An Exploration of Deference Behaviours Exhibited within the Paediatric Resuscitation Environment

Healthcare professionals’ deference to physician expertise has been observed across a variety of clinical settings. Although such behaviour often results in appropriate and efficient patient care, deference can become detrimental when an inappropriate order or action goes unchallenged. This study aimed to identify the underlying factors influencing deference behaviours exhibited within the paediatric resuscitation environment. Through a three-phase study design and thematic analysis approach informed by principles of grounded theory, six overarching factors were found to influence deference behaviours: factors located outside the resuscitation environment, factors located inside the resuscitation environment, individual characteristics, mental state and experience, cognition, and motivation. Together these six factors were found to influence deference and its associated actions and responses (obedience, conformity, compromise, and rejection). The identification of these factors and this novel understanding of deference could potentially guide healthcare professionals, educators, and researchers in the development of strategies to mitigate instances of compromised patient care.x

Name thesis:degree_name

Master of Science (MSc)

Discipline thesis:degree_discipline

Community Health Sciences

Grantor dc:publisher.institution

Graduate Studies

Year dc:date.issued

2017

Author dc:creator

• Delaloye, Nicole

Advisors dc:contributor.advisor

• Gilfoyle, Elaine
• Oddone Paolucci, Elizabeth

Committee members dc:contributor.committeemember

• Ellaway, Rachel
• Kassam, Aliya

• Education

Statement dc:rights

• University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.

Language dc:language.iso

eng

DOI

http://dx.doi.org/10.11575/PRISM/24890

OAI identifier oai:identifier

oai:ucalgary.scholaris.ca:11023/3870