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Development and testing of an online course on the second victim phenomenon

A three-dimensional evaluation and proof of concept

Bibliographic Data

ID22080655
AuthorsTobias Bexten (Helios Dr. Horst Schmidt Kliniken Wiesbaden, corresponding author), Jens C Kubitz (0000-0001-6634-5843, Nuremberg Hospital), Anne Kamphausen (0000-0002-2647-5202, Nuremberg Hospital), Hannah Roesner (0009-0003-4109-4066, RheinMain University of Applied Sciences), Reinhard Strametz (0000-0002-9920-8674, RheinMain University of Applied Sciences)
Year2025
Volume13
Pages1677815-1677815
Publication date2025-10-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1677815
PMID41112673
OpenAlexW4414773464
LanguageEN
References cited16

Background The Second Victim Phenomenon (SVP) refers to the emotional, psychological, and professional consequences healthcare professionals (HCPs) may face following adverse patient events. Despite its prevalence, awareness and structured education on SVP remain limited. Objective This study aimed to further develop and evaluate an online course to increase knowledge and awareness of SVP among HCPs via a multidimensional evaluation approach. Methods A structured e-learning course was developed on the basis of an extensive literature review and qualitative content analysis. Seven learning objectives organized into four thematic categories were integrated. The course was evaluated through semistructured interviews, which were analyzed on the basis of Mayring’s qualitative method. After the course was adjusted accordingly, it was quantitatively evaluated, including pre- and postcourse knowledge tests and a course evaluation survey. Results The interview feedback highlighted the relevance to clinical practice, strong structure, and interactivity, although participants recommended more practical examples and enhanced quiz feedback. After the adjustment, the knowledge score improved from a precourse average of 74.07 percent to a postcourse average of 87.96 percent [t(df) = 3.51, p = 0.005, d = 1.01]. The participants also reported an increase in their self-assessed knowledge. The course received high ratings for usability and satisfaction, with a mean overall score of 1.75 (where 1 is the best and 6 is the worst). Conclusion This pilot study demonstrated that a structured online course can effectively improve knowledge and awareness of SVP among HCPs. Broader implementation, including integration into healthcare curricula, may support early recognition and mitigation of SVP-related consequences

Health care · Online course · Proof of concept · Healthcare Decision-Making and Restraints · Patient Safety and Medication Errors · Simulation-Based Education in Healthcare

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