Interprofessional Collaboration and Education in the Hierarchical and Collectivistic Culture

Susilo, Astrid Pratidina; Riskiyana, Rilani; Lestari, Endang; Yanti, Yanti

doi:10.1007/978-981-16-7232-3_11

Cited by 2 publications

(2 citation statements)

References 41 publications

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“…Being conscious of this belief could hinder nurses' abilities to engage proactively and participate in decision‐making regarding resident care. Nurses may choose not to assume the role of patient advocate, self‐restrict, or withhold certain information from the physician because of concerns of overstepping their professional boundaries (Susilo et al, 2022). On the other hand, we realize that physicians were interested in building a more equal partnership with the nurses because they recognized the value of the nurses as the primary caregivers of the residents.…”

Section: Discussionmentioning

confidence: 99%

Interprofessional collaboration in telemedicine for long‐term care: An exploratory qualitative study

Tan

Chua

McKenna

et al. 2023

J of Nursing Scholarship

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BackgroundWidespread and sustained adoption of telemedicine in long‐term residential care is emerging. Nursing home (NH) nurses play a key role in collaborating with remote physicians to manage residents' medical conditions through videoconferencing. Therefore, understanding of interprofessional collaboration and effective communication between nurses and physicians is critical to ensure quality of care and safety during teleconsultations.AimsTo explore NH nurses' and physicians' experiences of interprofessional collaboration and communication during teleconsultations.MethodsA qualitative descriptive design was adopted. Purposive sampling was conducted to recruit 22 physicians and nurses involved in NH teleconsultations. Semi‐structured online interviews were conducted, and data were thematically analyzed.ResultsThree themes were identified: (1) Manner of communication in telemedicine, (2) sociocultural influences in collaborative practice, and (3) role expectations in telemedicine. Both nurses and physicians recognized the importance of building and maintaining trust as physicians heavily depended on nurses for provision of objective information for clinical decision‐making. However, practice differences were observed between nurses and physicians during teleconsultations. Sociocultural influences such as power relations and language barriers also affected the nurse–physician relationship and interpersonal communication. Additionally, different performance expectations were identified between nurses and physicians.ConclusionInterprofessional collaboration in teleconsultations is challenging because of lack of in‐person assessment and dependence on nurses for clinical information. In addition, expectations and communication styles differ among healthcare professionals. This study called for interprofessional telemedicine training with incorporation of shared mental models to improve role clarity and communication. Given the international‐dominated healthcare workforce in long‐term care, the development of cultural competency could also be considered in telemedicine training to enhance nurse–physician collaborative practice.Clinical RelevanceTelemedicine is increasingly adopted in long‐term care settings, where multidisciplinary healthcare professionals from different health institutions are involved in resident care. Interprofessional collaboration should be incorporated into telehealth education for enhanced clinical practice in this care delivery model.

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Section: Discussionmentioning

confidence: 99%

Interprofessional collaboration in telemedicine for long‐term care: An exploratory qualitative study

Tan

Chua

McKenna

et al. 2023

J of Nursing Scholarship

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“…Research in Japan that assessed the practice of interprofessional collaboration of medical personnel in three hospitals has shown that age (i.e., younger professionals) and profession (e.g., nursing) were the most influential positive factors in creating a collaborative environment [16]. Healthcare practitioners from countries with complementary models (e.g., United States and Israel) possess more positive attitudes to interprofessional collaboration than healthcare practitioners from countries with hierarchical models (e.g., Italy, Mexico, and including Indonesia) [13,[17][18][19]. Thus, promoting complementary collaborative models may be necessary to improve attitudes towards collaborative practice.…”

Section: Introductionmentioning

confidence: 99%

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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Interprofessional Collaboration and Education in the Hierarchical and Collectivistic Culture

Cited by 2 publications

References 41 publications

Interprofessional collaboration in telemedicine for long‐term care: An exploratory qualitative study

Interprofessional collaboration in telemedicine for long‐term care: An exploratory qualitative study

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

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