A Multi-Method Analysis of Students' Experience During a Simulated Compliance Scenario: Behavior, Cognition, and Emotion
35 Pages Posted: 8 Feb 2022
Date Written: November 22, 2021
After an experimental simulation study examining obedience to authority in Advanced Care Paramedic (n=19) and Respiratory Therapy Students (n=40) debriefing interviews were conducted to further understand student experiences. The semi-structured interviews were focused on Impression Management, Moral Distress, and Displacement of Responsibility. A multi-method analytic approach was taken. The results support the experimental findings and observations of the simulated scenario, while providing further insight to behaviour, cognition, and emotion. Challenging authority can be difficult and there are multiple influences on students’ behaviour. Impression Management, Moral Distress, and Displacement of Responsibility were all influential on student behaviour to varying degrees. During the interview additional findings emerged related to memory and perception, effects of previous experience, and professional and cultural influences. Implications for education and simulation studies were derived including: the use of simulation to provide experience challenging authority, tools for speaking up, and various tactics to improve education on speaking up.
Funding declaration: None to declare.
Conflict of Interests: None to declare.
Ethical Approval: Ethical approval was granted by the University of Alberta Research Ethics Board 2 (Pro00089450) and the Northern Alberta Institute of Technology Research Ethics Office (#2018-15). Participant consent was obtained throughout the study including after the debriefing when consent to have all data included in the study, including audio and video recording, was reaffirmed. All participants consented at all stages.
Keywords: Compliance Displacement of Responsibility, Impression Management, Moral Distress, Obedience to Authority, Positive Deviance, Speaking Up
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