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Critical Events in Hospital Environments—A Goffman-Inspired Thematic Analysis of the Danish Feature Film Second Victims

Glasdam, Stinne LU orcid and Stjernswärd, Sigrid LU orcid (2026) In Journal of Medical Humanities
Abstract
Critical events frequently occur in hospital settings. Cinematic portrayals of medicine and medical environments can illuminate historical developments and perspectives on healthcare, medical professions, and specialisations. This article aimed to explore the interplay between structural framework, professional, and relational factors when facing critical events and their management in a hospital environment. Based on the Danish feature film Second Victims, a thematic analysis was conducted, methodically inspired by Braun and Clarke, theoretically inspired by Goffman. The findings were presented in three final themes: Notions of knowledge and power hierarchies in motion, Tensions between the medical and legal logics, and The moral dance... (More)
Critical events frequently occur in hospital settings. Cinematic portrayals of medicine and medical environments can illuminate historical developments and perspectives on healthcare, medical professions, and specialisations. This article aimed to explore the interplay between structural framework, professional, and relational factors when facing critical events and their management in a hospital environment. Based on the Danish feature film Second Victims, a thematic analysis was conducted, methodically inspired by Braun and Clarke, theoretically inspired by Goffman. The findings were presented in three final themes: Notions of knowledge and power hierarchies in motion, Tensions between the medical and legal logics, and The moral dance around professionals’ suffering. The findings showed how the patient appeared as ‘the primary victim,’ while the professionals and relatives became ‘the second victims’. In this fictive film, the hospital culture was informed by an ideal of medical flawlessness that created vulnerable conditions for professionals, infused with guilt and shame. Furthermore, the professionals’ emotional reactions intensified critical situations and acted yet another critical event. The findings also showed tension areas between medical and legal prerequisites and consequences related to medical decisions, illuminating how medical care fits in a wider societal context and structure governed by context specific rules and regulations. In conclusion, the study demonstrated how structural, professional, and relational factors shape the management of critical hospital events, highlighting hierarchies, roles, competing logics, and emotional responses. Although fictional, the film presented realistic representations of ‘real-life’ practice, offering a valuable tool for reflecting on healthcare practices and shared human vulnerability. (Less)
Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Critical events, Hospital, Neurology, Film, Medical humanities, Goffman, Professionals, Patients, Relatives, Stroke, Medical errors, Responsibilities
in
Journal of Medical Humanities
publisher
Springer
external identifiers
  • pmid:42014589
  • scopus:105036567316
ISSN
1041-3545
DOI
10.1007/s10912-026-10025-6
project
Exploring healthcare through film
language
English
LU publication?
yes
id
3eff0401-c55f-4b44-a018-265f7a45f016
date added to LUP
2026-04-22 08:37:07
date last changed
2026-05-01 04:00:36
@article{3eff0401-c55f-4b44-a018-265f7a45f016,
  abstract     = {{Critical events frequently occur in hospital settings. Cinematic portrayals of medicine and medical environments can illuminate historical developments and perspectives on healthcare, medical professions, and specialisations. This article aimed to explore the interplay between structural framework, professional, and relational factors when facing critical events and their management in a hospital environment. Based on the Danish feature film Second Victims, a thematic analysis was conducted, methodically inspired by Braun and Clarke, theoretically inspired by Goffman. The findings were presented in three final themes: Notions of knowledge and power hierarchies in motion, Tensions between the medical and legal logics, and The moral dance around professionals’ suffering. The findings showed how the patient appeared as ‘the primary victim,’ while the professionals and relatives became ‘the second victims’. In this fictive film, the hospital culture was informed by an ideal of medical flawlessness that created vulnerable conditions for professionals, infused with guilt and shame. Furthermore, the professionals’ emotional reactions intensified critical situations and acted yet another critical event. The findings also showed tension areas between medical and legal prerequisites and consequences related to medical decisions, illuminating how medical care fits in a wider societal context and structure governed by context specific rules and regulations. In conclusion, the study demonstrated how structural, professional, and relational factors shape the management of critical hospital events, highlighting hierarchies, roles, competing logics, and emotional responses. Although fictional, the film presented realistic representations of ‘real-life’ practice, offering a valuable tool for reflecting on healthcare practices and shared human vulnerability.}},
  author       = {{Glasdam, Stinne and Stjernswärd, Sigrid}},
  issn         = {{1041-3545}},
  keywords     = {{Critical events; Hospital; Neurology; Film; Medical humanities; Goffman; Professionals; Patients; Relatives; Stroke; Medical errors; Responsibilities}},
  language     = {{eng}},
  month        = {{04}},
  publisher    = {{Springer}},
  series       = {{Journal of Medical Humanities}},
  title        = {{Critical Events in Hospital Environments—A Goffman-Inspired Thematic Analysis of the Danish Feature Film Second Victims}},
  url          = {{http://dx.doi.org/10.1007/s10912-026-10025-6}},
  doi          = {{10.1007/s10912-026-10025-6}},
  year         = {{2026}},
}