Expert assessment of the competencies of interpersonal interaction between specialists involved in the implementation of the rehabilitation process

Cover Page

Cite item

Full Text

Abstract

Introduction. The need to study the interaction between specialists involved in the implementation of the rehabilitation process is due to the fact that already at the initial stages of the rehabilitation process, effective interpersonal interaction allows identifying patients at risk for medical complications and readmission, and determining the amount of necessary interventions that will be focused on solving various tasks (medical, physical, cognitive, emotional, social, psychological) facing specialists in the process of rehabilitation.

Purpose of the study. Assessment of the competences of interpersonal interaction between specialists (medical and non-medical profile) included in the implementation of the rehabilitation process.

Materials and methods. The total sample size was two hundred forty six people aged of 25–52 years (mean age 31.4 ± 5.18 years). All study participants were employees of rehabilitation centers and were divided into two groups: medical specialists and non-medical specialists. The study was carried out using assessment technology and included individual and group forms of work.

Results. About 90% of the functionality of a modern specialist, both medical and non-medical, included in the implementation of the rehabilitation process, is functional, determined by managing competencies and competencies of interpersonal interaction. Depending on the rehabilitation case, the volume of functional and competence content is determined individually. Non-medical specialists have a higher level of formation of interpersonal interaction competencies in comparison with medical specialists.

Research limitations. Excluded from participation in the study were medical and non-medical specialists who were not employees of rehabilitation centers, as well as employees of rehabilitation centers over 55 years of age.

Conclusion. A necessary condition for the functioning of the rehabilitation direction in the management is an increase in the proportion of medical and non-medical specialists involved in the implementation of the rehabilitation process, with a high level of development of interpersonal interaction competencies and a decrease in the proportion of demotivated employees with a low level of formation of interpersonal interaction competencies.

Compliance with ethical standards. The study was conducted in accordance with the requirements of the Fundamentals of Legislation “On the Protection of the Health of Citizens”; all participants signed an informed consent for the examination (extract from the protocol of the meeting of the ethical committee No. 217 dated April 18, 2022).

Contribution of the authors:
Nikishina V.B. — the concept and design of the study, writing the text, editing, approval of the final version of the article;
Petrash E.A. — writing the text, editing, responsibility for the integrity of all parts of the article;
Simonenko I.A. — collection and processing of material, statistical processing of data;
Orlova E.S. — collection and processing of material, statistical processing of data.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

 Received: March 3, 2023 / Revised: May 24, 2023 / Accepted: October 18, 2023 / Published: April 29, 2024

About the authors

Vera B. Nikishina

Pirogov Russian National Research Medical University

Author for correspondence.
Email: vbnikishina@mail.ru
ORCID iD: 0000-0003-2421-3652

MD, PhD, DSci., Professor, Head of the Department of Clinical Psychology, dir. Institute of Clinical Psychology and Social Work of the N.I. Pirogov, Moscow, 117997, Russian Federation

e-mail: vbnikishina@mail.ru

Russian Federation

Ekaterina A. Petrash

Pirogov Russian National Research Medical University

Email: petrash@mail.ru
ORCID iD: 0000-0002-3177-088X

MD, PhD, DSci., Associate Professor, Professor of the Department of Clinical Psychology, Deputy Dean. Institute of Clinical Psychology and Social Work of the Russian National Research University named after N.I. Pirogov, Moscow, 117997, Russian Federation

e-mail: petrash@mail.ru 

Russian Federation

Irina A. Simonenko

Pirogov Russian National Research Medical University

Email: irinalik2004@mail.ru
ORCID iD: 0000-0002-7314-7826

MD, PhD, DSci., Associate Professor, Professor of the Department of Clinical Psychology, Institute of Clinical Psychology and Social Work of the Russian National Research University named after N.I. Pirogov, Moscow, 117997, Russian Federation

e-mail: irinalik2004@mail.ru

Russian Federation

Ekaterina S. Orlova

Pirogov Russian National Research Medical University

Email: dr.orlovaes@mail.ru
ORCID iD: 0000-0003-4190-1238

MD, PhD, Associate Professor, Department of Pedagogy and Pedagogical Psychology, Institute of Clinical Psychology and Social Work of the Russian National Research University named after N.I. Pirogov, Moscow, 117997, Russian Federation

e-mail: dr.orlovaes@mail.ru

Russian Federation

References

  1. Zarodina V.V. Criteria and indicators of the effectiveness of the professional activity of a surgeon. Chelovecheskiy kapital. 2021; (S5-3): 261–73. https://elibrary.ru/anjjkl (in Russian)
  2. Chuang H.J., Hsiao M.Y., Wang T.G., Liang H.W. A multi-disciplinary rehabilitation approach for people surviving severe COVID-19-a case series and literature review. J. Formos. Med. Assoc. 2022; 121(12): 2408–15. https://doi.org/10.1016/j.jfma.2022.02.002
  3. Builova T.V., Zverev Yu.P., Ivanova G.E., Kuzminova T.A. Current requirements for universities planning to train physical rehabilitation specialists in the context of the new medical rehabilitation model in the Russian Federation: a review. Vestnik vosstanovitel’noy meditsiny. 2022; 21(4): 17–26. https://doi.org/10.38025/2078-1962-2022-21-4-17-26
  4. Bliss R., Brueilly K.E., Swiggum M.S., Morris G.S., Williamson E.M. Importance of terminal academic degreed core faculty in physical therapist education. J. Phys. Ther. Educ. 2018; 32(2): 123–7. https://doi.org/10.1097/JTE.0000000000000054
  5. Chesbro S.B., Jensen G.M., Boissonnault W.G. Entrustable professional activities as a framework for continued professional competence: is now the time? Phys. Ther. 2018; 98(1): 3–7. https://doi.org/10.1093/ptj/pzx100
  6. Huhn K., Gilliland S.J., Black L.L., Wainwright S.F., Christensen N. Clinical reasoning in physical therapy: a concept analysis. Phys. Ther. 2019; 99(4): 440–56. https://doi.org/10.1093/ptj/pzy148
  7. Magnusson D.M., Rethorn Z.D., Bradford E.H., Maxwell J., Ingman M.S., Davenport T.E., et al. Population health, prevention, health promotion, and wellness competencies in physical therapist professional education: results of a Modified Delphi Study. Phys. Ther. 2020; 100(9): 1645–58. https://doi.org/10.1093/ptj/pzaa056
  8. Semenov V.A., Vasilenko I.V., Ivanilova T.N. Automation of the activities of the multidisciplinary rehabilitation team through the ICF wizard software package. Vrach i informatsionnye tekhnologii. 2020; (1): 38–44. https://doi.org/10.37690/1811-0193-2020-1-38-44 https://elibrary.ru/cdgonx (in Russian)
  9. Zimina O.A., Bronnikov V.A., Bobrova Ya.V., Russkikh O.A. The activities of the psychologist in the composition of the multidisciplinary team when working with children of early intervention service. Chelovek. Iskusstvo. Vselennaya. 2017; (1): 149–56. https://elibrary.ru/xhstcq (in Russian)
  10. Egorova O.Yu., Suvorov A.Yu. Features of the nursing work in the multidisciplinary team in the treatment of patients with stroke. Nevrologiya i revmatologiya. Prilozhenie k zhurnalu Consilium Medicum. 2016; (1): 93–4. https://elibrary.ru/xhjcwv (in Russian)
  11. Fayzulina D.L., Kireeva E.G. The role of a nurse in a multidisciplinary team at the stage of early rehabilitation of patients with acute cerebrovascular accident. Al’manakh sestrinskogo dela. 2014; 7(2): 17–22. https://elibrary.ru/tmuwht (in Russian)
  12. Kotel’nikova A.V., Kukshina A.A. The role of a medical psychologist in the work of a multidisciplinary team in the process of rehabilitation treatment. Moskovskaya meditsina. 2018; (S1): 72. https://elibrary.ru/yoqbbr (in Russian)
  13. Petrova N.G., Kalinina S.A., Minnulin T.I. The role of a nurse in a multidisciplined rehabilitation brigade. Uchenye zapiski SPbGMU im. akad. I.P. Pavlova. 2016; 23(3): 16–7. https://elibrary.ru/xwqkej (in Russian)
  14. WHO. Rehabilitation. Available at: https://who.int/ru/news-room/fact-sheets/detail/rehabilitation
  15. Koneva E.S., Serebryakov A.B., Shapovalenko T.V., Lyadov K.V. Analysis of 5 years of work experience of a multidisciplinary team according to the fast-track therapy protocol after total hip and knee arthroplasty operations at the FSAU clinic «Treatment and Rehabilitation Center» of the Ministry of Health of the Russian Federation. Fizioterapiya, bal’neologiya i reabilitatsiya. 2016; 15(4): 175–82. https://doi.org/10.18821/1681-3456-2016-15-4-175-182 https://elibrary.ru/wgbvqn (in Russian)
  16. Chizhova V.M., Gavrilova I.S., Tokina V.A. Institutional analysis of medico-social rehabilitation: technology and social practice. Primo Aspectu. 2018; (3): 29–35. https://elibrary.ru/uzhpyk (in Russian)

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2024 Nikishina V.B., Petrash E.A., Simonenko I.A., Orlova E.S.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ:  ПИ № ФС77-50668 от 13.07.2012 г.