Persepsi Tenaga Kesehatan terhadap Praktik Kolaborasi Interprofesional dalam Terapi Antibiotik pada Bedah Ortopedi

Main Article Content

Ella Viani
Rika Yulia
Fauna Herawati

Abstract

Kolaborasi interprofesional (Interprofessional Collaborative/IPC) menjadi strategi untuk menjawab kebutuhan akan pelayanan kesehatan yang terpadu. Dalam terapi antibiotik, praktik IPC yang efektif dapat meningkatkan ketepatan peresepan dan penggunaan antibiotik yang berdampak pada penurunan kejadian resistensi antibiotik. Agar tercipta praktik IPC yang efektif, perlu dilakukan identifikasi permasalahan yang ada dari persepsi tenaga kesehatan yang terlibat dalam IPC. Penelitian ini bertujuan menilai persepsi tenaga kesehatan terhadap praktik IPC dalam terapi antibiotik di unit bedah ortopedi. Penelitian ini merupakan penelitian observasional dengan pendekatan cross-sectional. Persepsi tenaga kesehatan dinilai menggunakan kuesioner Collaborative Practice Assessment Tool (CPAT) yang terdiri dari 8 domain dengan total 53 item pernyataan. Penelitian melibatkan 47 responden tenaga kesehatan di unit bedah ortopedi. Hasil penelitian menunjukkan terdapat perbedaan persepsi yang signifikan antara perawat dan tenaga kefarmasian terhadap domain hambatan tim dalam kolaborasi. Pada domain kepemimpinan terdapat perbedaan yang siginifikan antara tenaga kefarmasian dan dokter. Penelitian ini menyimpulkan secara umum, tenaga kesehatan menilai praktik IPC sudah berjalan dengan baik  (76,47% dari skor maksimum CPAT).Perawat menilai otonomi mereka dalam IPC masih terbatas ( 52% dari skor maksimum domain hambatan tim dalam kolaborasi), serta tenaga kefarmasian menilai masih adanya dominasi tenaga kesehatan lain dalam praktik IPC  (72% dari skor maksimum domain kepemimpinan)

Article Details

How to Cite
Viani, E., Yulia, R., & Herawati, F. (2021). Persepsi Tenaga Kesehatan terhadap Praktik Kolaborasi Interprofesional dalam Terapi Antibiotik pada Bedah Ortopedi. Jurnal Sains Farmasi & Klinis, 8(3), 296–302. https://doi.org/10.25077/jsfk.8.3.296-302.2021
Section
Research Articles

References

. Morley L, Cashell A. Collaboration in Health Care. J Med Imaging Radiat Sci. 2017;48. https://doi.org/10.1016/j.jmir.2017.02.071

. World Health Organization. Framework for Action on Interprofessional Education and Collaborative Practice. Geneva:Switzerland: WHO Press; 2010.

. Bosch B, Mansell H. Interprofessional Collaboration in Health Care: Lessons to be Learned from Competitive Sports. Can Pharm J. 2015;148(4):176–9. https://doi.org/10.1177/1715163515588106

. Thürmann PA. Medication Safety - Models of Interprofessional Collaboration. Dtsch Arztebl Int. 2016;113:739–40. https://doi.org/10.3238/arztebl.2016.0739

. Schaffler-Schaden D, Pitzer S, Schreier M, Dellinger J, Brandauer-Stickler B, Lainer M, et al. Improving Medication Appropriateness in Nursing Home Residents by Enhancing Interprofessional Cooperation: A Study Protocol. J Interprof Care. 2018;32:517–20. https://doi.org/10.1080/13561820.2018.1448372

. Wilson AJ, Palmer L, Levett-Jones T, Gilligan C, Outram S. Interprofessional Collaborative Practice for Medication Safety: Nursing, Pharmacy, and Medical Graduates’ Experiences and Perspectives. J Interprof Care. 2016;30:649–54. https://doi.org/10.1080/13561820.2016.1191450

. Menteri Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 8 Tahun 2015 tentang Program Pengendalian Resistensi Antimikroba di Rumah Sakit. 2015.

. Centers for Disease Control and Prevention. Antibiotic Resistance Threats in the United States, 2019. Atlanta,GA: US Department of Health and Human Services; 2019.

. Doron S, Davidson LE. Antimicrobial stewardship. Mayo Clin Proc. 2011;86(11):1113–23. https://doi.org/10.4065/mcp.2011.0358

. US Department of Health and Human Services. Antibiotic Resistance Threats in the Unites States, 2013. Centers Dis Control Prev. 2013;

. Enzler MJ, Berbari E, Osmon DR. Antimicrobial Prophylaxis in Adults. Mayo Clin Proc. 2011;86(7):686–701.

. World Health Organization. Implementation Manual WHO Surgical Safety Checklist 2009 : Safe Surgery Saves Lives. Patient Saf A World Alliance Safer Heal Care. 2009;

. Askarian M, Moravveji AR, Mirkhani H, Namazi S, Weed H. Adherence to American society of Health-System Pharmacists Surgical Antibiotic Prophylaxis Guidelines in a Teaching Hospital. J Res Pharm Pract. 2006;27:876–8. https://doi.org/10.4103/2279-042x.137075

. Campbell KA, Stein S, Looze C, Bosco JA. Antibiotic Stewardship in Orthopaedic Surgery: Principles and Practice. J Am Acad Orthop Surg. 2014;22:772–81. https://doi.org/10.5435/JAAOS-22-12-772

. Avent ML, Hall L, Davis L, Allen M, Roberts JA, Unwin S, et al. Antimicrobial Stewardship Activities: A Survey of Queensland Hospitals. Aust Heal Rev. 2014;38:557–63. https://doi.org/10.1071/AH13137

. Cairns KA, Doyle JS, Trevillyan JM, Horne K, Stuart RL, Bushett N, et al. The Impact of A Multidisciplinary Antimicrobial Stewardship Team on the Timeliness of Antimicrobial Therapy in Patients with Positive Blood Cultures: A Randomized Controlled Trial. J Antimicrob Chemother. 2016;71:3276–83. https://doi.org/10.1093/jac/dkw285

. Findyartini A, Kambey DR, Yusra RY, Timor AB, Khairani CD, Setyorini D, et al. Interprofessional collaborative practice in primary healthcare settings in Indonesia: A mixed-methods study. J Interprofessional Educ Pract. 2019;17(July):100279. https://doi.org/10.1016/j.xjep.2019.100279

. Yusra RY, Findyartini A, Soemantri D. Healthcare Professionals’ Perceptions regarding Interprofessional Collaborative Practice in Indonesia. J Interprofessional Educ Pract. 2019;15. https://doi.org/10.1016/j.xjep.2019.01.005

. Soemantri D, Kambey DR, Yusra RY, Timor AB, Khairani CD, Setyorini D, et al. The Supporting and Inhibiting Factors of Interprofessional Collaborative Practice in a Newly Established Teaching Hospital. J Interprofessional Educ Pract. 2019;15. https://doi.org/10.1016/j.xjep.2019.03.008

. Charles ST, Carstensen LL. Social and emotional aging. Annu Rev Psychol. 2010;61:383–409. https://doi.org/10.1146/annurev.psych.093008.100448

. Mongo T. Nurse perceptions of physician-nurse collaboration in the home health setting : A pilot study(Master’s thesis). Nurs These Capstone Proj. 2010;186.

. Farrell B, Ward N, Dore N, Russell G, Geneau R, Evans S. Working in interprofessional primary health care teams: What do pharmacists do? Res Soc Adm Pharm. 2013;9(3):288–301. https://doi.org/10.1016/j.sapharm.2012.05.005

. Reeves S, Macmillan K, Van Soeren M. Leadership of interprofessional health and social care teams: A socio-historical analysis. J Nurs Manag. 2010;18(3):258–64. https://doi.org/10.1111/j.1365-2834.2010.01077.x

. Elsous A, Radwan M, Mohsen S. Nurses and Physicians Attitudes toward Nurse-Physician Collaboration: A Survey from Gaza Strip, Palestine. Nurs Res Pract. 2017;2017(January):1–7. https://doi.org/10.1155/2017/7406278

. Clarin OA. Strategies to Overcome Barriers to Effective Nurse Practitioner and Physician Collaboration. J Nurse Pract. 2007;3(8):538–48. https://doi.org/10.1016/j.nurpra.2007.05.019

. Khan N, McGarry K, Naqvi AA, Holden K. Doctors’ perceptions, expectations and experience regarding the role of pharmacist in hospital settings of Pakistan. Int J Clin Pharm. 2020;42(2):549–66. https://doi.org/10.1007/s11096-020-00991-9

. MacNaughton K, Chreim S, Bourgeault IL. Role construction and boundaries in interprofessional primary health care teams: A qualitative study. BMC Health Serv Res. 2013;13(486):1–13.