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Original Article
Attitudes and Personal Attributes Regarding Patient Receptivity towards the Participation of Medical Students in Gynecological Consultations: A Cross-Sectional Study
- Miriam da Silva Wanderley
, - Dejano Tavares Sobral,
- Brenda Alves de Oliveira Lima,
- Maria Elisa de Bessa Freire,
- Mariana Albuquerque Campos da Silva, [ ... ],
- Thaís Ferreira Souza
11-07-2019
Summary
Original ArticleAttitudes and Personal Attributes Regarding Patient Receptivity towards the Participation of Medical Students in Gynecological Consultations: A Cross-Sectional Study
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(10):613-620
11-07-2019- Miriam da Silva Wanderley ,
- Dejano Tavares Sobral,
- Brenda Alves de Oliveira Lima,
- Maria Elisa de Bessa Freire,
- Mariana Albuquerque Campos da Silva,
- Marina Prado e Silva Gonçalves Rosa,
- Thaís Ferreira Souza
Views124See moreAbstract
Objective
To evaluate the association between the acceptance on the part of the patients and their reasons to consent to or refuse medical student attendance during gynecological outpatient care, considering the participants’ demographic characteristics, consultation experience, and gender bias or lack thereof.
Methods
Face-to-face interviews with patients waiting for gynecological consultations that had been scheduled in advance at Hospital Universitário de Brasília. Contingency analyses were used to determine the levels of association among the patient variables. The accepted significance level was values of p<0.05.
Results
We interviewed 469 patients. The comfort level with the presence of a student was strongly related to the number of students present during the consultation (Cramér V=0.671). The inclination to grant consent (a series of reasons to consent to or refuse student attendance) was significantly related (p<0.001) to the overall receptivity to student participation (ρ=0.482), the positive appraisal of student-doctor demeanor in previous consultations (ρ=0.253, N=408), and to greater levels of schooling (ρ=0.158). The patients’ receptivity was significantly related (p<0.001) to the lack of bias regarding the gender of the physician (CramérV=0.388), previous experience with students (Cramér V=0.235) and awareness of the fact that they would be present (Cramér V=0.217), older age (ρ=0.136, p=0.003), and multiparity (ρ=0.102, p=0.027).
Conclusion
Greater receptivity to student participation related significantly to five conditions in decreasing order of strength of association: lack of bias regarding the gender of the Ob-Gyn, previous experience with student involvement, awareness of the presence of students, older age, and multiparity. We also found that a more positive inclination to consent to student attendance correlated positively with a greater receptivity to student participation and to a suitable student-doctor demeanor.
Views124
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Original ArticleAttitudes and Personal Attributes Regarding Patient Receptivity towards the Participation of Medical Students in Gynecological Consultations: A Cross-Sectional Study
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(10):613-620
11-07-2019- Miriam da Silva Wanderley ,
- Dejano Tavares Sobral,
- Brenda Alves de Oliveira Lima,
- Maria Elisa de Bessa Freire,
- Mariana Albuquerque Campos da Silva,
- Marina Prado e Silva Gonçalves Rosa,
- Thaís Ferreira Souza
Views124See moreAbstract
Objective
To evaluate the association between the acceptance on the part of the patients and their reasons to consent to or refuse medical student attendance during gynecological outpatient care, considering the participants’ demographic characteristics, consultation experience, and gender bias or lack thereof.
Methods
Face-to-face interviews with patients waiting for gynecological consultations that had been scheduled in advance at Hospital Universitário de Brasília. Contingency analyses were used to determine the levels of association among the patient variables. The accepted significance level was values of p<0.05.
Results
We interviewed 469 patients. The comfort level with the presence of a student was strongly related to the number of students present during the consultation (Cramér V=0.671). The inclination to grant consent (a series of reasons to consent to or refuse student attendance) was significantly related (p<0.001) to the overall receptivity to student participation (ρ=0.482), the positive appraisal of student-doctor demeanor in previous consultations (ρ=0.253, N=408), and to greater levels of schooling (ρ=0.158). The patients’ receptivity was significantly related (p<0.001) to the lack of bias regarding the gender of the physician (CramérV=0.388), previous experience with students (Cramér V=0.235) and awareness of the fact that they would be present (Cramér V=0.217), older age (ρ=0.136, p=0.003), and multiparity (ρ=0.102, p=0.027).
Conclusion
Greater receptivity to student participation related significantly to five conditions in decreasing order of strength of association: lack of bias regarding the gender of the Ob-Gyn, previous experience with student involvement, awareness of the presence of students, older age, and multiparity. We also found that a more positive inclination to consent to student attendance correlated positively with a greater receptivity to student participation and to a suitable student-doctor demeanor.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Miriam da Silva Wanderley
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Artigos Originais
Condom use intention among young students in Belo Horizonte: an alert to gynecologists
Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(11):574-580
01-12-2009
Summary
Artigos OriginaisCondom use intention among young students in Belo Horizonte: an alert to gynecologists
Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(11):574-580
01-12-2009DOI 10.1590/S0100-72032009001100008
Views64See morePURPOSE: to investigate factors that motivate safe sex practice, searching for antecedents of the intention to use condom among the population of young students in Belo Horizonte. METHODS: a survey based on the Theory of Planned Behavior (TPB) has been carried out in a sample of 732 students, with ages from 18 to 19 years old. Using the multiple regression analysis on data obtained from an anonymous questionnaire, the importance of antecedents of the intention to use condom, such as: attitude, subjective norm, moral norm, resistance to temptation and perceived control, was investigated. Differences in behavior and attitudes between high and low social classes and between men and women were also assessed, through the t-test for means' comparison between independent samples. RESULTS: in the overall sample, the significant association of attitude and behavioral intention was not detected In the TPB, a higher percent of the intention variance was explained when only one of the partners was responsible for the decision of using the condom (intention-me), than when it was a joint decision of the couple (intention-us). There has been no significant difference between high and low social class groups, but differences have been found between men and women. Men have shown less resistance to the temptation of not using condom. In the evaluation of social pressure (subjective norm), medical doctors and mothers seem to have more influence on the intention to use condom, especially among women. The inclusion of the moral norm antecedent has increased the explained variance in the intention to use condom from 22 to 31%. CONCLUSIONS: attitude differences between men, less resistant to the temptation of not using condom, and women, who highlight the importance of gynecologists and parents' influence in advising about safe sex, may guide campaigns to promote the regular use of condoms.
Views64This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Artigos OriginaisCondom use intention among young students in Belo Horizonte: an alert to gynecologists
Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(11):574-580
01-12-2009DOI 10.1590/S0100-72032009001100008
Views64See morePURPOSE: to investigate factors that motivate safe sex practice, searching for antecedents of the intention to use condom among the population of young students in Belo Horizonte. METHODS: a survey based on the Theory of Planned Behavior (TPB) has been carried out in a sample of 732 students, with ages from 18 to 19 years old. Using the multiple regression analysis on data obtained from an anonymous questionnaire, the importance of antecedents of the intention to use condom, such as: attitude, subjective norm, moral norm, resistance to temptation and perceived control, was investigated. Differences in behavior and attitudes between high and low social classes and between men and women were also assessed, through the t-test for means' comparison between independent samples. RESULTS: in the overall sample, the significant association of attitude and behavioral intention was not detected In the TPB, a higher percent of the intention variance was explained when only one of the partners was responsible for the decision of using the condom (intention-me), than when it was a joint decision of the couple (intention-us). There has been no significant difference between high and low social class groups, but differences have been found between men and women. Men have shown less resistance to the temptation of not using condom. In the evaluation of social pressure (subjective norm), medical doctors and mothers seem to have more influence on the intention to use condom, especially among women. The inclusion of the moral norm antecedent has increased the explained variance in the intention to use condom from 22 to 31%. CONCLUSIONS: attitude differences between men, less resistant to the temptation of not using condom, and women, who highlight the importance of gynecologists and parents' influence in advising about safe sex, may guide campaigns to promote the regular use of condoms.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Gender Archives - Revista Brasileira de Ginecologia e Obstetrícia
