Russ S. et al. Operation debrief: a SHARP improvement in performance feedback in the operating room. Ann Surg 2013; 258: 958-963
• 31 Sargeant J, McNaughton E, Mercer S. et al. Providing feedback: exploring a model (emotion, content, outcomes) for facilitating multisource feedback. Med Teach 2011; 33: 744-749
• 32 Sayyah M, Shirbandi K, Saki-Malehi A. et al. Use of a problem-based learning teaching model for undergraduate medical and nursing education: a systematic review and meta-analysis. Adv Med Educ Pract 2017; 8: 691-700
• 33 van Loveren C, Aartman IH. The PICO (Patient-Intervention-Comparison-Outcome) question. Ned Tijdschr Tandheelkd 2007; 114: 172-178
• 34 Chi MTH, Whylie R. The ICAP Framework: Linking Cognitive Engagement to Active Learning Outcomes. Educ Psychol 2014; 49: 219-243
• 35 Gilbert JH, Yan J, Hoffman SJ. A WHO report: framework for action on interprofessional education and collaborative practice. J Allied Health 2010; 39 (Suppl. 01) 196-197
• 36 Jochemsen-van der Leeuw HG, Buwalda N, Wieringa-De Waard M. et al. Learning from a role model: A cascade or whirlpool effect?. Med Teach 2015; 37: 482-489
• 37 Strametz R. Just Culture – Über den gerechten Umgang mit Fehlern. f&w führen und wirtschaften im Krankenhaus 2019; 36: 516-518
• 38 Christensen SS. Escape from the diffusion of responsibility: A review and guide for nurses. J Nurs Manag 2019; 27: 264-270
• 39 Hansen S, Schwab F, Gropmann A. et al. Infection control and safety culture in German hospitals. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2016; 59: 908-915
• 40 Caris MG, Kamphuis PGA, Dekker M. et al. Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene. Infect Control Hosp Epidemiol 2017; 38: 1277-1283
• 41 Thomas PA, Kern D, Hughes MT, Chen BY. Curriculum Development for Medical Education. 3rd ed. Baltimore: JHU Press; 2016
• 42 Deutscher Ethikrat. Hilfe durch Zwang? Professionelle Sorgebeziehungen im Spannungsfeld von Wohl und Selbstbestimmung. Berlin: Deutscher Ethikrat; 2018
• 43 Moore DA, Healy PJ. The trouble with overconfidence. Psychol Rev 2008; 115: 502-517
• 44 Prims JP, Moore DA. Overconfidence over the lifespan. Judgm Decis Mak 2017; 12: 29-41
• 45 Strametz R, Schneider T, Pitz A. et al. Survival-Day @ Wiesbaden business school – evaluation of a short-term educational intervention to reduce work-associated health risks during nursing internships of students in health care economics. J Occup Med Toxicol 2019; 14: 30
• 46 Strametz R, Schneider T, Pitz A. et al. Gefährdungsanalyse für Studierende im Krankenpflegepraktikum. Zbl Arbeitsmed 2019; 69: 350-354
• 47 Meinert E, Alturkistani A, Foley KA. et al. Examining Cost Measurements in Production and Delivery of Three Case Studies Using E-Learning for Applied Health Sciences: Cross-Case Synthesis. J Med Internet Res 2019; 21: e13574
• 48 Masters K, Ellaway R. e-Learning in medical education Guide 32 Part 2: Technology, management and design. Med Teach 2008; 30: 474-489
• 49 Abdelhamid Y. The Dogme Approach and the Flipped Classroom in Action. Application, limitations and opportunities. British Council; 2018 Im Internet (Stand: 02.06.2020): http://www.researchgate.net/publication/329514470_THE_DOGME_APPROACH_AND_THE_FLIPPED_CLASSROOM_IN_ACTION_Application_limitations_and_opportunities
• 50 Barz H. Reformpädagogik. Innovative Impulse und kritische Aspekte. Weinheim: Beltz; 2018
• 51 Cornelius-White J. Learner-Centered Teacher-Student Relationships Are Effective: A Meta-Analysis. Rev Educ Res 2007; 77: 113-143
• 52 Department of Education and Science, Government of Ireland. Learning for Life: White Paper on Adult Education. 2000 Im Internet (Stand: 02.06.2020): http://hdl.voced.edu.au/10707/146567
• 53 D’Souza MJ, Rodrigues P. Extreme Pedagogy: An Agile Teaching-Learning Methodology for Engineering Education. Indian J Sci Technol 2015; 8: 828-833