IMPLEMENTATION OF INTERPROFESSIONAL COLLABORATIVE PRACTICE IN TYPE B TEACHING GENERAL HOSPITALS: A MIXED METHODS STUDY

https://doi.org/10.22146/jpki.60093

Nurul Aida Fathya(1*), Christantie Effendy(2), Yayi Suryo Prabandari(3)

(1) Fakultas Kedokteran Universitas Jenderal Achmad Yani or RSUD R Syamsudin SH Kota Sukabumi
(2) Program Studi Keperawatan Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada
(3) Program Studi Magister Bioetika Sekolah Pascasarjana Universitas Gadjah Mada, Yogyakarta – INDONESIA Departemen Ilmu Perilaku Kesehatan, Lingkungan dan Kedokteran Sosial, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada Yogyakarta – INDONESIA
(*) Corresponding Author

Abstract


Background: The concept of patient centered health services encourages interprofessional collaboration practice (IPCP), including teaching hospitals. IPCP in teaching hospitals expected to be implemented properly as a role model for students. Students in academic stage are expected to understand the concept of interprofessional education (IPE) and apply IPCP concept during clinical practice. This study aimed to determine the implementation of IPCP and various factors related to IPCP in teaching hospitals.

Methods: This study used a mixed methods-sequential explanatory design with the subjects of healthcare professionals at RSUD R Syamsudin SH recruited using systematic random sampling. The research began with collecting quantitative data to measure the implementation of IPCP using the Indonesian version of the Assessment of Interprofessional Team Collaboration Scale-II (AITCS-II), continued with collecting qualitative data with in-depth interviews to explored IPCP and various factors associated with its implementation.

Results: A total of 320 respondents filled out the AITCS-II questionnaire and 11 participants were interviewed deeply. More than 66% of respondents had a good collaboration in each domain; 73,8% of respondents had a good collaboration in IPCP; profession background significantly contributed IPCP (p <0.05). Qualitative analysis was carried out with a semantic theme and obtained 3 themes: not ideal  IPCP implementation, perception of IPCP domains by healthcare professionals and barriers in implementing IPCP.

Conclusion: The perception of IPCP that well implemented may resulted from improper understanding of IPCP. We still found barrier in implementing IPCP related to stereotypes, hierarchical culture, interprofessional communication and regulation.

 

 


Keywords


AITCS II, interprofessional collaboration practice, teaching hospital

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References

  1. Higgs J, Croker A, Tasker D, Hummel J, Patton N. Health Practice Relationships. Rotterdam: Sense Publishers; 2014.
  2. Thistlethwaite J. Values-based interprofessional collaborative practice : working together in health care. United Kingdom: Cambridge University Press; 2012.
  3. IOM (Institute of Medicine). Establishing transdisciplinary professionalism for improving health outcomes: Workshop summary. Washington DC: The National Academies Press; 2013.
  4. World Health Organization. Framework for Action on Interprofessional Education and Collaborative; 2010.
  5. Orchard C, Pederson LL, Read E, Mahler C, Laschinger H. Assessment of Interprofessional Team Collaboration Scale (AITCS): Further Testing and Instrument Revision. The Journal of Continuing Education in the Health Profession. 2018; 38(1):11-18.
  6. Borst J. Interprofessional Collaboration: An Introduction. Scientific Professional, Researcher And Educational Publications. Humán Innovációs Szemle. 2011:1.
  7. Undang-undang Republik Indonesia nomor 20 tahun 2013 tentang Pendidikan Kedokteran.
  8. Peraturan Pemerintah Nomor 93 tahun 2015 Tentang Rumah Sakit Pendidikan.
  9. Lembaga akreditasi mandiri pendidikan tinggi kesehatan. Buku 4 pedoman dan matriks penilaian dokumen kinerja dan laporan evaluasi diri akreditasi program studi sarjana kedokteran dan profesi dokter. Jakarta: 2019. 54-55 p.
  10. Findyartini A, Kambey DR, Yusra RY, Timor AB, Khairania CD, Setyorini D, et al. Interprofessional collaborative practice in primary healthcare settings in T Indonesia: A mixed-methods study. Journal of Interprofessional Education and Practice. 2019; 17:100279.
  11. Peraturan Menteri Kesehatan Republik Indonesia Nomor 30 tahun 2019 Tentang Klasifikasi Dan Perizinan Rumah Sakit.
  12. RSUD R Syamsudin SH Kota Sukabumi. 2020.
  13. Creswell JW, Creswell JD. Research design: qualitative, quantitative and mixed methods approaches 5th Edition. Los Angeles: SAGE Publications; 2018. 293-294 p.
  14. Yusra RY, Findyartini A, Soemantri D. Healthcare professionals perceptions regarding interprofessional collaborative practice in Indonesia. Journal Of Interprofessional Education And Practice. 2019; 15:24-29.
  15. Utami L, Hapsari S, Widyandana D. Hubungan Antara Sikap Dan Perilaku Kolaborasi Dan Praktik Kolaborasi Interprofesional Di Ruang Rawat Inap Rumah Sakit Panti Rapih. Jurnal Keperawatan Muhammadiyah. 2016; 1(2).
  16. . Sari VR, Hariyati TS, Hamid AYS. The association between stereotyping and interprofessional collaborative practice. Enfermeria Clinica. 2018; 28 (Supl 1 Part A):134-138.
  17. Martiningsih W. Praktik kolaborasi perawat-dokter dan faktor yang memengaruhinya. Jurnal Ners. 2011; 6(2):147–155.
  18. Bochatay N, Bajwa M N, Cullati S, Muller-Juge V, Blondon S K, Perron N J, et al. A Multilevel Analysis of Professional Conflicts in Health Care Teams: Insight for Future Training. Academic Medicine. 2017; 92:S84–S92.
  19. Peraturan Menteri Kesehatan Republik Indonesia Nomor 519 Tahun 2011 Tentang Pedoman Penyelenggaraan Pelayanan Anestesiologi Dan Terapi Intensif Di Rumah Sakit.
  20. Fatalina F, Sunartini, Widyandana D, Sedyowinarso M. Persepsi Dan Penerimaan Interprofessional Collaborative Practice Bidang Maternitas Pada Tenaga Kesehatan. Jurnal Pendidikan Kedokteran Indonesia. 2015; Vol.4 No.1.
  21. Wong PS, Hasan SS, Ooi J, Lawrence, Lim SH, Nadarajah VD. Assessment of attitudes for interprofessional team working and knowledge of health professions competencies for final year health professional students. The Asia Pacific Scholar. 2018; Vol. 3 No. 1.
  22. Claramita M, Nugraheni MDF, van Dalen J, van der Vleuten C. Doctor–patient communication in Southeast Asia: a different culture?. Advanced Health Science and Education Theory Practice. 2013;18(1):15–31.
  23. Roodbol PF. Multiprofessional education to stimulate collaboration: a circular argument and its consequences. GMS Z Med Ausbild. 2010; 27(2):Doc28.
  24. Bertens, K. Etika Biomedis. Yogyakarta: Kanisius; 2011. 145-9 p.
  25. Lestari E, Stalmeijer RE, Widyandana D, Scherpbier A. Understanding attitude of health care professional teachers toward interprofessional health care collaboration and education in a southeast Asian country. Journal of Multidisciplinary Healthcare. 2018;11:557–571.
  26. Interprofessional Education Collaborative. Core competencies for interprofessional collaborative practice: 2016 Update. Washington DC: Interprofessional Education Collaborative; 2016.
  27. Lestari Y, Saleh A, Pasinringi SA. Hubungan Interprofesional Kolaborasi Dengan Pelaksanaan Catatan Perkembangan Pasien Terintegrasi Di RSUD. Prof. Dr. H.M. Anwar Makkatutu Kabupaten Bantaeng. Jurnal Kesehatan. 2017; 7(1): 85 – 90.
  28. . Claramita M, Riskiyana R, Susilo AP, Huriyati E, Wahyuningsih M, Norcini JJ. interprofessional communication in a sociohierarchical culture: development of the Tri-O guide. Journal of Multidisciplinary Healthcare. 2019; 12:191–204.
  29. . Manspeaker SA, Hankemeier DA. Challenges to and Resources for Participation in Interprofessional Collaborative Practice: Perceptions of Collegiate Athletic Trainers. J Athl Train. 2019; 54(1):106-114.
  30. Leathard A (editor). Interprofessional Collaboration From Policy to Practice in Health and Social Care. New York: Taylor & Francis e-Library; 2005. 11-52 p.



DOI: https://doi.org/10.22146/jpki.60093

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