The concept of difficult patient and perception of difficult patient among the students studying in health: The case of Namik Kemal University School of Health and Vocational School of Health Services

This study is a descriptive study aimed to determine the perception of difficult patient perception and communication with difficult patient of physiotherapy, nursing, medical documentation and secretariat, elderly care students. The population of the research is 347 students in the 2nd, 3rd and 4th grade students of the Nursing Department of the School of Health at Namık Kemal University. Namik Kemal University who participated in the study healthcare vocational school students are a total of 116 people. Second year students of physiotherapy, elderly care and medical documentation and secretarial department participated in this study. A total of 493 students were included in the study. In the research, it was aimed to reach 80% of the students of the NKU School of Health and NKU Vocational School of Health Services who were not selected as a sample and totally 347 students agreed to participate in the research. 70% of the 493 students making up the universe were reached. The data of the study were obtained through two forms: "Form for the Determination of Difficult Patient Perception and Communication with Difficult Patient" and "Interaction of Difficult Patient and Health Students Survey". In the "Form for the Determination of Difficult Patient Perception and Communication with Difficult Patient of Health Education Students", in the first part, questions about "difficult patient" perception, questions to determine their communication with difficult patients. In the second part, the demographic information about difficult patients according to the students. In the third part, the demographic information about the students who in this research. In the "Interaction of Difficult Patients and Students Studying in the Field of Health Survey" have 34 statements were classified four dimensions. Each expression was measured with a 5-point Likert scale. Interaction of Difficult Patients and Students Studying in the Field of Health Survey consist of four dimensions. These dimensions are; Difficulties of the patient, discomfort of staff, adaptation and communication problem and sedative behavior. Statistics 21.0 computer program was used in the study. The research was evaluated using mean, median, standard deviation, percentages, T test, Oneway Anova test, Scheffe test, Tamhane's T2 and Kruskal-Wallis test. The average age of the students in the physiotherapy department is 20.04, in the nursing department is 21.54, in the medical documentation and secretarial department is 20.41, in the elderly care students is 20.05. Determined that physiotherapy, nursing and elderly care students did not affect the perspectives of difficult patients. Physiotherapy students described the difficult patient as "refusing treatment patients". Nursing, medical documentation and secretarial and elderly care students defined the difficult patient as "patient who cannot communicate ". Physiotherapy and nursing students described the characteristics of difficult patients as "non-communicating patients "and "poor Communicator patient". Elderly care and medical documentation and secretarial department students described the difficult patient as "non-communicating patient". Students participating in the study were determined at higher percentages faced with difficult patients. Clinics encountered with difficult patients are generally; Physical therapy and rehabilitation, internal medicine polyclinic, cardiology polyclinic, mental health and diseases polyclinic and neurology polyclinics. It was determined that students had some difficulties in communicating with difficult patients. The students were found to be moderately successful. Among the methods of coping with difficult patient behavior, it was determined that they tried to communicate calmly. It has been determined that students should have applied courses related to communication. In addition, it was found that difficult patients were generally female, married, adult (40-65 years), primary school graduates, workers, housewives and retired.