Search results

1

Assessment of knowledge of midwives about the scope of professional responsibility under the amended provisions of law

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Belowska J., Dykowska G., Sienkiewicz Z., Gotlib J.

Polish Journal of Public Health

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2015

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vol. 124

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issue 1

21-25

EN

Introduction. To work safely, knowledge of law is crucial for midwives who should be familiar with the midwife’s rights and duties as well as their professional responsibility. Aim. Assessment of knowledge of midwives about their professional responsibility. Material and methods. A total of 103 MA Midwifery students of the Medical University of Warsaw, including 55 working and 48 not working as midwives. A diagnostic poll, original anonymous questionnaire, 25 close-ended questions, 8 openended questions. Statistical analysis: STATISTICA 10.0, Mann-Whitney U test, p<0.05. Results. Seventy-one percent of the study participants had knowledge of the binding provisions of law and 83% considered this kind of knowledge as necessary in their professional activity. Twenty-four percent of the total did not know any legal regulations. Thirty percent was not familiar with the Nurses and Midwives Act. Only 52% of the study participants were knowledgeable about the legal protection of midwives and indicated the protection established for public officers. Forty-six percent of the total said that the Act on Professional Self-Government of Nurses and Midwives of July 1st, 2011 regulates the issue of self-governance. As many as 30 study participants knew that membership in the self-governing body of midwives is obligatory. Conclusions. Knowledge of nurses about professional responsibility under amended provisions of law is insufficient and does not improve with experience as a midwife. Due to the fact that new acts on professional responsibility of midwives were implemented in Poland beginning in January 1st, 2012, it is advisable to extend qualifications and knowledge of midwives in order to improve their knowledge of professional issues. Midwives should constantly update their knowledge of legal regulations on their profession

2

Comparison of Knowledge and Attitudes Towards the Use of Scientific Research in Clinical Practice Among Departmental and Charge Nurses

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Belowska J., Panczyk M., Gotlib J.

Polish Journal of Public Health

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2015

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vol. 124

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issue 3

138-144

EN

Introduction. The awareness of benefits arising from the use of the latest results of scientific research (EBNP – Evidence-Based Nursing Practice) among departmental and charge nurses is a necessary condition to ensure effective and safe health services and nursing care meeting the highest standards of patient care. Aim. The comparison of knowledge of and attitudes towards EBNP among nurses depending on their position. Material and methods. Twenty one departmental nurses (PO) (mean age 50.38 years, min. 37, max. 62, SD=7.35) and 20 Bachelor's degree students of a bridge programme (SSP) (mean age 43 years, min. 34, max. 55, SD=6.37). Qualitative study and analysis of the results, structured interview, extended focus. Results. PO and SSP were not able to define the acronyms EBM and EBP correctly and did not have detailed knowledge of the criteria for assessment of reliability of scientific literature. A majority of DN was familiar with the available journals for nurses and was aware of benefits resulting from using EBNP. The use of EBNP in everyday clinical practice in SSP group was limited by a lack of time, insufficient knowledge of English and access to the Internet, as well as working at the position that makes taking decisions on developing procedures and standards for nursing care impossible. Conclusions. 1. The level of knowledge about EBNP in both groups was inadequate and needs urgent supplementation of knowledge and skills of nurses with reference to this subject area. 2. The attitudes of nurses towards EBNP were different depending on their work position. Departmental nurses were aware of benefits resulting from using the most recent study results in everyday clinical practice and being up-to-date with medical knowledge. 3. The boundaries limiting the use of EBNP in everyday clinical practice by the study participants were objective and they require system changes with reference to the organization of work and the system of continuing education.

3

Ocena wiedzy i postaw personelu medycznego Samodzielnego Publicznego Szpitala Klinicznego im. Prof. Orłowskiego w Warszawie wobec praw pacjenta

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Gotlib J., Dykowska G., Sienkiewicz Z., Skanderowicz E.

Annales Academiae Medicae Silesiensis

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2014

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vol. 68

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issue 2

84-93

EN

BACKGROUND AND AIM OF STUDY The core of a well-organised healthcare system is respecting patients' rights by healthcare professionals. The study aimed to analyse the knowledge of and attitudes towards patients' rights among healthcare professionals. MATERIALS AND METHODS 100 physicians and 100 nurses were enrolled in the study. Specialist physicians constituted 40% of the total, nurses with a secondary school degree represented 30% of all the participants, and nurses with a Bachelor's degree accounted for 25% of the total. The mean age was 40 years old (min. 24, max. 64, SD: 9.390), and the mean length of service of the respondents was 15 years (min. 1, max. 44, SD: 10.569, median: 13). A diagnostic survey was conducted between November 2012 and January 2013 by means of a voluntary and anonymous questionnaire developed by the authors, consisting of 46 questions. Quantitative and qualitative analysis was performed with Statsoft STATISTICA 10.0, as well as the Mann-Whitney U test, p < 0.05. RESULTS As many as 34% of the physicians and nurses assessed their knowledge of patients' rights as good (p < 0.011). 19% of the physicians and 7% of the nurses assessed their knowledge as very good. 85% of the study partici-pants knew the right to information, right to access medical records, and right to health services (p = NS). 78% of the respondents were familiar with the Act on Patients' Rights and Ombudsman for Patients' Rights. 64% of the total confirmed that they had witnessed the infringement of patients' rights at their workplace. CONCLUSIONS 1. The knowledge of the study participants concerning patients' rights was insufficient. Therefore, a system of training for medical personnel in this field needs to be developed and introduced. 2. Healthcare professionals play a minor role in providing patients with information on their rights. Hence, medical personnel should have an opportunity to acquire knowledge, skills and competence in this area. 3. Due to the fact that a majority of the respondents witnessed the infringement of patients' rights, the observance of patients' rights by healthcare professionals needs to be monitored and those who infringe patients' rights should be held professionally responsible.

PL

WSTĘP I CEL PRACY Respektowanie praw pacjenta przez personel medyczny jest podstawą prawidłowo funkcjonującej służby zdrowia. Celem pracy była analiza wiedzy i postaw personelu medycznego wobec praw przysługujących pacjentom. MATERIAŁ I METODY W badaniu uczestniczyło 100 lekarzy (40% specjalistów) i 100 pielęgniarek (30% z wykształceniem średnim, 25% z licencjackim). Średnia wieku: 40 lat (min. 24, maks. 64, SD: 9), średni staż pracy: 15 lat (min. 1, max. 44, SD: 10; mediana: 13). W pracy zastosowano takie metody, jak: sondaż diagnostyczny, dobrowolne, anonimowe badania ankietowe, samodzielnie skonstruowany kwestionariusz, 46 pytań. Analizę ilościową i jakościową przeprowadzono za pomocą programu Statsoft STATISTICA 10.0 oraz testu U Manna-Whitneya, p < 0,05. WYNIKI Swoją wiedzę na temat praw pacjenta bardzo dobrze oceniło 19% lekarzy i 7% pielęgniarek, zaś dobrze: 34% lekarzy i pielęgniarek (p < 0,011). Prawo do informacji, wglądu w dokumentację medyczną oraz prawo do świadczeń zdrowotnych znało 85% badanych (p = NS). Z ustawą o prawach pacjenta i Rzeczniku Praw Pacjenta zapoznało się 78% badanych, 64% potwierdziło, że było świadkiem łamania praw pacjenta w miejscu pracy. WNIOSKI 1. Wiedza badanych na temat praw pacjenta była niewystarczająca, dlatego należy opracować i wdrożyć system szkoleń dla personelu medycznego w tym zakresie. 2. Rola personelu medycznego w przekazywaniu informacji o przysługujących pacjentom prawach jest znikoma, dlatego należy umożliwić personelowi nabywanie wiedzy, umiejętności i kompetencji w tym zakresie. 3. Większość badanych była świadkami łamania praw pacjenta, dlatego należy monitorować respektowanie praw pacjenta przez personel medyczny i pociągać do odpowiedzialności zawodowej tych, którzy ich nie przestrzegają.

4

Leadership competences in the group of students of Public Health in Medical University of Warsaw: a pilot study.

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Cieślak I., Jaworski M., Panczyk M., Gotlib J.

Critical Care Innovations

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2022

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vol. 5

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issue 2

11-19

EN

INTRODUCTION: A recent survey by the Association of Schools of Public Health in the European Region asserts that European public health programmes lack modernity and do not provide adequate leadership education. Aim of the study - to assess leadership competences in a group of Public Health students at the Faculty of Health Sciences of the Medical University of Warsaw in Poland. MATERIAL AND METHODS: A total of 178 students: 84 third-year first-cycle students and 94 second-year secondcycle students of Public Health at the Faculty of Health Sciences of the Medical University of Warsaw, Poland. An 80% survey return rate; 153 women. Mean age 23.29 years (min. 22, max. 37, SD: 3.060).The PAPI method; voluntary participation; standardized anonymous Authentic Leadership Self-Assessment (SAP) questionnaire; 16 items on a Likert scale of 1 (completely disagree) to 5; four dimensions: 1. Self-awareness, 2. Ethics/morality, 3. Openness to feedback and 4. Transparency in relationships; high score: 16-20 points, low score: 15 points or less; Cronbach's alpha coefficient: 0.710; descriptive statistics. RESULTS: In the study group, 54% of students demonstrated a high level of leadership competences (16-20 points) in the dimension of Self-awareness (S). Most students obtained a low score (15 points or less) in the dimensions of: Ethics/morality - 55%, Openness to feedback - 58% and Transparency in relationships - 75%, which means a low level of the competences in question. CONCLUSIONS: The level of leadership skills in the study group was low, which is why, since the academic year 2017/2018, the first- and second- cycle study programmes have included courses on psychosocial skills.This may, in the future, promote the development and refinement of leadership skills, in line with the expectations of most employers. Due to the fact that the presented research is of a pilot nature, it will be continued in the following years in order to assess the impact of changes in the curricula on the improvement of students' leadership skills.

PL

WSTĘP: Niedawne badanie przeprowadzone przez Stowarzyszenie Szkół Zdrowia Publicznego w Regionie Europejskim potwierdza, że europejskim programom zdrowia publicznego brakuje nowoczesności i nie zapewniają odpowiedniej edukacji przywódczej. Cel pracy - ocena kompetencji przywódczych w grupie studentów Zdrowia Publicznego Wydziału Nauk o Zdrowiu Warszawskiego Uniwersytetu Medycznego w Polsce. MATERIAŁ I METODY: Łącznie 178 studentów: 84 studentów III roku studiów I stopnia i 94 studentów II roku kierunku Zdrowie Publiczne na Wydziale Nauk o Zdrowiu Warszawskiego Uniwersytetu Medycznego. 80% zwrotów z ankiety; 153 kobiety. Średnia wieku 23,29 lat (min. 22, maks. 37, SD: 3.060). Metoda PAPI; dobrowolny udział; ustandaryzowany anonimowy kwestionariusz Autentycznej Samooceny Przywództwa (SAP); 16 pozycji w skali Likerta od 1 (całkowicie się nie zgadzam) do 5; cztery wymiary: 1. Samoświadomość, 2. Etyka/moralność, 3. Otwartość na informacje zwrotne oraz 4. Przejrzystość w relacjach; wysoki wynik: 16-20 punktów, niski wynik: 15 punktów lub mniej; współczynnik alfa Cronbacha: 0,710; opisowe statystyki. WYNIKI: W badanej grupie 54% studentów wykazywało wysoki poziom kompetencji przywódczych (16-20 pkt) w wymiarze Samoświadomość (S). Większość uczniów uzyskała niski wynik (15 punktów lub mniej) w wymiarach: Etyka/moralność – 55%, Otwartość na informację zwrotną – 58% oraz Przejrzystość w relacjach – 75%, co oznacza niski poziom omawianych kompetencji. WNIOSKI: Poziom umiejętności przywódczych w badanej grupie był niski, dlatego od roku akademickiego 2017/2018 na studiach I i II stopnia prowadzone są zajęcia z zakresu umiejętności psychospołecznych. Rozwój i doskonalenie umiejętności przywódczych, zgodnie z oczekiwaniami większości pracodawców. Ze względu na to, że prezentowane badanie ma charakter pilotażowy, będzie ono kontynuowane w kolejnych latach w celu oceny wpływu zmian w programach nauczania na doskonalenie umiejętności przywódczych uczniów.

5

Incidence of acute allergic reactions to contrast medium following CT examination on the basis of analysis of medical record data – preliminary report

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Zdanowski P., Szymczewska D., Dykowska G., Gotlib J.

Polish Journal of Public Health

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2015

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vol. 125

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issue 2

103-109

EN

Introduction. A contrast-enhanced CT examination can have negative health implications. It can spark both allergic and other adverse reactions. Aim. The study aimed at analyzing the incidence of acute allergic reactions to Ultravist 370, used as a contrast medium in a CT examination. Material and methods. The analysis of medical records that comprised 12295 patients who had undergone a CT examination. Women accounted for 50.7% of the study participants. Mean age of the patients was 62 years (min. 15; max. 92, SD=10.123). In the study, 6219 patients were examined without using a contrast medium and 6076 individuals underwent a contrast-enhanced CT examination. In the further analysis, Group 1 comprised of 15 patients from the contrastenhanced CT examination group who confirmed being allergic to a contrast medium after the CT examination and Group 2 comprised 49 persons who had reported being allergic to iodine before the CT examination. Results. 15 patients (8 women and 7 men) developed an allergy to Ultravist 370 (contrast medium). An acute allergic reaction was most likely to happen in two groups of patients: between 31-40 and 51-60 years. Some 12 out of 15 patients had no contraindications for taking an iodine-based contrast medium. The most frequent allergic reactions to Ultravist 370 were rash and urticaria (15 patients). Five patients out of those who experienced adverse reactions reported two symptoms of allergy each while other patients reported one symptom only. Patients with mild symptoms of acute reaction to a contrast medium (15 patients) received pharmacotherapy recommended by a radiologist. Some 13 individuals received Solu-Medrol intravenously and 2 patients received Solu-Medrol intravenously and Fenicort intramuscularly. Conclusions. 1. Using Ultravist 370 in patients is safe, since there is very low risk of adverse side effects caused by the application of this contrast medium. 2. In the present study, age, gender, and risk factors contributed to the development of acute allergic reactions. However, due to the small size of the study group, it is obvious that issues like the incidence of symptoms of discomfort or intolerance of the drug need further research. 3. Owing to the fact that essential biochemical tests had not been performed on a large group of patients, doctors referring patients to a CT examination should take care of their own safety by properly preparing themselves for this procedure. 4. It seems essential to develop and implement regular trainings for CT laboratory staff with reference to the following issues: the incidence and nature of acute adverse reactions to non-ionic contrast medium (Ultravist 370), as well as the procedures for dealing with side effects

6

Drug Closure of a Patent Ductus Arteriosus in an Extremely Low Birth Weight Premature Newborn. A Case Report

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Kaczyńska A., Broczek K., Sienkiewicz Z., Gotlib J.

Polish Journal of Public Health

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2015

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vol. 124

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issue 4

215-219

EN

The article presents the role of government and non-government organisations in promoting knowledge on Alzheimer's disease in Poland and the European Union. There is a detailed analysis of the EU documents and non-government organisations in promoting knowledge on Alzheimer's disease in Germany, France and Holland. There is a discussion on the National Alzheimer's Plan on the basis of an example of introducing such a plan in Finland. Additionally, the rules of helping people suffering from Alzheimer's disease and their attendants in Poland are presented.

7

The impact of the evaluation of summer internships on student self-assessment of and opinion on educational outcomes obtained by the second students of Public Health.

88%

Cieślak I., Panczyk M., Musik S., Grzebieluch J., Gotlib J.

Critical Care Innovations

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2022

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vol. 5

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issue 1

1-14

EN

INTRODUCTION: : Summer internships constitute an essential component of the curriculum and have the greatest impact on preparing students for entering the labour market. Mandatory practical training for Warsaw Medical University students is usually held during summer internships. The study aimed to analyse the impact of the evaluation of summer internships on student self-assessment of and opinion on educational outcomes obtained by the second-cycle degree students of Public Health. MATERIAL AND METHODS: The study involved 87 graduates (15 men and 72 women) from the second-cycle degree programme in Public Health at the Department of Public Health, Faculty of Health Sciences, Warsaw Medical University. The study enrolled second-cycle degree students who graduated in the academic year 2015-16. A questionnaire return rate was 97% (85/87). Mean age of the study population amounted to 25.85 years (min. 23; max. 51; SD 4.550). A voluntary questionnaire study was conducted between July and September 2016. The study used an anonymous questionnaire developed by the authors at the Department of Education and Research in Health Sciences, Faculty of Health Sciences, Warsaw Medical University, based on the the list of educational outcomes adopted by the resolution of Warsaw Medical University Senate. The default significance level was established at 0.05. RESULTS: Most students participating in the study reported that their internships were valuable for them and had a positive impact on the level of achievement of educational outcomes included in the curriculum for the second-cycle degree programme in Public Health. Internships had significantly influenced the opinion of students participating in the study on the achievement of educational outcomes related to this area (rS = 0.24, p = 0.027). It was shown that a better assessment of internship went hand in hand with better self-assessment of student's knowledge. CONCLUSIONS:Despite an overall positive assessment of summer internships, they did not have a significant impact on the level of achievement of educational outcomes and student self-assessment. Therefore, there is a need for further assessment of the quality of summer internships, varification of internship placements and development of an internship database for students.

PL

WSTĘP: Praktyki letnie stanowią istotny element programu nauczania i mają największy wpływ na przygotowanie studentów do wejścia na rynek pracy. Obowiązkowe praktyki dla studentów Warszawskiego Uniwersytetu Medycznego odbywają się zazwyczaj podczas praktyk letnich. Badanie miało na celu analizę wpływu oceny praktyk wakacyjnych na samoocenę i opinię studentów o efektach kształcenia uzyskiwanych przez studentów II stopnia kierunku Zdrowie Publiczne. MATERIAŁ I METODY: W badaniu wzięło udział 87 absolwentów (15 mężczyzn i 72 kobiety) studiów II stopnia na kierunku Zdrowie Publiczne w Katedrze Zdrowia Publicznego Wydziału Nauk o Zdrowiu Warszawskiego Uniwersytetu Medycznego. Do badania zakwalifikowali się studenci studiów II stopnia, którzy ukończyli studia w roku akademickim 2015-16. Wskaźnik zwrotu kwestionariusza wyniósł 97% (85/87). Średni wiek badanej populacji wynosił 25,85 lat (min. 23; maks. 51; SD 4,550). Dobrowolne badanie ankietowe przeprowadzono w okresie od lipca do września 2016 r. W badaniu wykorzystano anonimową ankietę opracowaną przez autorów w Zakładzie Kształcenia i Badań Nauk o Zdrowiu Wydziału Nauk o Zdrowiu Warszawskiego Uniwersytetu Medycznego na podstawie wykazu efektów kształcenia przyjęty uchwałą Senatu Warszawskiego Uniwersytetu Medycznego. Domyślny poziom istotności ustalono na 0,05. WYNIKI: Większość studentów biorących udział w badaniu stwierdziła, że odbyte staże były dla nich wartościowe i miały pozytywny wpływ na poziom osiągania efektów kształcenia zawartych w programie studiów II stopnia w zakresie zdrowia publicznego. Praktyki miały istotny wpływ na opinię studentów biorących udział w badaniu na temat osiągania efektów kształcenia związanych z tym obszarem (rS = 0,24, p = 0,027). Wykazano, że lepsza ocena stażu szła w parze z lepszą samooceną wiedzy studenta. WNIOSKI: Mimo ogólnej pozytywnej oceny praktyk wakacyjnych nie miały one istotnego wpływu na poziom osiągania efektów kształcenia i samooceny studentów. W związku z tym istnieje potrzeba dalszej oceny jakości praktyk wakacyjnych, weryfikowania praktyk oraz tworzenia bazy praktyk dla studentów.

8

EFFECTIVE TRAINING OF PhD STUDENTS WITH EVIDENCE-BASED PHARMACY – THE USE OF ONLINE MULTI-MODULE COURSE

88%

Panczyk M., Cieślak I., Zarzeka A., Jaworski M., Gotlib J.

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EN

The objective of the study was to assess the Evidence-Based Practice Profile of PhD students at the Faculty of Pharmacy at Medical University of Warsaw. The study participants were 36 PhD students (72% women), including graduates with the title of Master of Sciences of Pharmacy (N=30) or Medical Laboratory (N=6). The data to determine the EBP profile of the PhD students from the Evidence-Based Practice Profile Questionnaire (EBP2Q) were collected using the CAPI method. Activity reports and the score for problems and analytical tasks obtained by students were generated from the MoodleTM e-learning platform. The evaluation concerned the relationship between specific domains comprising the EBP profile and the students' activity during the online course, as well as the results of the final tests (correlation coefficient (rp)). The total result and the score from specific domains, as obtained from EBP2Q, were average with the domination of lower results. The average time spent on the online course was about 7h, while the most time was spent on studying "Secondary data analyses: meta-analysis and systematic review" by the PhD students (average 1.5 h). The most difficult tests were the meta-analysis interpretation tests and the tests for guidelines for clinical practice. A significant correlation was observed between the number of hits and the score for tasks (rp = 0.661, p < 0.001). As the expected educational results depended on the involvement of PhD students in the online course, activating educational forms should be introduced to the course, such as workshops or project tasks.

9

Assessment of medical personnel knowledge about the function of transplant coordinator with reference to current Polish legislation

88%

Watrakiewicz-Hurko O., Belowska J., Sienkiewicz Z., Dykowska G., Gotlib J.

Polish Journal of Public Health

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2015

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vol. 124

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issue 1

14-20

EN

Introduction. Initially, a transplant coordinator assisted in the process of removal and transplantation of organs. The most important rule in the Polish legislation is the Act of July 17th, 2009, amending the Act on removal, preservation, and transplantation of cells, tissues, and organs. Professional qualifications of a transplant coordinator are specified by the Regulation of the Minister of Health of December 4th, 2009 on detailed conditions of removal, preservation, and transplantation of cells, tissues, and organs. Aim. The study aimed to assess the knowledge of medical personnel about the function of a transplant coordinator with reference to the current Polish legislation. Material and methods. The study was conducted in April 2013 among 100 selected health professionals (25 physicians, 62 nurses, and 13 persons representing other medical professions) with the use of a questionnaire comprising 42 close-ended simple choice questions and one multiple-choice question. They were referring to various aspects associated with the legal axiology of transplantation, procedure of organ donation, and tasks of a donation coordinator, as well as one open-ended question about the age of respondents. Results. Statistically significant differences between the occupational groups were found in relation to questions about legal and medical aspects. As many as 21 nurses (34%), 26 physicians (92%), and 6 persons representing other medical professions (46%) (p<0.000) provided the correct answer to a question referring to determination of death, and 19 nurses (31%), 7 physicians (28%), and 5 persons representing other medical professions (p<0.021) answered correctly to a question about the key premise to determine brain death. Conclusions. 1. The knowledge of medical personnel about the function of a transplant coordinator and the legal provisions concerning brain death determination needs to be supplemented. 2. There is a need of constantly supplementing knowledge of medical personnel about the clinical aspects of transplantation

10

Satysfakcja ze studiowania studentów ostatniego roku fizjoterapii w wybranych krajach Europy / Analysis of satisfaction in studying physiotherapy among students from selected European countries in their final year

76%

Gotlib J., Cabak A., Cavlak U., Janev S., Kunicka I., Paz Lourido B., Białoszewski D.

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2011

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vol. 19

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issue 4

26-36

EN

The organisation of degree programmes in European countries differs with duration of the programme, number and content of hours of courses. The aim of this study was to assess the degree of satisfaction with studying in students. 299 final-year students from 5 countries: 20 from Bulgaria (BG), 100 - Spain (ES), 21 - Latvia (LV), 58 - Turkey (TUR), and 100 - Poland (PL). An anonymous and voluntary questionnaire designed by the authors in national languages. The response rate: 86%. Statistica 9.0, the Kruskall-Wallis test, p < 0.05. While most students would choose to study Physiotherapy again, fewer PL would choose the same university (p < 0.05). 42%PL, 50%ES, 22%TUR stated that the number of class hours of practical courses was too low (p < 0.05). 39%PL, 58%ES, 22%TUR believed that the time of direct work with patients was too short (p < 0.05). TUR (4.13) declared a higher level of satisfaction with studying than PL (3.73) and ES (3.95) (p < 0.05). ES rated their competence in basic clinical areas as lower (p < 0.001) than PL and TUR. More ES (44%) than PL (24%) and TUR (37%) felt well-prepared to look for work (p < 0.05). Conclusion: 1.The organization of a degree programme may influence the level of satisfaction with studying. 2. Regardless of the organization of a degree programme, it is necessary to increase the number of class hours of practical courses and the number of hours devoted to supplying students with qualified information about the latest methods in physiotherapy

11

The Analysis of Opinions and Attitudes of Students of Nursing with Respect to the Observance of Patient's Rights in Poland

76%

Belowska J., Panczyk M., Sienkiewicz Z., Kaczyńska A., Zarzeka A., Gotlib J.

Polish Journal of Public Health

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2015

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vol. 124

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issue 4

209-214

EN

Introduction. As these define the status of the patient during the provision of health services, patients' rights are a very important component of Poland's medical law. The observance of these rights is a prerequisite for the proper performance of the nursing profession. Theoretical and practical preparation in this area is thus already a necessity in the students' education process. Aim. The aim of the study was to analyze the opinions and attitudes of nursing students with respect to problems in the field of the observance of the rights of patients in Poland. Material and methods. The study was built upon the opinions expressed by 375 students (362 women and 13 men) of the first and second year. These were full-time and part-time students in master's studies in nursing, of the Faculty of Health Science, Medical University of Warsaw. The study employed a qualitative and quantitative analysis of the content of essays. Results. The results of the study indicate that 59 percent of the respondents report being frequent witnesses of violation of patient's rights. In particular, that which noted were the rights to privacy and dignity (98%), to receive sought-after information (91%) and to suitable health-care (85%). Another right seen to have been violated in the respondents' workplace was the patient's right to the maintenance of the confidentiality of patient-related information by medical personnel (77%). The respondents, while seeing violation of the patient's rights by other employees, declared their own adherence to these rights in their own professional practice. Conclusions. 1. The majority of the study group repeatedly witnessed violation of patients' rights. It would, therefore, be advisable to monitor the observance of the rights of patients by medical personnel, and to see to the professional liability of those who flagrantly breaking the law. 2. Research findings indicate that ethics should be given more emphasis in teaching future health professionals in the course of their medical studies. 3. The analysis of the available literature and our own study show that the share of medical personnel in providing information about the patients' rights is minimal. It would be advisable for medical personnel to be given an opportunity to acquire new skills and competences in this field. 4. Awareness of the existence and knowledge of the patient's rights, not only among medical students and health professionals, but also among patients, is crucial to their observance by the former and their exercise by the latter. It should, therefore, be spread and raised. 5. Training and thematic courses in patient's rights should be provided in order to enable medical personnel to acquire new skills and competences in this field, with the end result of improving their observance of patient's rights. 6. A qualitative analysis constitutes an innovative and effective way of carrying out research and interpreting research findings, being a valuable and reasonable method of conducting a survey, and in exploring the attitudes of students and health-care workers towards patient's rights.

12

NURSE PRESCRIBING. THE KNOWLEDGE OF NURSING AND MIDWIFERY STUDENTS REGARDING NEW PROFESSIONAL COMPETENCES. POLAND-WIDE MULTICENTER STUDY.

64%

Zarzeka A. A., Panczyk M., Belowska J., Iwanow L., Cieślak I., Mazur N., Paz Lourido B., Gotlib J.

Acta Poloniae Pharmaceutica - Drug Research

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2018

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vol. 75

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issue 4

1031-1039

EN

Introduction Since 1 January 2016 certain groups of nurses and midwives (N&Ms) have been entitled to administer certain medicines to patients and issue perceptions for it (independent nurse prescribing - INP), issue prescriptions upon physician's order (supplementary nurse prescribing - SNP) and to refer patients to determined diagnostic tests. Students’ knowledge on the possibility and principles of nurse prescribing seems to be important. Aim of study To evaluate the knowledge of 1st year students of Bachelor’s studies in nursing and midwifery on the possibility and principles of prescribing authorities of N&Ms in Poland. Material and methods 2338 1st year students of Bachelor’s nursing (1941) and midwifery (398) studies from 26 state higher vocational schools of universities. Own questionnaire assessed in the pilot study; the internal reliability of measurement on the knowledge rating scale was estimated by calculating Cronbach’s alpha reliability coefficient Results Group of 11% to 64% (depending on a question) gave correct answers. 14 % knew criteria which N&Ms are required to meet in order to refer patients to diagnostic tests. Almost 2/3 of the interviewees also knew where to find the list of active substances allowed in medicines independently prescribed by N&Ms. The internal reliability of the knowledge rating scale was 0,389. Conclusions The knowledge of students regarding N&Ms’ prescribing powers is superficial, but most of respondents knew the crucial issues. It is necessary to correctly determine education standards and to focus on their implementation tools, so that those concerned could acquire desired competences during studies.

13

Attitudes of physiotherapy students towards the physiotherapist community and scientific societies associated with physiotherapy and rehabilitation

52%

Gotlib J., Białoszewski D., Cabak A., Barczyk K., Bugajski A., Grzegorczyk J., Kułak W., Majcher P., Nowotny-Czupryna O., Płaszewski M., Prokopowicz K., Sierdziński J.

|

2010

|

vol. 18

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issue 2

63-71

PL

Cel pracy: celem pracy była analiza postrzegania postaw studentów fizjoterapii uczelni medycznych (PM), uczelni o profilu wychowanie fizyczne (PWF) oraz pozostałych uczelni (IP) wobec własnej grupy zawodowej oraz towarzystw naukowych związanych z fizjoterapią i rehabilitacją. Materiał i metody: badaniami objęto łącznie 593 studentóow 10 polskich uczelni: 4 PM, 2 PWF i 4 IP. Badania zostały przeprowadzone w marcu i kwietniu 2009 roku wśród studentów III roku. Udział w badaniu był dobrowolny. Narzędziem badawczym był anonimowy, autorski, kwestionariusz zawierający łącznie 88 pytań. Do analizy prezentowanych w niniejszej pracy wyników wybrano 5 pytań. Analiza statystyczna: test Kruskalla-Wallisa i test Chi-kwadrat (X2); p < 0,05, STATISTICA 8.0, licencja WUM. Wyniki: w badanej grupie dominowała opinia, że grupa zawodowa fizjoterapeutów w Polsce jest podzielona: 41% PM, 44% PWF i 39% IP (p = NS), jednakże duża grupa badanych nie miała na ten temat zdania: 41% PM, 40% PWF i 42% IP (p = NS). 25% badanej grupy studentów znało Polskie Towarzystwo Fizjoterapii jako organizację naukową zrzeszającą fizjoterapeutów: 33% PM, 35% PWF oraz 16% IP. Tylko 3% wszystkich studentóow potrafiło wymienić również Polskie Towarzystwo Rehabilitacji. Studenci PM i PWF istotnie częściej (p < 0,001) niż studenci IP znali towarzystwa naukowe. Najbardziej znanym czasopismem naukowym z dziedziny fizjoterapii i rehabilitacji była w badanej grupie studentóow Fizjoterapia Polska - 34% oraz Fizjoterapia 32%. Tylko 11% studentów znało tytuł: Postępy Rehabilitacji. Wniosek: organizacje zawodowe i naukowe zrzeszające fizjoterapeutów powinny podjąć działania promocyjne wśród studentóow, zachęcając tę grupę do czynnego udziału w swych pracach, co wpłynęłoby na ściślejszą integrację grupy zawodowej, która pozwoliłaby z kolei na skuteczniejszą walkę o własne interesy zawodowe.

EN

Aims: the aim of this paper was to analyse the attitudes of physiotherapy students of medical universities (PM), universities of physical education (PWF), and other university-level schools (IP) towards the professional community of physiotherapists. Ma terial and methods: the study enrolled a total of 593 students of 10 Polish universities (4 PM, 2 PWF and 4 IP). The study was carried out in March and April 2009 among third-year students. Participation was voluntary. The data was collected on the basis of an 88-question anonymous questionnaire designed by the authors. The findings presented in this paper are based on the responses to five questions. Statistical analyses utilised the chi-squared test (X2) and the Kruskall-Wallis test at p < 0.05 (STATISTICA 8.0 licensed to Warsaw Medical University). Results: the predominant opinion in the study population (41% PM, 44% PWF, 39% IP; p = NS) was that the physiotherapist community in Poland is divided. However, a considerable percentage of the students (41% PM, 40% PWF, 42% IP; p = NS) had no opinion about that issue. A quarter of the entire study population (33% PM, 35% PWF, 16% IP) named Polish Society of Physiotherapy as a professional organisation for physiotherapists. Only 3% of all students were additionally able to name Polish Society of Rehabilitation. PM and PWF students were able to name scientific societies significantly more frequently (p < 0.001) than IP students. The best known academic journals in physiotherapy and rehabilitation were Fizjoterapia Polska (34%) and Fizjoterapia (32%). Only 11% of the students were able to name Postępy Rehabilitacji. Conclusion: professional and scientific organisations of physiotherapists should undertake promotional activities among students to encourage them to contribute actively to the work of these organisations, which would improve integration of the physiotherapist community, thus helping physiotherapists to defend their professional interests more effectively.

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Attitudes of physiotherapy students towards the physiotherapist community and scientific societies associated with physiotherapy and rehabilitation