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Background: Dissonance between the high ‘technical’ competences of medical professionals, including physiotherapists, and the relatively low level of patient satisfaction with care received is a phenomenon observed in many countries. Many studies show that it occurs in the case of an inadequate interpersonal communication between medical professionals and patients. Objectives: The primary goal of the presented research was evaluation of the level (study of the state) of communication competences of physiotherapists, and determination of the factors on which this level depends. An additional goal was analysis of the needs and educational possibilities within the existing models of education in the area of interpersonal communication provided by higher medical education institutions. Design, setting and participants: The self-designed questionnaire and adjective check list were subject to standardization from the aspect of reliability and validity. Information available on the websites of 20 educational facilities in Poland were compared. The study group covered a total number of 115 respondents in the following subgroups: 1) occupationally-active physiotherapists who, as a rule, were not trained in interpersonal communication (35 respondents); students of physiotherapy covered by a standard educational programme (60 respondents); 3) students of physiotherapy who, in addition to a standard educational programme, attended extra courses in professional interpersonal communications (20 respondents). Results: The results of studies indicate poor efficacy of shaping communication competences of physiotherapists based on education in the area of general psychology and general interpersonal communication. Communication competences acquired during undergraduate physiotherapy education are subject to regression during occupational activity. Conclusions: Methods of evaluating communication competences are useful in constructing group and individual programmes focused on specific communication competences, rather than on general communication skills.
Background: In the work of a physician, not only knowledge, and professional skills (technical/hard) are important, but also psychosocial skills (relational/soft). Objectives: The primary goal of the presented research was evaluation of the level (study of the state) of communication competences of physicians and determination of the factors on which this level depends. An additional goal was analysis of the needs and educational possibilities within the existing models of education in the area of interpersonal communication provided in Medical Universities in Poland. Design, setting and participants: Information about educational curricula available on the websites of 12 Medical Universities in Poland were compared. The self-designed questionnaire and adjective check list were subject to standardization from the aspect of reliability and validity. The study groups included 1) occupationally-active physicians (185 respondents) employed in outpatient departments and hospitals, who were covered by a pre-graduate standard educational programme and not trained in interpersonal communication skills as part of their continuing education; 2) medical students covered by a standard educational programme (246 respondents). Results: The conducted analysis of the educational curricula showed a very narrow scope of problems concerning professional medical communication. The results indicating the general state of respondents’ communication competences within all aspects (motivation, skills, knowledge) were relatively low. That clearly indicated an inadequate educational model (students), and lack of post-graduate training in the area of professional medical communication (physicians). Conclusions: The education of students of medicine should cover selected classes within the scope of professional communication competences. These classes should be based on the systemically designed training of skills. The patterning by students of the relations attitudes observed in practising physicians is insufficient. It is necessary to apply a methodical evaluation of communication competences, diagnosing educational needs of occupationally active physicians in this respect. This allows the preparation of courses in accordance with the needs in the area of professional communication competences.
Background: A dissonance between high ‘technical’ professionalism of nurses and a relatively low level of patient satisfaction with received care is a phenomenon observed in many countries. Method: Theoretical concept and review of current published studies. Discussion: Most reviewed studies show that a low level of patient satisfaction occurs in the case of an inadequate interpersonal communication between nurses and patients. Most studies indicate poor effectiveness of shaping communication competences of nurses based on standard education in the area of general psychology and communication knowledge, because this knowledge does not convert itself ‘spontaneously’ into communication competences during occupational activity. Conclusions: It is necessary to supplement educational programmes for nurses with practical courses in professional interpersonal communication. International experience exchange concerning the shaping of nurses’ communication competences may be limited due to cultural, organizational and systems factors.
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Professional communication competences of nurses

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Introduction: Dissonance between the high ‘technical’ professionalism of nurses and the relatively low level of patient satisfaction with care received is a phenomenon observed in many countries. Many studies show that it occurs in the case of an inadequate interpersonal communication between nurses and patients. Methods: Three basic scopes of communication competences were involved in the research process: a) motivation, b) knowledge, c) skills, and the following three methods were used: 1) documentation analysis (standards, plans and educational programmes); 2) diagnostic survey concerning professional communication competences of nurses in nursing care – a questionnaire form designed by the authors; 3) self-reported communication skills in nursing care – adjective check list. The study group covered a total number of 108 respondents in the following subgroups: 1) professional nurses who, as a rule, were not trained in interpersonal communication (42 respondents); students of nursing covered by a standard educational programme (46 respondents); 3) students of nursing who, in addition to a standard educational programme, attended extra courses in professional interpersonal communications nursing (20 respondents). The data obtained were subjected to statistical analysis with the use of descriptive statistics and hypothesis testing. Results: The results of studies indicate poor efficacy of shaping communication competences of nurses based on education in the area of general psychology and general interpersonal communication. Communication competences acquired during undergraduate nursing education, are subject to regression during occupational activity. Discussion: Methods of evaluating communication competences are useful in constructing group and individual programmes focused on specific communication competences rather than on general communication skills.
Introduction: Dissonance between the high ‘technical’ competences of medical professionals, including paramedics or emergency medical technicians (EMT), and the relatively low level of patient satisfaction with care received, is a phenomenon observed in many countries. Many studies show that it occurs in the case of an inadequate interpersonal communication between medical professionals and patients. The primary goal of the presented research was evaluation of the level (study of the state) of communication competences of paramedics, and determination of the factors on which this level depends. An additional goal was analysis of the needs and educational possibilities within the existing models of education in the area of interpersonal communication provided by higher medical education institutions. Methods: The following three methods were used: 1) documentation analysis (standards, plans and educational programmes); 2) diagnostic survey concerning professional communication competences of paramedics; 3) self-reported communication skills in emergency medical services – adjective check list. The last two instruments were subject to standardization from the aspect of reliability and validity. The study group covered a total of 105 respondents in the following subgroups: 1) professional paramedics who, as a rule, were not trained in interpersonal communication (31 respondents); paramedic students covered by a standard educational programme (54 respondents); 3) paramedic students who, in addition to a standard educational programme, attended extra courses in professional interpersonal communications (20 respondents). Results: The results of studies indicate poor efficacy of shaping communication competences of paramedics based on education in the area of general psychology and general interpersonal communication. Communication competences acquired by paramedics during undergraduate education are subject to regression during occupational activity. Discussion: Methods of evaluating communication competences are useful in constructing group and individual programmes focused on specific communication competences, rather than on general communication skills.
Introduction: Stress urinary incontinence (SUI) is the most frequent type of urinary incontinence among adult women. Objective: The objective of the study was evaluation of the effect of environmental, systemic and obstetrical factors on the development of stress urinary incontinence, and diagnosing and determination of areas in which changes could be made. Material and method: The study covered 313 females aged 30-75 living in the Lublin Region. The respondents were divided into two groups according to the clinical diagnosis, occurrence of symptoms of SUI or lack thereof: Group I – women with SUI symptoms (119), Group II – women without SUI (194). A diagnostic survey was conducted with the use of a self-designed research instrument based on the Gaudenz questionnaire, data from relevant literature and the ‘competent judges’ test. The following statistical tests were used to compare two structure indicators (fraction, frequency); chi-square test and t-Student test. Statistical analysis was performed by means of STATISTICA 9 (StatSoft) software. Results and conclusions: Statistically significant differences were found between the group of patients with SUI and the control group, with respect to the number of deliveries and their duration. The study showed that there is a statistically higher probability of the development of SUI in the case of surgical delivery, or natural childbirth of a baby with a birth weight of 4000 g or more. The study showed that hard physical work and past gynaecological surgeries are risk factors of urinary incontinence. Barriers of a psychosocial nature were also found (feeling of shame and embarrassment accompanying disclosure of the SUI), which minimized the respondents’ participation in urinary incontinence prophylactic actions.
Obecnie w Polsce istnieje tendencja do obniżania wieku dziewcząt zachodzących w ciążę, a tym samym zwiększa się liczba porodów u nastolatek. Przebieg ciąży u małoletnich dziewcząt może zostać zaburzony wystąpieniem różnorodnych powikłań, będących skutkiem późnego objęcia opieką medyczną czy też brakiem należytej opieki lekarskiej. Ponadto ciąża u młodocianych, z uwagi na zaistniałą nową sytuację psychologiczną i społeczną, jest rozpatrywana jako problem w aspekcie osobistym i rodzinnym. Cel. Celem badań była identyfikacja problemów bio-psycho-społecznych niepełnoletnich ciężarnych. Materiał i metody. Badania przeprowadzano w pierwszym półroczu 2011 roku wśród ciężarnych niepełnoletnich, w wybranych placówkach publicznych i niepublicznych ochrony zdrowia, w województwie lubelskim. Badanie zostało przeprowadzone metodą sondażu diagnostycznego, z zastosowaniem techniki kwestionariuszowej. Narzędzie badawcze stanowił autorski kwestionariusz ankiety, zawierający pytania dotyczące charakterystyki respondentów i przedmiotu badań, a opracowany w oparciu o pięciostopniową skalę Likerta. Wyniki i wnioski. Małoletnie dziewczęta w chwili potwierdzenia ciąży odczuwają negatywne emocje. Młodociane ciężarne posiadają pewien zasób wiedzy, odnoszący się do zachowań prozdrowotnych kobiet w ciąży. Przejawiają świadomość szkodliwego wpływu używek na stan zdrowia dziecka. Rozumieją konieczność odbywania niezbędnej konsultacji lekarskiej w przypadku zaistniałych dolegliwości. Nieletnie ciężarne znają zalecenia dotyczące racjonalnej diety kobiety ciężarnej, aktywności fizycznej w ciąży, szkodliwości używek w ciąży, jednak nie wszystkie stosują się do tych zaleceń.
Background. The low level of patient satisfaction recorded in many studies and, at the same time, the level of frustration and burnout, disclosed by medics in the perception of the patient as a ‘problem’, incline to look for the causes of inadequate relationship between physician and patient. Objective. The aim of this study was to evaluate the level of acceptance of the patient by the medical personnel. The research problem was the acceptance level which was within the range of the communication skills of the nurses and doctors. Another aim was to discover the factors determining this level of acceptance. Material and Methods. Two methods were used in the research process: 1) a diagnostic survey regarding the medical, professional communication skills; 2) testing of professional self-esteem from the medical aspect. The study population consisted of a total of 1,244 respondents divided into the following groups: registered nurses and doctors (729), students of nursing and medical faculties (515). Results. The results of the research showed that in most cases the acceptance of the patient by the medical staff was ‘conditional’, which translated into the level of frustration or lack of satisfaction with their profession, and ultimately into the level of burnout. The level of patient acceptance by medical staff (unconditional acceptance), depended primarily on age, followed by their profession. However, the relationship between this acceptance and gender and work experience was statistically insignificant. Conclusions. As the method to improve this situation, the expansion of education in the field of interpersonal communication is proposed, adding issues related with both the conditional and unconditional acceptance of the patient, as well as issues regarding how to deal with the patient from the aspect of disease and the psycho-socio-spiritual area.
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