Development and validation of satisfaction with clinical practice questionnaire for mentors and students.

OBJECTIVES: To develop and validate a questionnaire on satisfaction with clinical practice for mentors (QSCP-M) and a questionnaire on satisfaction with clinical practice for students (QSCP-S). METHODS: Two versions of the questionnaires were constructed: a version for mentors and a version for students. Both surveys were conducted at two time points. The first survey was completed by 252 students and 86 mentors, and the second by 291 students and 94 mentors. RESULTS: Several exploratory factor analyses were performed on the results obtained, and two factors were identified for the QSCP-M and one factor for the QSCP-S. The coefficients of internal reliability for both questionnaires indicated stable and reliable measuring instruments. CONCLUSIONS: Clinical practice satisfaction questionnaires for mentors and students showed good metric characteristics. The validation shows that both questionnaires are appropriate for examining general and specific satisfaction with clinical practice.

The Sense of Coherence and Subjective Well-Being as Resources of Resilience in the Time of Stressful Situations: COVID-19 Outbreak and Earthquakes.

BACKGROUND: The coronavirus outbreak was labeled a global pandemic by the WHO in March 2020. Simultaneously, an earthquake of 5.5 hit Croatia's capital Zagreb. The present study investigated the association between the sense of coherence, subjective well-being, and emotional distress (depression, anxiety, and stress) that people went through while facing an acute stress situation of COVID-19 outbreak and the earthquakes. SUBJECTS AND METHODS: This cross-sectional study included 1152 subjects. Orientation to Life Questionnaires (OLQ-13), Personal Wellbeing Index (PWI) and DASS-21 scale were used in an anonymous online survey which was conducted on 22 March 2020 (the twelfth day of the COVID-19 outbreak in Croatia and the day of the earthquakes in the Capital). The results of the questionnaires were determined by the correlation analysis. Hierarchical multiple regression was used to evaluate the association between the subjective well-being and the sense of coherence on the emotional distress. RESULTS: The sense of coherence correlated positively with subjective well-being (p<0.01) and negatively with all distress domains (p<0.01) as well as subjective well-being (p<0.01). Mild emotional distress was detected. Subjects who experienced the earthquakes showed a significantly higher degree of anxiety (p=0.005) and stress (p=0.003), with significantly decreased the two personal well-being domains: standard of living (p=0.023) and personal safety (p=0.026). Sense of coherence made a major contribution in explaining emotional distress (p<0.001). CONCLUSION: The results support the importance of improving coping efficiency of the sense of coherence with respect to obtaining an appropriate level of well-being and reducing emotional distress in acute stressful situations.

Quality of pain in herpes zoster patients.

Pain typically accompanies acute herpes zoster and persists well beyond rash healing. Different types of pain are reported by patients with herpes zoster. Current studies show that these types of pain vary with respect to their presence, location, duration, intensity and quality, hence pain needs to be analyzed more thoroughly. The aim of the study was to assess different components of pain in patients with herpes zoster. The study subjects were 46 patients diagnosed with herpes zoster and selected out of 493 patients treated at the Pain Therapy Clinic, the outpatient facility of Zagreb Clinic for Traumatology, in 2010. Measures used to assess pain and daily activities were the following: SF McGill Pain Questionnaire, Visual Analogue Scale, Self-Assessment of Life Satisfaction, Health Satisfaction and Enjoyment in Life. Analgesic treatment together with demographic and clinical characteristics of patients were also taken into account. The results have shown that the patients report about spontaneous pain mostly in terms of the following qualities of high level pain intensity: throbbing, aching, hot-burning and sharp. The results also demonstrate that herpes zoster pain significantly affects the patients' everyday living quality and their emotional health. Comprehensive assessment of pain is necessary for clinical research about the epidemiology, natural history, pathophysiologic mechanisms, treatment, and prevention of pain in herpes zoster.