Healthcare collaboration intervention: Pre-post study
DOI:
https://doi.org/10.46542/pe.2024.243.388394Keywords:
Antibiotic stewardship, Interprofessional collaboration, Knowledge, MotivationAbstract
Background: Effective interprofessional collaboration between health professionals is correlated with improving the quality of health services and patient safety, for example, Program Pengendalian Resistensi Antibiotik (PPRA).
Objective: This research aims to determine the effect of educational PPRA on the knowledge and motivation of healthcare professionals in interprofessional collaboration practices.
Methods: The research is quasi-experimental, with one group pre-post using a knowledge questionnaire (questionnaire 1) and a motivation questionnaire (questionnaire 2). The respondents were health professionals at Husada Utama Hospital. This research involved 74 respondents: two doctors, three pharmacists, 41 nurses, five midwives, ten pharmacist assistants, and 13 laboratory assistants.
Results: The analysis of the effect of providing education on health professionals’ knowledge level showed a significant improvement in good categories before and after education, with 55.4% before and 73% after (Sig. = 0.025, p < 0.05). The analysis of the level of motivation showed that moderate categories grew insignificantly before and after education, with 39.19% before and 47.30% after (Sig = 0.599, p > 0.05).
Conclusion: This research concluded that PPRA education's effect on health workers' knowledge and motivation in interprofessional collaboration at Husada Utama Hospital has increased knowledge and motivation.
References
Ayu, M., Suratri, L., Edwin, V. A., Ajeng, G., Ayu, K., Boulevard, J., Raya, B., & Gading, K. (2020). Faktor-faktor yang berhubungan dengan motivasi kerja tenaga di bidang kesehatan di rumah sakit (Risnakes 2017). Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan, 4(1), 23–30.
Baadani, A. M., Baig, K., Alfahad, W. A., Aldalbahi, S., & Omrani, A. S. (2015). Physicians’ knowledge, perceptions, and attitudes toward antimicrobial prescribing in Riyadh, Saudi Arabia. Saudi Medical Journal, 36(5), 613–619.
Dukhovny, D., Buus-Frank, M. E., Edwards, E. M., Ho, T., Morrow, K. A., Srinivasan, A., Pollock, D. A., Zupancic, J. A., Pursley, D. M., Goldmann, D., Puopolo, K. M., Soll, R. F., & Horbar, J. D. (2019). A collaborative multicenter QI initiative to improve antibiotic stewardship in newborns. Pediatrics, 144(6). https://doi.org/10.1542/peds.2019-0589
Femy Fatalina, Sunartini, Widyandana, M. S. (2015). Hubungan interprofesi perawat dengan profesi lainnya dalam mewujudkan patient safety. Jurnal Pendidikan Kedokteran Indonesia, 4(1).
Herawati, F., Irawati, A. D., Viani, E., Sugianto, N. A., Rahmatin, N. L., Artika, M. P., Sahputri, S. E. B., Setiasih, Kantono, K., Yulia, R., Andrajati, R., & Soemantri, D. (2022). Effective clinical pathway improves interprofessional collaboration and reduces antibiotics prophylaxis use in orthopedic surgery in hospitals in Indonesia. Multidisciplinary Digital Publishing Institute, 11(3). https://doi.org/10.3390/antibiotics11030399
Jabbour, M., Newton, A. S., Johnson, D., & Curran, J. A. (2018). Defining barriers and enablers for clinical pathway implementation in complex clinical settings. Implementation Science, 13(1), 1–13.
Karuniawati, H., Yulianti, T., Aini, D. K., & Nurwienda, F. I. (2021). Impact of antimicrobial stewardship program on the use of antibiotics in pneumonia patients at a teaching hospital in Surakarta Indonesia. International Journal of Applied Pharmaceutics, 13(1), 20–23.
Kementrian Kesehatan Indonesia. (2015). Peraturan Menteri Kesehatan Republik Indonesia Nomor 8 Tahun 2015 tentang Program Pengendalian Resistensi Antimikroba di Rumah Sakit. Permenkes No. 8 Tahun 2015 (bpk.go.id).
Keyworth, C., Epton, T., Goldthorpe, J., Calam, R., & Armitage, C. J. (2020). Acceptability, reliability, and validity of a brief measure of capabilities, opportunities, and motivations (“COM-B”). British Journal of Health Psychology, 25(3), 474–501.
World Health Organization. (2019, October 22). Antimicrobial stewardship programs in health-care facilities in low- and middle-income countries: A WHO practical toolkit. Antimicrobial stewardship programmes in health-care facilities in low - and middle -income countries (who.int).
World Health Organization. (2021, June 9). Global Anti Microbial Resistance and Use Surveillance System (GLASS) Report: 2021. Global Antimicrobial Resistance and Use Surveillance System (GLASS) Report: 2021 (who.int).
Roopa, S., & Rani, M. (2012). Questionnaire designing for a survey. Journal of Indian Orthodontic Society, 46(4), 273–277.
Saleh, D., Farha, R. A., & Alefishat, E. (2021). Impact of an educational intervention to promote Jordanian community pharmacists’ knowledge and perception towards antimicrobial stewardship: Pre-post interventional study. Infection and Drug Resistance, 14(7), 3019–3027.
Schmid, S., Schlosser, S., Gülow, K., Pavel, V., Müller, M., & Kratzer, A. (2022). Interprofessional collaboration between ICU physicians, staff nurses, and hospital pharmacists optimizes antimicrobial treatment and improves the quality of care and economic outcomes. Antibiotics, 11(381).
Setiawan, E., Wibowo, Y. I., Setiadi, A. P., Nurpatria, Y., Sosilya, H., Wardhani, D. K., Cotta, M. O., Abdul-Aziz, M.-H., & Roberts, J. (2019). Implementasi antimicrobial stewardship program di kawasan Asia: Sebuah kajian sistematis. Indonesian Journal of Clinical Pharmacy, 8(2), 141–156.
Tahoon, M. A., Khalil, M. M., Hammad, E., Morad, W. S., Awad, S. M., & Ezzat, S. (2020). The effect of educational intervention on healthcare providers’ knowledge, attitude, & practice towards antimicrobial stewardship program at, National Liver Institute, Egypt. Egyptian Liver Journal, 10(1).
Wang, H., Wang, H., Yu, X., Zhou, H., Li, B., Chen, G., Ye, Z., Wang, Y., Cui, X., Zheng, Y., Zhao, R., Yang, H., Wang, Z., Wang, P., Yang, C., & Liu, L. (2019). Impact of antimicrobial stewardship managed by clinical pharmacists on antibiotic use and drug resistance in a Chinese hospital, 2010–2016: A retrospective observational study. BMJ Open, 9(8), e026072.
Michie, S & West, R. M. (2020). A brief introduction to the COM-B Model of behavior and the PRIME Theory of motivation. Qeios, 2–7.
Fox, S., Gaboury, I., Chiocchio, F., & Vachon, B. (2021). Communication and interprofessional collaboration in primary care: From ideal to reality in practice. Health communication, 36(2), 125–135. https://doi.org/10.1080/10410236.2019.1666499
Rabani, R., Key, M., Morrissey, H., & Ball, P.A. (2021). Exploring students' perceptions and opinions about an institutional hierarchy of healthcare professionals and its impact on their inter-professional learning outcomes. Pharmacy Education, 21, 19–28. https://doi.org/10.46542/pe.2021.211.1928v
Wahyuni, K.I., Nita, Y., & Zairina, E. (2023). Perception of healthcare personnel in interprofessional collaborations: A study in two “type c” hospitals in East Java. Pharmacy Education, 23(4), 344–348. https://doi.org/10.46542/pe.2023.234.344348
