Expected quality of medical services in patients' opinion

Medical services are unique type of industry in which measurement, evaluation and improvement of quality is not evident. This is due to the fact that the final results, even fully correct and consistent with the current medical knowledge of the treatment process, are not always predictable. In the medical profession, the quality of services provided is largely based on the subjective perceptions of the patients, that is why the field requires a different approach than other services. Objective. The aim of the study was to elitic and hierarchize elements that are the most important and most displeasing for patients in the process of using medical services as those factors determine the perceived level of medical services' quality. Material and method. The research method used in the study was a diagnostic survey, the technique was author's questionnaire. The study was conducted from January to May 2016. During this period 185 surveys were completed for statistical analysis. Surveys were filled in by respondents who declared active use of services provided by Polish public health care institutions. Results and conclusions. Regardless of the age and gender of the respondents, responses were very similar and clearly indicated that the most important element that determines the assessment of services is competence of the staff (education, knowledge, experience but also respect for patients) and availability and waiting times. In turn, the most displeasing elements are: long waiting times for health services, long queues, difficulties with availability of health services, hasty medical visits (short, superficial visit without thourough medical interview). Results of the study show, that patients' expectations are reasonable and possible to meet by health care institutions

LEGAL ACTS OPERATING IN POLAND CONCERNING FIRST AID

Patrycja Misztal-Okońska, Mariusz Goniewicz, Kamil Bednarz. LEGAL ACTS OPERATING IN POLAND CONCERNING FIRST AID. Journal of Education, Health and Sport. 2017;7(11):103-109. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1044017 http://ojs.ukw.edu.pl/index.php/johs/article/view/5015 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.10.2017. Revised: 21.10.2017. Accepted: 08.11.2017. LEGAL ACTS OPERATING IN POLAND CONCERNING FIRST AID Patrycja Misztal-Okońska, Mariusz Goniewicz, Kamil Bednarz 1 Medical Rescue Department of Medical University of Lublin Abstract Having knowledge and skills in first aid is extremely important as this has a huge impact on the health and life of the injured person during an emergency. In Poland, the issue of the obligation to provide first aid is governed by a number of legal acts, so that citizens can feel secure in the hope that they will be assisted by witnesses if necessary. The paper presents the legal acts in force in Poland that mention the obligation to provide first aid. Its aim, in addition to discussing the most important laws and regulations, is to emphasize the essential need to acquire and update skills in this area. Keywords: first aid, legal act

The regression analysis of predictors for selected health behaviors among elderly in Poland

The meaning of the word health takes on a different connotation in relation to certain individuals or groups. The trend is visible when taking under consideration the health of elderly individuals or the entire population in this age category. Even more, there has been noticed a great spread in individuals belonging to this age group, given that the elderly person is considered to be one that completed 65 years of life untill the diversified its end. Therefore, such a wide age range covering approximately 20 - 30 years demands diverse criteria for persons aged 70 years and the ones aged 90 years.            The purpose of the study was to identify predictors influencing the health behaviors of people over 65 years of age in Poland.            On the one hand, older age allows a sense of satisfaction, fulfillment and understanding for the meaning of the whole past life. On the other hand, it can be a source of physical and mental pain, the cause of dissatisfaction and frustration. All in all, the manner in which this period is experienced depends on numerous factors. These include both genetic and individual factors as well as social aspects. However, the most important ones are considered to be health behaviors of seniors. For that reason, taking into account the perspective of aging Poland, joint preparation for old age should become a priority undertaking

Importance of immediate electronic-based feedback to enhance feedback for first-time cpr trainees

Sudden cardiac arrest is one of the leading causes of death globally. The recommended clinical management in out-of-hospital cardiac arrest cases is the immediate initiation of high-qual-ity cardiopulmonary resuscitation (CPR). Training mannequins should be combined with technology that provides students with detailed immediate feedback on the quality of CPR performance. This study aimed to verify the impacts of the type of feedback (basic or detailed) the responders receive from the device while learning CPR and how it influences the quality of their performance and the motivation to improve their skills. The study was conducted at the Medical University of Lublin among 694 multi-professional health students during first aid classes on basic life support (BLS). The students first practiced on an adult mannequin with a basic control panel; afterward, the same mannequin was connected to a laptop, ensuring a detailed record of the performed activities through a projector. Next, the participants expressed their subjective opinion on how the feedback provided during the classes, basic vs. detailed, motivated them to improve the quality of their CPR performance. Additionally, during the classes, the instructor conducted an extended observation of students’ work and behavior. In the students’ opinion, the CPR training with detailed feedback devices provided motivation for learning and improving CPR proficiency than that with a basic control panel. Furthermore, the comments given from devices seemed to be more acceptable to the students, who did not see any bias in the device’s evaluation compared to that of the instructor. Detailed device feedback motivates student health practitioners to learn and improve the overall quality of CPR. The use of mannequins that provide detailed feedback during BLS courses can improve survival in out-of-hospital cardiac arrest

Polypharmacy among adults aged over 65 years

Misztal-Okońska Patrycja, Młynarska Magdalena, Goniewicz Mariusz, Ceglińska Dominika. Polypharmacy among adults aged over 65 years. Journal of Education, Health and Sport. 2017;7(8):267-279. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.846923 http://ojs.ukw.edu.pl/index.php/johs/article/view/4726 https://pbn.nauka.gov.pl/sedno-webapp/works/829168 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.08.2017. Revised: 02.08.2017. Accepted: 23.08.2017. Polipragmazja wśród osób po 65 roku życia Patrycja Misztal-Okońska1, Magdalena Młynarska1, Mariusz Goniewicz1, Dominika Ceglińska2 1Zakład Ratownictwa Medycznego Wydziału Nauko o Zdrowiu Uniwersytetu Medycznego w Lublinie 2absolwentka kierunku Zdrowie Publiczne, Wydziału Nauk o Zdrowiu Uniwersytetu Medycznego w Lublinie Terminem polipragmazja określane jest równoczesne zażywanie wielu leków bez znajomości mechanizmów ich działania oraz występujących między nimi interakcji, lub zażywanie przynajmniej jednego leku, dla którego nie ma wskazań. Zjawisko polipragmazji występuje szczególnie u osób starszych i najczęściej jest skutkiem leczenia poszczególnych schorzeń przez kilku lekarzy. Polipragmazja wiąże się ze zwiększonym ryzykiem wystąpienia interakcji lekowych, niepożądanych działań leków oraz hospitalizacji osób starszych. Celem pracy była próba poznania zachowań związanych z przyjmowaniem leków i suplementów diety przez osoby, które ukończyły 65 lat. Materiła i metoda. Badania zostały przeprowadzone w klubie senior w Wąwolnicy (40 osób) oraz w sanatorium uzdrowiskowym w Nałęczowie (60 osób). Razem przebadano 100 osób po 65 r.ż. Metodą badawczą był sondaż diagnostyczny, zaś narzędziem badawczym autorski kwestionariusz ankiety audytoryjnej. Wyniki. Większość ankietowanych (67%) stanowiły osoby pomiędzy 65 a 69 r.ż., następnie 23% osoby w wieku 70-79 lat. Średnia ilość spożycia leków w ciągu dnia przez jedną osobę wynosi 4 leki na dobę. Ponad połowa ankietowanych (60%) stosuje samoleczenie. 20% badanych przyznaje się do przyjmowania więcej niż 1 antybiotyku jednocześnie, a jedynie 28,6% badanych posiadało wiedzę, jak należy prawidłowo przyjmować probiotyk podczas antybiotykoterapii. Aż 10% badanych zadeklarowało, że byli hospitalizowani z powodu polipragmazji. Wnioski. Na podstawie wyników badań wnioskować można, że osoby powyżej 65 roku życia mogą być narażone na zaistnienie u nich zjawiska polipragmazji, dlatego lekarze (w szczególności lekarze rodzinni) powinni pamiętać, aby przypominać osobom straszym o koniczności konsultacji z nimi wszystkich zażywanych medykametów. Należy zwrócić szczególną uwagę na edukację pacjentów w zakresie właściwego sposóbu przyjmowania probiotyków podczas antybiotykoterapii. Słowa klucze: polipragmazja, samoleczenie, interakcje lekowe, wiek geriatryczny Polypharmacy among adults aged over 65 years Patrycja Misztal-Okońska1, Magdalena Młynarska1, Mariusz Goniewicz1, Dominika Ceglińska2 1 Department of Emergency Medicine, Faculty of Health Sciences, Medical University of Lublin 2 graduate of Public Health, Faculty of Health Sciences of Medical University of Lublin The term polypharmacy is defined as using many drugs without knowing the mechanism of their effects on the body, interactions between them, or taking at least one drug for which there are no indications.The phenomenon of polypharmacy occurs especially in the elderly and is most often the result of treatment of one patient’s several conditions by different doctors. Polypharmacy is associated with increased risk for drug interactions, adverse drug reactions, and hospitalization of the elderly. . Polypharmacy is increased also by the use of over-the-counter (OTC) medicines, dietary supplements or herbs without consulting a doctor. The purpose of the research was to study behaviors related to medication and diet supplementation by people aged over 65 years. Study group and method. The research was conducted in a senior club in Wąwolnica (40 people) and in the spa sanatorium in Nałęczów (60 people). A total of 100 people over 65 years were examined. The research method was a diagnostic survey, and the research tool was the author's survey questionnaire. Results. The majority (67%) of respondents were between 65 and 69 years old, followed by 23% of 70-79 year olds. The average amount of drug intake per person is 4 drugs per day. Over half of respondents (60%) use self-treatment. 20% of respondents admit to take more than 1 antibiotic at the same time, while only 28.6% of the subjects have knowledge of how to take the probiotic during antibiotic therapy properly. As many as 10% of the respondents declared that they were hospitalized due to polypharmacy. Conclusions. The results of the study show that people aged over 65 years may be at risk of polypharmacy, that is why physicians (GP’s in particular) should remember to remind the elderly of the need to consult every drug they take with every doctor they consult with. Particular attention should be paid to the education of patients regarding the proper way of taking probiotic during antibiotic therapy. Key words: polypharmacy, self-medication, drug interactions, geriatric ag

Personality and education profiles of emergency rescuer

Education of medical emergency rescuers is a hard task and very responsible. The scope of knowledge, which must be adopted during the education by future medical rescuers in view of specificity of profession is wide and miscellaneous. From manners of education and forming of personality of medical rescuer will be depend health and life of victims of case and catastrophes. This article compares the personality characteristics identified by the rescuer medical students toward medical emergency, Medical University of Lublin psycho-physicals with the requirements specific to the profession set out in regulations and standards of training for medical professional rescuers. It also means the development of communication skills and personality of the future emergency rescuers at the Medical University of Lublin

Law of health education on first aid

Polish law requires all citizens to take action in order to assist in any case, where exist the danger of loss of life and serious bodily injury of victim, even if they can prove to be ineffective. Everyone can become a participant and / or witnessed of the events where human life is endangered. Therefore everyone should have the theoretical knowledge and practical skills in first aid, and know the consequences of inaction in the event of danger to life or health of another human being. The research presents an analysis of legal acts regulating the provision of first aid in Poland. An attempt was made to organize the interpretation presented ideas to the presented material was help and guidance for trainers in first aid. Particular emphasis is placed on the realization, that not helping the man appearing in the position of threatening an imminent danger of death or grievous bodily injury commits a crime by omission. However, first aid in their duties diligently, in accordance with the current guidelines will not conflict with the law

Education and training of emergency nursing

In recent years, rapid changes taking place in the system of medical emergency services, as well as in emergency nursing, have contributed to changes of binding legislation. Amendment of the regulation of the Minister of Health and Social Welfare on postgraduate education of nurses and midwives concerned the extension of domains’ list by emergency nursing, which has resulted in the organisation of specialist and training in the field of emergency nursing since 2004. The objective of the following paper is to present new regulations normalising education of nurses, with a detailed specialist curriculum “Performing tracheotomy: the decompression of tension pneumothorax and intraosseous access” as well as the nurse’s rights in the field of diagnostics and therapeutic service

The european emergency number 112 - the questionnaire

Introduction. The first links in the rescue chain, the first aid and the call for specialist help, often determine the fate of the victim in a state of sudden threat to life. Therefore, the pyramid of rescue success should be built on the foundation of social rescue. Each reduction in the time of starting first aid increases the number of victims who survive the accident. Objective of the work. The aim of the work was to examine the state of knowledge of students about the European emergency number 112 and to compare knowledge about emergency numbers among various academic communities. Material and method. The study was conducted among students of the Medical University of Lublin, the Medical University of Warsaw, Lublin University of Technology, University of Economics, Law and Medical Sciences in Kielce. 610 respondents, including 402 women and 208 men, took part in the study. The research tool was the author's questionnaire, whose design was modeled on the research "Flash Eurobarometer Series 285". The obtained results were subjected to statistical analysis using the STATISTICA 12.5 program. Conclusions. Most of the respondents (92%) identify the 112 number as an emergency number that allows them to connect to emergency services from anywhere in the European Union. A significant number of respondents (47%) identify the 112 number as an emergency number in Poland. One in three respondents will use the 999 number to contact the emergency services as a witness to an emergency in Poland. Non-medical university students more often (63%) will use the 112 emergency number than medical college students (41%). Respondents (98%) confirmed the usefulness of a unified emergency number throughout Europe, but decided that they were not sufficiently informed about 112 as the European emergency number

The history of treatment of congenital club foot

Wrodzona stopa końsko-szpotawa jest drugą co do częstości występowania wadą rozwojową dotyczącą kończyn dolnych. Najstarsze opisy tej wady można odnaleźć w przekazach z X wieku przed naszą erą w indyjskiej księdze modlitewnej Yajur Veda. Artykuł wychodząc od medycznych aspektów tego zaburzenia rozwojowego przedstawia historię rozwoju metod leczenia stopy końsko-szpotawej w medycynie europejskiej od czasów starożytnych. Przeanalizowano zarówno historię rozwoju metod leczenia zachowawczego tej wady jak i technik operacyjnych