Nadomjesna i potpomognuta komunikacija (NPK) unaprjeđuje kvalitetu zdravstvene skrbi i zadovoljstvo pacijenata. U Hrvatskoj nedostaju istraživanja o primjeni NPK u bolnicama. Cilj ovog istraživanja je ispitati komunikaciju medicinskih sestara s pacijentima sa složenim komunikacijskim potrebama te njihovu upoznatost i stavove o NPK. U istraživanju su sudjelovale medicinske sestre (N=121) iz jedne od najvećih hrvatskih bolnica. Anketni upitnik sastojao se od pitanja o iskustvu sudionika s pacijentima sa složenim komunikacijskim potrebama, znanju, iskustvima i edukaciji o NPK. Stavovi prema implementaciji metode komunikacijskih ploča u bolnici ispitani su sa skalama tipa semantičkog diferencijala. Više od 50% sudionika u redovitim je kontaktima s pacijentima čija je komunikacija narušena zbog moždanog udara, kognitivnih i senzornih oštećenja, degenerativnih bolesti, utjecaja lijekova, jake boli ili jer ne govore hrvatski. Međutim, većina sudionika su slabo ili nikako upoznati sa značenjem pojma NPK te većina nema edukaciju iz tog područja. Većina medicinskih sestara koristi jednostavne metode NPK, ponajviše za komunikaciju o pacijentovim osnovnim potrebama, dok samo mali broj koristi NPK za komunikaciju u terapijske svrhe. Najveće prepreke korištenju NPK su nedostatak edukacije i resursa/pomagala. Sudionici imaju pozitivne stavove prema mogućem uvođenju komunikacijskih ploča u sestrinsku praksu, osobito stariji sudionici i oni s dužim stažem. Rezultati ukazuju na nedostatnu upoznatost i iskustvo medicinskih sestara s NPK te veliku potrebu za edukacijom. Preporučuje se uključivanje edukacije o NPK u obrazovne kurikulume na svim razinama sestrinskog obrazovanja.

The research of students adapting to university life, difficulties in coping with the academic demands, and personal problems students face during their study is important for a better understanding of their needs in order to prevent possible mental health problems in the student population and increase the overall quality of study. When researching the difficulties that students face, one of the important factors to be taken into account is the type of study, for instance whether they study full or part time. Since nursing students represent the largest student population at the University of Applied Health Sciences in Zagreb, Croatia, we investigated the differences in the perceived difficulties during studying between full-time undergraduate nursing students and part-time specialist graduate nursing students, most of whom already work as professional nurses. In a sample of 231 participants, there were 143 undergraduate students with the average age of 26.38 years (90.2% females) and 88 specialist graduate students with the average age of 37.52 years (95.5% females). We examined the frequency of 62 difficulties that students may encounter during their study using a survey by the Student Counselling Centre at the Faculty of Philosophy in Zagreb. On average, nursing students perceived 12 difficulties. The most frequent difficulties all students struggle with are nervousness or tension, financial problems, fear of failure, inefficient time management, insecurity, and changes in eating habits. There is no significant difference in the total frequency of perceived difficulties between undergraduate and graduate students but we found significant differences between these two groups in the number of students who encountered particular difficulties regarding 13 issues. Undergraduate students face problems with roommates and problems in communication with professors more often than graduate students, while graduate students struggle the most with financial problems and adapting to the study regime. When faced with problems, 65.4% of all students would seek free psychological counselling. Graduate students and students who perceive more difficulties are more willing to seek psychological support.