… influence engagement in online distance debriefing. “The impetus for our research was the sudden thrust of simulation education into the distance setting,” said … now,” said Palaganas, the paper’s senior author. At the center of the research was this question: what factors influence engagement in healthcare simulation online … camera just to be there,” the study quotes one participant. “I can bobble (nod) my head, but I might not be fully paying attention,” said another participant. …