Collaboration of Physician, Pharmacist and Director Model toward the Improvement of Teamwork Effectiveness in Hospital

Abdulkadir, Widy Susanti

doi:10.15416/ijcp.2017.6.3.210

Cited by 2 publications

(1 citation statement)

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“…Structural leadership has a positive and significant effect on employees' organizational commitment. Organizational leaders can inspire work and determine the direction and goals of an organization (Abdulkadir, 2017). In this case, the roles of the heads of Primary Health Centers resemble those of hospital 'directors' in terms of structural authority.…”

Section: Hypertension Management Team Leadermentioning

confidence: 99%

Perspectives of Pharmacists, Doctors, and Nurses on Collaborative Management of Hypertension in Primary Health Centers

Siregar,

Puspitasari,

Utami

2023

JFIKI

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Background: Puskesmas is a primary healthcare facility that conducts chronic disease management, such as hypertension. The role of pharmacists in team collaboration includes that of managerial and clinical pharmacies. However, doctors and nurses still need to be fully aware of the role of pharmacists, particularly in clinical pharmacies. Objective: This study aimed to determine the perspectives of pharmacists, doctors, and nurses on the collaborative management of hypertension in health centres across the Central Lombok Regency. Methods: observational qualitative method with a maximum variation sampling technique was used. Data saturation was achieved after interviewing 27 participants between April and June 2023. Participants were pharmacists, doctors, and nurses responsible for managing hypertension in the selected primary healthcare centers. Results: Five main themes were identified. The first was a perspective on pharmacists’ managerial and clinical pharmacy roles. Almost all participants agreed that pharmacists played more roles in ensuring the availability of hypertension drugs than clinical pharmacies. Four themes were derived from a conceptual framework related to team readiness to collaborate: cognitive, affective/relational, behavioral, and leadership aspects. In general, doctors and nurses need to be made aware of pharmacists' role in the area of clinical pharmacy; meanwhile, pharmacists need to improve their clinical pharmacy knowledge. Meanwhile, team collaboration has not run optimally because each team member works individually rather than as a team member. Conclusion: Pharmacists need to improve their clinical pharmacy role, be more involved in team collaborations, and be more engaged in team collaborations; efforts are required to prepare for team collaboration.

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Section: Hypertension Management Team Leadermentioning

confidence: 99%

Perspectives of Pharmacists, Doctors, and Nurses on Collaborative Management of Hypertension in Primary Health Centers

Siregar,

Puspitasari,

Utami

2023

JFIKI

View full text Add to dashboard Cite

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Effective Clinical Pathway Improves Interprofessional Collaboration and Reduces Antibiotics Prophylaxis Use in Orthopedic Surgery in Hospitals in Indonesia

et al. 2022

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Clinical pathways can improve the quality of health services. The effectiveness and impact of implementing clinical pathways are controversial. The preparation of clinical pathways not only enacts therapeutic guidelines but requires mutual agreement in accordance with the roles, duties, and contributions of each profession in the team. This study aimed to investigate the perception of interprofessional collaboration practices and the impact of clinical pathway implementation on collaborative and Defined Daily Dose (DDD) prophylactic antibiotics per 100 bed-days in orthopedic surgery. The Collaborative Practice Assessment Tool (CPAT) questionnaire was used as a tool to measure healthcare’ perceptions of collaborative practice. The clinical pathway (CP) in this study was adapted from existing CPs published by the Indonesian Orthopaedic Association (Perhimpunan Dokter Spesialis Orthopaedi dan Traumatologi Indonesia, PABOI) and was commended by local domestic surgeons and orthopedic bodies. We then compared post-implementation results with pre-implementation clinical pathway data using ANCOVA to explore our categorical data and its influence towards CPAT response. ANOVA was then employed for aggregated DDD per 100 bed-days to compare pre and post intervention. The results showed that the relationships among members were associated with the working length. Six to ten years of working had a significantly better relationship among members than those who have worked one to five years. Interestingly, pharmacists’ leadership score was significantly lower than other professions. The clinical pathway implementation reduced barriers in team collaboration, improved team coordination and organization, and reduced third-generation cephalosporin use for prophylaxis in surgery (pre: 59 DDD per 100 bed-days; post: 28 DDD per 100 bed-days). This shows that the clinical pathway could benefit antibiotic stewardship in improving antibiotic prescription, therefore reducing the incidence of resistant bacteria.

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Collaboration of Physician, Pharmacist and Director Model toward the Improvement of Teamwork Effectiveness in Hospital

Cited by 2 publications

References 1 publication

Perspectives of Pharmacists, Doctors, and Nurses on Collaborative Management of Hypertension in Primary Health Centers

Perspectives of Pharmacists, Doctors, and Nurses on Collaborative Management of Hypertension in Primary Health Centers

Effective Clinical Pathway Improves Interprofessional Collaboration and Reduces Antibiotics Prophylaxis Use in Orthopedic Surgery in Hospitals in Indonesia

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