Luppo Kuillman

Chapter 5 122 occurring in a direct patient-healthcare professional interaction can be generalized to the NP and PA. This could be applied to professionals with comparable independent treatment relationships (e.g., medical doctors, physical therapists, speech therapists, or dental hygienists).  In methodological terms, another strength of our study is that we a priori determined the required sample size ( n =68) for multivariable regression analysis using interaction terms, which was well above the factual sample-size of 155 respondents (Faul, Erdfelder, Buchner, & Lang, 2009). Besides, despite the cross-sectional nature of the data, the Harman’s single-factor analyses indicated that single factors for the different models ranged from 15.0 to 26.4 % of the total variance. Given the maximum threshold of 50%, common method variance had little to no effect on the conclusions drawn (Podsakoff & Organ, 1986). Last but not least, both the Tolerance as also the Variance Inflation Factor (VIF) used as collinearity diagnostics were well above and below the acceptable thresholds, respectively. This enabled us to rule out the possible phenomenon of multicollinearity impacting our outcomes (Dormann et al., 2013).  Our study is also subject to several limitations. Even though the correlations between several study variables were statistically significant, their explained variances were relatively low. Therefore, it should be clear that many other factors not included in this study could explain or influence yielding to pressure. Primarily because of the low explained variances, future research is needed to explore other factors that could explain the concept of yielding to pressure.   IMPLICATIONS Our study suggests that a moral deliberate attitude induces a higher risk of yielding to pressure exerted by a patient (vignette 1) while it induces a lower risk of yielding to pressure exerted by other people in the immediate work environment (vignette 2). Although further research is needed to test the influence of the source of pressure, our findings have implications for how healthcare professionals are trained. More specifically, habituation of healthcare and nursing students may be increased during simulation-education with scenarios that incorporate aspects of pressure, such as the demanding, aggressive patient. While in training, attention is paid in dealing with pressure from patients, especially the individuals who have an increased tendency of patient-orientation. The students should also be equipped with skills and techniques