Readiness of Interprofessional Education on Maternal Health of Medical and Dental Students: A Mixed-Methods Study
![](/public/site/images/admin/icons/icon-doi.png)
Chamim Faizin(1*), Erwin Ulinnuha Fahreza(2)
(1) Muhammadiyah University of Semarang
(2) Muhammadiyah University of Semarang, Semarang
(*) Corresponding Author
Abstract
Background: The high mortality rate and various health problems for maternal are of great concern in Indonesia. Oral and dental health of maternal receives less attention from both patients and health workers. The need for collaborative practices between doctors and dentists to optimize the health care of maternal. Interprofessional education is prepared to form medical and dental practitioners who are ready to interprofessional collaboration practice. Therefore, careful preparation is needed so that the learning process goes well and produces the desired results.This study aims to analyze the readiness of interprofessional education on maternal health among medical and dental students.
Methods: This study was used mix methods. The cross-sectional quantitative method uses the questionnaire of readiness interprofessional learning scale (RIPLS) which has been modified and validated by Tyastuti (2014), containing 3 sub-scales. The qualitative method uses case studies with focus group discussions of student representatives.
Results: There were 139 medical students and 49 dentistry students, both of whom had good readiness respectively 65,51 and 66,45 with a p value of 0,175. There was no significant difference in IPE readiness between the two. Good IPE readiness shows the development of teamwork, a good impression of IPE. However, there are problems that must be corrected such as bad attitudes and perceptions as well as problems in the field during home visits.
Conclusion: Medical students and dental students have good readiness for maternal health of IPE, proven to give a good impression and establish teamwork. However, it still needs improvement to be even better.
Keywords
Full Text:
PDFReferences
1. Cameron L, Suarez DC, Cornwell K. Understanding the determinants of maternal mortality: An observational study using the Indonesian Population Census. PLoS One. 2019;14(6):1–18.
2. WHO. Maternal Mortality in 2000 to 2017. WHO, UNICEF WHO UNICEF Jt Ski Birth Attend database Geneva [Internet]. 2019;1–10. Available from: https://www.who.int/reproductivehealth/publications/maternal-mortality-2000-2017/en/
3. Utomo B, Sucahya PK, Romadlona NA, Robertson AS, Aryanty RI, Magnani RJ. The impact of family planning on maternal mortality in Indonesia: what future contribution can be expected? Popul Health Metr. 2021;19(1):1–13.
4. Pribadi A. Zero mother mortality preeclampsia program: Opportunity for a rapid acceleration in the decline of maternal mortality rate in Indonesia. Int J Women’s Heal Reprod Sci. 2021;9(3):160–3.
5. Saturno-Hernández PJ, Martínez-Nicolás I, Moreno-Zegbe E, Fernández-Elorriaga M, Poblano-Verástegui O. Indicators for monitoring maternal and neonatal quality care: A systematic review. BMC Pregnancy Childbirth. 2019;19(1):1–11.
6. Cho GJ, Kim S youn, Lee HC, Kim HY, Lee K min. Association between dental caries and adverse pregnancy outcomes. Sci Rep [Internet]. 2020;10(5309):1–6. Available from: http://dx.doi.org/10.1038/s41598-020-62306-2
7. Perwez E, Sachdeva S, Khan A, Mallick R. Dental health concerns in pregnancy: Need for a collaborative management approach. Br J Med Heal Res. 2020;7(10):1–10.
8. Atique, Arif F, Kanwal A, Alvi TH, Faisal S, Talat F. Association Between Periodontal Diseases and Preeclampsia. PJMHS. 2023;17(4):686–8.
9. Marla V, Srii R, Roy DK, Ajmera H. The Importance of Oral Health during Pregnancy: A review. Med Express. 2018;5:1–6.
10. Nihtila A, West N, Lussi A, Bouchard P, Ottolenghi L, Senekola E, et al. Oral health behavior and lifestyle factors among overweight and non-overweight young adults in europe: A cross-sectional questionnaire study. Healthc. 2016;4(2):1–10.
11. Luo H, Bell RA, Wright W, Wu Q, Wu B. Trends in annual dental visits among US dentate adults with and without self-reported diabetes and prediabetes, 2004-2014. J Am Dent Assoc [Internet]. 2018;149(6):460–9. Available from: https://doi.org/10.1016/j.adaj.2018.01.008
12. Yamuragiye A, Wylie L, Kinsella EA, Donelle L. A scoping review of interprofessional collaboration in hospital-based obstetric care with a particular focus on Africa. J Interprofessional Educ Pract [Internet]. 2021;24(July 2020):100456. Available from: https://doi.org/10.1016/j.xjep.2021.100456
13. Ridgway L, Hackworth N, Nicholson JM, McKenna L. Working with families: A systematic scoping review of family-centred care in universal, community-based maternal, child, and family health services. J Child Heal Care. 2021;25(2):268–89.
14. Murdoch NL, Epp S, Vinek J. Teaching and learning activities to educate nursing students for interprofessional collaboration: A scoping review. J Interprof Care [Internet]. 2017;31(6):744–53. Available from: https://doi.org/10.1080/13561820.2017.1356807
15. Yousuf Guraya S, Barr H. The effectiveness of interprofessional education in healthcare: A systematic review and meta-analysis ScienceDirect. Kaohsiung J Med Sci [Internet]. 2018;34:160–5. Available from: http://creativecommons.org/licenses/by-nc-nd/4.0/
16. Zanotti R, Sartor G, Canova C. Effectiveness of interprofessional education by on-field training for medical students, with a pre-post design. BMC Med Educ. 2015;15(1):1–8.
17. Danielson J, Willgerodt M. Building a theoretically grounded curricular framework for successful interprofessional education. Am J Pharm Educ. 2018;82(10):1133–9.
18. Tyastuti D, Onishi H, Ekayanti F, Kitamura K. Psychometric item analysis and validation of the Indonesian version of the Readiness for Interprofessional Learning Scale (RIPLS). J Interprof Care. 2014;28(5):426–32.
19. Maharajan MK, Rajiah K, Khoo SP, Chellappan DK, De Alwis R, Chui HC, et al. Attitudes and readiness of students of healthcare professions towards interprofessional learning. PLoS One. 2017;12(1):2–13.
20. de Oliveira VF, Bittencourt MF, Navarro Pinto ÍF, Lucchetti ALG, da Silva Ezequiel O, Lucchetti G. Comparison of the Readiness for Interprofessional Learning and the rate of contact among students from nine different healthcare courses. Nurse Educ Today [Internet]. 2018;63(August 2017):64–8. Available from: https://doi.org/10.1016/j.nedt.2018.01.013
21. Lestari E, Stalmeijer RE, Widyandana D, Scherpbier A. Understanding students ’ readiness for interprofessional learning in an Asian context : a mixed-methods study. BMC Med Educ [Internet]. 2016;16(179):1–11. Available from: http://dx.doi.org/10.1186/s12909-016-0704-3
22. Ahmad MI, Chan SWC, Wong LL, Tan ML, Liaw SY. Are first-year healthcare undergraduates at an Asian university ready for interprofessional education? J Interprof Care. 2013;27(4):341–3.
23. Stull CL, Blue CM. Examining the influence of professional identity formation on the attitudes of students towards interprofessional collaboration. J Interprof Care. 2016;30(1):90–6.
24. Isrona L, Susanti R. Readiness of Health Faculty Students Towards the Implementation of Interprofessional Education. Adv Soc Sci Educ Humanit Res. 2021;506:380–6.
25. Pinto A, Lee S, Lombardo S, Salama M, Ellis S, Kay T, et al. The impact of structured inter-professional education on health care professional students’ perceptions of collaboration in a clinical setting. Physiother Canada. 2012;64(2):145–56.
26. Davies N, Fletcher S, Reeves S. Interprofessional education in maternity services: Is there evidence to support policy? J Interprof Care [Internet]. 2016;30(6):812–5. Available from: http://dx.doi.org/10.1080/13561820.2016.1217833
27. Talwalkar JS, Fahs DB, Kayingo G, Wong R, Jeon S, Honan L. Readiness for interprofessional learning among healthcare professional students. 2016;144–8.
28. Numasawa Id M, Nawa N, Funakoshi Y, Noritake K, Tsuruta J, Kawakami C, et al. A mixed methods study on the readiness of dental, medical, and nursing students for interprofessional learning. 2021; Available from: https://doi.org/10.1371/journal.pone.0255086
29. McFadyen AK, Webster VS, MacLaren WM. The test-retest reliabilty of a revised version of the Readiness for Interprofessional Learning Scale (RIPLS). J Interprof Care. 2006;20(6):633–9.
30. Nelson S, White CF, Hodges BD, Tassone M. Interprofessional Team Training at the Prelicensure Level: A Review of the Literature. Acad Med. 2017;92(5):709–16.
31. Al-Shaikh GK, Al-Madi EM, Masood J, Shaikh Q, Syed SB, Bader RS, et al. Interprofessional learning experiences: Exploring the perception and attitudes of Saudi Arabian medical and dental students. Med Teach [Internet]. 2018;40(sup1):S43–8. Available from: https://doi.org/10.1080/0142159X.2018.1465180
32. Manski RJ, Hoffmann D, Rowthorn V. Increasing access to dental and medical care by allowing greater flexibility in scope of practice. Am J Public Health. 2015;105(9):1755–62.
33. Jha N, Palaian S, Shankar PR, Poudyal S. Readiness for Interprofessional Learning Among First Year Medical and Dental Students in Nepal. Adv Med Educ Pract. 2022;13:495–505.
34. Kirkup B. The report of the Morecambe Bay investigation : an independent investigation into the management, delivery and outcomes of care provided by the maternity and neonatal services at the University Hospitals of Morecambe Bay NHS Foundation Trust from January . 2015. 222 p.
35. Colonio Salazar FB, Andiappan M, Radford DR, Gallagher JE. Attitudes of the first cohort of student groups trained together at the University of Portsmouth Dental Academy towards dental interprofessional education. Eur J Dent Educ. 2017;21(2):91–100.
36. Altin S V., Tebest R, Kautz-Freimuth S, Redaelli M, Stock S. Barriers in the implementation of interprofessional continuing education programs - A qualitative study from Germany. BMC Med Educ. 2014;14(1):1–9.
37. Evans JL, Henderson A, Johnson NW. Interprofessional learning enhances knowledge of roles but is less able to shift attitudes: A case study from dental education. Eur J Dent Educ. 2012;16(4):239–45.
38. Wang Z, Feng F, Gao S, Yang J. A Systematic Meta-Analysis of the Effect of Interprofessional Education on Health Professions Students’ Attitudes. J Dent Educ. 2019;83(12):1361–9.
39. Herath C, Zhou Y, Gan Y, Nakandawire N, Gong Y, Lu Z. A comparative study of interprofessional education in global health care: A systematic review. Med (United States). 2017;96(38).
40. Zhang NJ, Terry A, McHorney CA. Impact of Health Literacy on Medication Adherence: A Systematic Review and Meta-analysis. Ann Pharmacother. 2014;48(6):741–51.![](/public/site/images/admin/icons/icon-doi.png)
Article Metrics
![](/public/site/images/admin/icons/icon-graph.png)
![](/public/site/images/admin/icons/icon-pdf.png)
Refbacks
- There are currently no refbacks.
Copyright (c) 2024 Chamim Faizin
![Creative Commons License](http://i.creativecommons.org/l/by-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:
JPKI Stats