Journal of Advances in Medical Education & Professionalism

Factors Influencing the Implementation of Interprofessional Collaborative Practice in Teaching Hospital Setting: A Mixed-Method Study

IRAWATY DJAHARUDDIN; IRWIN ARAS; RINA MASADAH; IRAWAN YUSUF; IRFAN IDRIS; HAERANI RASYID; BERTY NELWAN

Volume 11, Issue 4 , October 2023, , Pages 213-221

https://doi.org/10.30476/jamp.2023.98987.1821

Abstract

Introduction: Health service in the current global era requires health workers to provide qualified service, this also applies to teaching hospitals. Collaboration between several professions ... Read More Introduction: Health service in the current global era requires health workers to provide qualified service, this also applies to teaching hospitals. Collaboration between several professions involved (doctors, nurses, and pharmacists) in an interprofessional collaboration system is needed in providing such service. Factors influencing interprofessional collaboration is unique to each health care center. The purpose of this study was to determine the factors that influence the implementation of interprofessional collaborative practice among health workers in Dr. Wahidin Sudirohusodo General Hospital.Methods: This is a mixed-method explanatory sequential design study, utilizing quantitative and qualitative data. Quantitative data were obtained from the Indonesian-validated Collaborative Practice Assessment Tool (CPAT) questionnaire. CPAT in Indonesian language has been validated in previous research by Findyartini, et al. in 2019 in Indonesian population. The questionnaire was internally validated with the study population with Cronbach alpha of 0.812. All health care professionals meeting the selection criteria were enrolled for the quantitative study. Thequestionnaire was given to 152 health professionals enrolled as research subjects, including nutritionists, nurses, doctors, pharmacists, and medical rehabilitation specialists serving in Dr. Wahidin Sudirohusodo Hospital for >3 years. Five participants with highest and lowest CPAT score from each profession were invited for FGD entitled “Exploring factors involved in interprofessional collaboration in Wahidin Sudirohusodo General Hospital” and divided into 2 groups according to the CPAT score. The score from each subscale in the questionnaire is obtained for each research subjects and the median is compared among each profession group using Kruskall-Wallis test significant to a p-value of <0.05. Qualitative data as recording transcript is acquired from FGD; the transcript was then coded into several general themes by 2 of the authors and was discussed using thematic analysis using MaxQDA.Results: Research subjects were predominantly women (121 respondents (79.6%)), 32.9% were nurses, and most of the healthcare professional (81 subjects (55.1%)) have been working for >10 years. Among profession groups (Doctors, Pharmacists, Medical Rehabilitation Specialists, Nutritionists, and Nurses), difference in score distribution (P<0.05) wasfound in relationships among team members (40 vs 39 vs 39.5 vs 36 vs 42, P<0.001), barriers to team collaboration (10 vs 18.5 vs 14 vs 18 vs 10, P<0.001), and leadership (20 vs 20 vs 23 vs 20 vs 20, p 0.045). From the FGD, factors influencing interpersonal collaborative practice are leadership factors, system/rule factors, and personal factors.Conclusion: This research showed that personal, system/organizational and leadership factors influence the implementation of interprofessional collaboration. In this study, there is a different perception regarding relationships among team members, barriers to team collaboration, and leadership among profession group.

Orthopedic oncology residency education, how broad and how deep?

SADEGH SABERI; NIMA BAGHERI; SEYYED HADI KALANTAR; SEYYED SAEED KHABIRI

Volume 11, Issue 4 , October 2023, , Pages 262-264

https://doi.org/10.30476/jamp.2023.98678.1804

Abstract

Orthopedic residency training has long been an area of active research and discussion, and as the knowledge and concepts in subspecialties evolve, it is crucial to investigate the implications ... Read More

Professionalism among academic educational leaders: A concept analysis

HENGAMEH HABIBI; SHOALEH BIGDELI; ZOHREH SOHRABI; ABBAS EBADI

Volume 10, Issue 4 , October 2022, , Pages 259-266

https://doi.org/10.30476/jamp.2022.93131.1517

Abstract

Introduction: The concept of professional ethics of academic educational leaders is an abstract concept for which severalhighly context-dependent definitions have been provided in the ... Read More

Students’ perception and learning on case based teaching in anatomy and physiology: An e-learning approach

NEERAJ VEDI; PUJA DULLOO

Volume 9, Issue 1 , January 2021, , Pages 8-17

https://doi.org/10.30476/jamp.2020.87332.1304

Abstract

Introduction: Case based teaching (CBT) has been accepted as an effective interactive learning strategy. Digital portals allow the students to learn the content at their own ... Read More

Multiple faces of narcissistic leadership in Medical Education

DINESH KUMAR V

Volume 7, Issue 2 , April 2019, , Pages 103-105

https://doi.org/10.30476/jamp.2019.44705

Abstract

Narcissism, being the critical part of the toxic leadership paradigm,has its own impact in the education sphere. Contrastingly,leader’s narcissism cannot be simply underweighted ... Read More

Good, bad and ugly: Exploring the Machiavellian power dynamics of leadership in medical education

DINESH KUMAR V

Volume 7, Issue 1 , January 2019, , Pages 42-46

https://doi.org/10.30476/jamp.2019.41035

Abstract

Introduction: Medical education requires participation of variousstakeholders and this contributes to power dynamics operating atmultiple levels. Personality traits of an individual ... Read More

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Keywords = leadership

Factors Influencing the Implementation of Interprofessional Collaborative Practice in Teaching Hospital Setting: A Mixed-Method Study

Abstract

Orthopedic oncology residency education, how broad and how deep?

Abstract

Professionalism among academic educational leaders: A concept analysis

Abstract

Students’ perception and learning on case based teaching in anatomy and physiology: An e-learning approach

Abstract

Multiple faces of narcissistic leadership in Medical Education

Abstract

Good, bad and ugly: Exploring the Machiavellian power dynamics of leadership in medical education

Abstract