W pracy przedstawiono ogólną sytuację prawną i faktyczną dotyczącą prawa farmaceuty do sprzeciwu sumienia. Poruszany problem budzi w Polsce wiele kontrowersji i spotyka się z żywą dyskusją. Zwolennicy klauzuli sumienia powołują się na prawo do wolności sumienia oraz postępowania zgodnie z nim, zaś przeciwnicy podnoszą problem naruszenia praw pacjenta. W niniejszym artykule omówione zostały polskie przepisy prawne regulujące pracę farmaceuty oraz procedurę wydawania leków z apteki. Porównawczo przedstawiono także przykłady postępowania w sprawie klauzuli sumienia we Francji i Włoszech. Akty prawne oraz przykłady z innych krajów zostały poddane analizie w kontekście wysuwanych postulatów wprowadzenia do prawa polskiego klauzuli sumienia dla farmaceutów.
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The paper presents a general legal and factual situation on applicable law pharmacists to conscientious objection. Issue addressed in Poland arouses a lot of controversy and meets with a lively discussion. Supporters of conscience clause invoke the right to freedom of conscience and act in accordance with him, while opponents raise the issue of patients' rights violations. This article discusses the Polish legislation governing the work pharmacists and dispensing process from the pharmacy. Comparatively also presented examples of conduct on the conscience clause in France and Italy. Legislation and examples from other countries have been analyzed in the context of the introduction of postulates conscience clause for pharmacists to Polish law.
Objectives The objective was to develop a tool enabling better understanding of obesity impact on social functioning with focus on daily functioning and work related activities. Material and Methods Obesity Impact on Functioning in Society Questionnaire (OQI-3) was developed for use among adult population with obesity disease. It focuses on daily functioning, work related activities and emotions related to work environment social relations. The 3-part questionnaire combining qualitative and quantitative methods is gender specific and it was validated among 41 adult patients with obesity in Poland. The first part is a vignette examining patients’ projected attitudes and emotions. The second is an open question related to daily activities mostly affected by obesity. The third part uses a Likert scale to assess the degree of difficulty in performing daily activities consisting of 11 actions taken in everyday life. Respondents select 1 of the answers on the scale to indicate the obesity influence on the mentioned activities. Results The qualitative parts provided information on attitudes and emotions, where mostly negative attitudes and emotions were mentioned. The most frequently mentioned were physical activity, walking up the stairs, housework and activities related to patients’ image. The quantitative part identified 2 factors (1 – relations in the further social environment, 2 – functioning in a close environment). The Likert scale was recoded for each statement as follows: 1 – 3; 2 – 1; 3 – 2; 4 – 4; 5 – 5 and Cronbach’s α value was calculated confirming scale reliability. It equals 0.874 for the total of items. Conclusions The OQI-3 is innovative and combines various research techniques to verify people suffering from obesity well-being and disease impact on social functioning. The pilot study has proven its internal consistence. However the modified tool based on the pilot results should be tested and validated on a larger study group. Guidelines for results interpretation should be developed with the final instrument version.
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