Multimodal Cluster Analysis of Medical Residents' Emotions During High‐Fidelity Harassment Bystander Simulation.

Background: High fidelity simulations can be an effective tool for anti‐harassment education. While emotions have been identified as crucial in simulation‐based education, their role in anti‐harassment education within medical training remains underexplored. Objectives: We aimed to investigate emoti...

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Publicado en:Journal of Computer Assisted Learning Vol. 41; no. 5; pp. 1 - 19
Autores principales: Ahn, Byunghoon, Matin, Negar, Johnson, Myriam, Lee, So Yeon, Sun, Ning‐Zi, Harley, Jason M.
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
      vid: 41
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/jcal.70099
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        atl: Multimodal Cluster Analysis of Medical Residents' Emotions During High‐Fidelity Harassment Bystander Simulation.
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        au:
          Ahn, Byunghoon
          Matin, Negar
          Johnson, Myriam
          Lee, So Yeon
          Sun, Ning‐Zi
          Harley, Jason M.
        affil: Department of Surgical and Interventional Sciences, McGill University, Montreal, Canada
      sug:
        subj:
          Interns and Residents Psychosocial Factors
          Emotions
          Simulations
          Internal Medicine
          Bullying Education
          Outcomes of Education
          Education, Medical
          Human
          Cluster Analysis
          Self Report
          Wearable Sensors
          Content Analysis
          Post Hoc Analysis
          North America
          Videorecording
          One-Way Analysis of Variance
          Fisher's Exact Test
          Analysis of Variance
          Descriptive Statistics
          Male
          Female
          Adult
          Purposive Sample
          Convenience Sample
          Data Analysis Software
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: Background: High fidelity simulations can be an effective tool for anti‐harassment education. While emotions have been identified as crucial in simulation‐based education, their role in anti‐harassment education within medical training remains underexplored. Objectives: We aimed to investigate emotional profiles of medical residents during harassment bystander simulation training via hierarchical clustering based on multimodal emotions data. Methods: Twenty seven internal medicine residents with complete data sets that were part of a larger study were recruited. Emotions were captured through self‐report surveys, an electronic bracelet that records electrodermal activity, and speech content analysis based on the residents' simulation debriefing. The study involved residents performing a simulated central line insertion while a simulated harassment took place that they could use to practice intervening in harassment. Results: Our cluster analysis revealed three equal‐sized groups: 'Emotionally Balanced, Minimal Arousal', 'Positive, Spiked Arousal' and 'Negative High Arousal'. The clusters had distinct levels of self‐report emotions and electrodermal activity. Content analysis revealed distinct emotions, and sources of emotions between the clusters. Post hoc analysis revealed that the 'Emotionally Balanced, Minimal Arousal' group showed a higher propensity for directly confronting the harasser, indicating a composed emotional state conducive to focusing on simulation objectives. Conclusions: Our findings reveal the varied emotional profiles that can be expected in simulation‐based medical education and underscore the value of a multimodal approach to understanding these dynamics. Furthermore, the study highlights the criticality of recognising the sources of emotions and promoting effective emotion regulation strategies, especially in authentic learning environments where emotional responses are complex and impactful.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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