<p>Interprofessional communication in a sociohierarchical culture: development of the TRI-O guide</p>

Abstract

Objectives: Interprofessional education (IPE) and collaborative practice are essential for patient safety. Effective teamwork starting with partnership-based communications should be introduced early in the educational process. Many societies in the world hold socio-hierarchical culture with a wide power distance, which makes collaboration among health professionals challenging. Since an appropriate communication framework for this context is not yet available, this study filled that gap by developing a guide for interprofessional communication, which is best suited to the socio-hierarchical and socio-cultural contexts. Materials and methods: The draft of the guide was constructed based on previous studies of communication in health care in a socio-hierarchical context, referred to international IPE literature, and refined by focus group discussions among various health professionals. Nominal group technique, also comments from national and international experts of communication skills in health care, was used to validate the guide. A pilot study with a pre-posttest design was conducted with 53 first-and 107 fourth-year undergraduate medical, nursing, and health nutrition students. Results: We developed the "TRI-O" guide of interprofessional communication skills, emphasizing "open for collaboration, open for information, open for discussion", and found that the application of the guide during training was feasible and positively influenced students' perceptions. Conclusion: The findings suggest that the TRIO guide is beneficial to help students initiate partnership-based communication and mutual collaboration among health professionals in the socio-hierarchical and socio-cultural context.

Can We All Speak the Same ‘Language’ for Our Patients’ Sake? Feedback on Interprofessional Communication and Related Resources

“…Interprofessional communication (IPC) is the liaison between different healthcare practitioners and the community to facilitate patient-centred care and patient safety, 1 and is integral to achieving coordinated patient care. Undeniably, communication failure between healthcare practitioners (HCPs) is recognised as a leading cause of avoidable patient harm.…”

Interdisciplinary differences in patient safety culture within a teaching hospital in Southeast Asia

“…Support staffs in clinical areas include receptionists, secretaries and administrative clerks, who often communicate with patients. Hence the potentially poorer patient safety culture among this group of workers in a hospital setting highlights the need to work with this group of individuals, particularly as a previously published study conducted in the Netherlands reported more positive scores from administrative workers 32,33 …”

“…Hence the potentially poorer patient safety culture among this group of workers in a hospital setting highlights the need to work with this group of individuals, particularly as a previously published study conducted in the Netherlands reported more positive scores from administrative workers. 32,33 Stress recognition is an acknowledgement of how performance is persuaded by stressors. Apart from doctors, stress recognition scores were substantially lower than the acceptable threshold in the other professional groups, with the mean domain score for the overall study also below satisfactory levels.…”

Challenging the status quo: results of an acceptability and feasibility study of hypertensive disorders of pregnancy (HDP) management pathways in Indonesian primary care

“…Nonetheless, there are also barriers of prominent professional boundaries and hierarchy that challenge the pathway implementation in primary care; and these barriers are not uncommon for any intervention implementation in health care settings [ 31 ]. However, the hierarchical barrier is very prominent in the Indonesian context, in which the study took place [ 32 , 33 ], outweighing other classical barriers of implementation in LMICs, such as limited clinical resources and facilities [ 34 , 35 ]. Nurses and midwives in Indonesia are usually positioned at a lower hierarchical level than GPs, and GPs often feel inferior to and less qualified than specialists [ 36 ].…”