Chronological evolution of interprofessional education (IPE) in Saudi Arabia: A systematic review
DOI:
https://doi.org/10.46542/pe.2025.251.311321Keywords:
Health professional, Healthcare education, Healthcare student, Interprofessional education (IPE), Saudi ArabiaAbstract
Background: This study aimed to identify the evolution of research conducted over a decade (2013 to 2023) on the facilitators and barriers to interprofessional education (IPE) implementation in healthcare education in Saudi Arabia.
Methods: The PRISMA model for systematic review was adopted to search the MEDLINE, PubMed, Science Direct, and Google Scholar databases. Boolean operators and keywords were used to retrieve relevant research articles, and data were analysed narratively to describe the research findings.
Results: Twelve studies were selected for the systematic review, most of which addressed the knowledge and perception of healthcare students and teachers about IPE, showing improved knowledge and favourable perception of IPE over time. However, several barriers to implementing IPE in Saudi Arabia were also reported. Research has emphasised the need for workshops to improve IPE preparedness and facilitate its integration into curricula.
Conclusion: The knowledge and perceptions of students and teaching faculty towards IPE in KSA have gradually improved. Further studies are recommended to explore the perceptions and readiness of other stakeholders, including curriculum design experts across various healthcare institutes, institutional higher management, clinical site preceptors, and students undergoing clinical training.
References
AlAhmari, M. D. (2019). Interprofessional education: Saudi health students’ attitudes toward shared learning. Advances in Medical Education and Practice, 10, 1061–1067. https://doi.org/10.2147/AMEP.S226477
Al-Eisa, E., Alderaa, A., AlSayyad, A., AlHosawi, F., AlAmoudi, S., AlTaib, S., Mahmoud, S., AlGhanim, T., Alghadir, A., & Anwer, S. (2016). The perceptions and readiness toward interprofessional education among female undergraduate health-care students at King Saud University. Journal of Physical Therapy Science, 28(4), 1142–1146. https://doi.org/10.1589/jpts.28.1142
Alghamdi, K. J., Aljohani, R. M., Khurmi, R. A., Alrehaili, J. A., Alrehaili, Y. M., Allam, R. E., & Aljohani, A. R. (2023). Medical students’ perception of interprofessional education: A cross-sectional study. Cureus, 15(12), e50501. https://doi.org/10.7759/cureus.50501
Almalki, M., Fitzgerald, G., & Clark, M. (2011). Health care system in Saudi Arabia: An overview. Eastern Mediterranean Health Journal, 17(10), 784–793. https://doi.org/10.26719/2011.17.10.784
Almazrou, S. H., & Alaujan, S. S. (2022). Knowledge and readiness for interprofessional learning among pharmacy and clinical nutrition students at King Saud University. Journal of Multidisciplinary Healthcare, 15, 1965–1970. https://doi.org/10.2147/JMDH.S360608
Al-Qahtani, M. F., & Guraya, S. Y. (2016). Measuring the attitudes of healthcare faculty members towards interprofessional education in KSA. Journal of Taibah University Medical Sciences, 11(6), 586–593. https://doi.org/10.1016/j.jtumed.2016.10.001
Alqutaibi, A. Y., Awad, R., Rahhal, M. M., & Zafar, M. S. (2024). Interprofessional education in Saudi Arabia: A call to action. European Journal of Dentistry, 18(04), 963–964 https://doi.org/10.1055/s-0044-1788321
AlRuthia, Y., Bashatah, A., Batis, A. A., Alradhi, S. A., Almohammed, O., Sales, I., Kalagi, N., Alharbi, M. K., Alghadeer, S., Mobrad, A. B., Albaker, A. M., & Asiri, Y. (2023). Exploring the opportunities and challenges to implementing interprofessional education in Saudi Arabia: a qualitative study among faculty. Journal of Interprofessional Care, 37(1), 47–57. https://doi.org/10.1080/13561820.2021.2004097
Alzamil, H., & Meo, S. A. (2020). Medical students’ readiness and perceptions about interprofessional education: A cross sectional study. Pakistan Journal of Medical Sciences, 36(4), 693. https://doi.org/10.12669/pjms.36.4.2214
Andermann, A. (2016). Taking action on the social determinants of health in clinical practice: A framework for health professionals. Canadian Medical Association Journal, 188(17–18), E474–E483. https://doi.org/10.1503/cmaj.160177
Asmri, M. A., Almalki, M. J., Fitzgerald, G., & Clark, M. (2020). The public health care system and primary care services in Saudi Arabia: a system in transition. Eastern Mediterranean Health Journal, 26(4), 468–476. https://doi.org/10.26719/emhj.19.049
Bashatah, A. S., Al-Ahmary, K. A., Al Arifi, M., Asiri, Y. A., AlRuthia, Y., Metwally, A. S., King, C. A., & Williams, B. (2020). Interprofessional cooperation: An interventional study among Saudi healthcare teaching staff at King Saud University. Journal of Multidisciplinary Healthcare, 13, 1537c1544. https://doi.org/10.2147/JMDH.S279092
Bashatah, A. S. (2023). Assessment of nursing undergraduate's perceptions of Interprofessional learning: A cross-sectional study. Frontiers in Public Health, 10, 1030863. https://doi.org/10.3389/fpubh.2022.1030863
Committee on Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes, Board on Global Health, & Institute of Medicine. (2016). Measuring the impact of interprofessional education on collaborative practice and patient outcomes. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK338360/
Bogossian, F., New, K., George, K., Barr, N., Dodd, N., Hamilton, A. L., Nash, G., Masters, N., Pelly, F., Reid, C., Shakhovskoy, R., & Taylor, J. (2023). The implementation of interprofessional education: A scoping review. Advances in Health Sciences Education: Theory and Practice, 28(1), 243–277. https://doi.org/10.1007/s10459-022-10128-4
Bonello, M., Morris, J., & Azzopardi Muscat, N. (2018). The role of national culture in shaping health workforce collaboration: Lessons learned from a case study on attitudes to interprofessional education in Malta. Health Policy (Amsterdam, Netherlands), 122(10), 1063–1069. https://doi.org/10.1016/j.healthpol.2018.06.013
Bridges, D. R., Davidson, R. A., Odegard, P. S., Maki, I. V., & Tomkowiak, J. (2011). Interprofessional collaboration: Three best practice models of interprofessional education. Medical Education Online, 16, 1. https://doi.org/10.3402/meo.v16i0.6035
Buring, S. M., Bhushan, A., Brazeau, G., Conway, S., Hansen, L., & Westberg, S. (2009). Keys to successful implementation of interprofessional education: Learning location, faculty development, and curricular themes. American Journal of Pharmaceutical Education, 73(4), 60. https://doi.org/10.5688/aj730460
Cleary, M., RN, PhD, Foong, A., RN, PhD, C.Psychol, Kornhaber, R., RN, PhD, McLean, L., BA, MBBS (Hons), FRANZCP, PhD, Dip Psychodynamic Psychotherapy, Cert ATP, & Visentin, D. C., PhD (2019). Interprofessional collaborations for improved health care. Issues in Mental Health Nursing, 40(12), 1045–1048. https://doi.org/10.1080/01612840.2019.1655367
Darlow, B., Coleman, K., McKinlay, E., Donovan, S., Beckingsale, L., Gray, B., Neser, H., Perry, M., Stanley, J., & Pullon, S. (2015). The positive impact of interprofessional education: a controlled trial to evaluate a programme for health professional students. BMC Medical Education, 15, 98. https://doi.org/10.1186/s12909-015-0385-3
Donnelly, C., Ashcroft, R., Bobbette, N., Mills, C., Mofina, A., Tran, T., Vader, K., Williams, A., Gill, S., & Miller, J. (2021). Interprofessional primary care during COVID-19: A survey of the provider perspective. BMC Family Practice, 22(1), 31. https://doi.org/10.1186/s12875-020-01366-9
Engel, J., Prentice, D., & Taplay, K. (2017). A power experience: A phenomenological study of interprofessional education. Journal of Professional Nursing, 33(3), 204–211. https://doi.org/10.1016/j.profnurs.2016.08.012
Epstein, R. M., & Street, R. L., Jr (2011). The values and value of patient-centered care. Annals of Family Medicine, 9(2), 100–103. https://doi.org/10.1370/afm.1239
Epstein, R. M., Fiscella, K., Lesser, C. S., & Stange, K. C. (2010). Why the nation needs a policy push on patient-centered health care. Health Affairs (Project Hope), 29(8), 1489–1495. https://doi.org/10.1377/hlthaff.2009.0888
Fallatah, H. I. (2016). Introducing inter-professional education in curricula of Saudi health science schools: an educational projection of Saudi Vision 2030. Journal of Taibah University Medical Sciences, 11(6), 520–525. https://doi.org/10.1016/j.jtumed.2016.10.008
Fallatah, H. I., Jabbad, R., & Fallatah, H. K. (2015). Interprofessional education as a need: the perception of medical, nursing students and graduates of medical college at King Abdulaziz University. Creative Education, 6(2), 248–254. https://doi.org/10.4236/ce.2015.62023
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
Gill, S., Ashcroft, R., Donnelly, C., Lam, S., Mehta, K., Kourgiantakis, T., Adamson, K., Verrilli, D., Dolovich, L., Kirvan, A., Sur, D., Dancey, M., & Brown, J. B. (2022). Collaboration in interprofessional primary care teams during the COVID-19 pandemic. International Journal of Integrated Care (IJIC), 22, 87. https://doi.org/10.5334/ijic.ICIC21214
Giordano, C., Umland, E., & Lyons, K. J. (2012). Attitudes of faculty and students in medicine and the health professions toward interprofessional education. Journal of Allied Health, 41(1), 21–25. https://pubmed.ncbi.nlm.nih.gov/22544404
Global Forum on Innovation in Health Professional Education, Board on Global Health, & Institute of Medicine. (2013). Interprofessional education for collaboration: Learning how to improve health from interprofessional models across the continuum of education to practice: Workshop summary. National Academies Press (US). https://doi.org/10.17226/13486
Grymonpre, R. E. (2016). Faculty development in interprofessional education (IPE): Reflections from an IPE coordinator. Journal of Taibah University Medical Sciences, 11(6), 510–519. https://doi.org/10.1016/j.jtumed.2016.10.006
Herge, E. A., Hewston, L. A., Umland, E., & Johnson, L. (2016). Developing and evaluating teamwork skills using an interprofessional simulated discharge planning meeting. https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1076&context=jcipeconference
Homeyer, S., Hoffmann, W., Hingst, P., Oppermann, R. F., & Dreier-Wolfgramm, A. (2018). Effects of interprofessional education for medical and nursing students: Enablers, barriers and expectations for optimizing future interprofessional collaboration–a qualitative study. BMC Nursing, 17, 1–10. https://doi.org/10.1186/s12912-018-0279-x
Institute of Medicine (IOM) (US) Committee on Quality of Health Care in America. (2001). Crossing the quality Chasm: A new health system for the 21st century. National Academies Press (US). https://doi.org/10.17226/10027
Jordan, S. R., Connors, S. C., & Mastalerz, K. A. (2022). Frontline healthcare workers' perspectives on interprofessional teamwork during COVID-19. Journal of Interprofessional Education & Practice, 29, 100550. https://doi.org/10.1016/j.xjep.2022.100550
Khan, T. M., Emeka, P. M., Aljadhey, H., & Haseeb, A. (2015). Study investigating pharmacy students’ interprofessional perceptions toward the pharmacy profession in Saudi Arabia. Currents in Pharmacy Teaching and Learning, 7(1), 62–69. https://doi.org/10.1016/j.cptl.2014.09.019
Kirch, D. G., & Ast, C. (2015). Interprofessionalism: Educating to meet patient needs. Anatomical Sciences Education, 8(4), 296–298. https://doi.org/10.1002/ase.1504
MacDonald, M. B., Bally, J. M., Ferguson, L. M., Lee Murray, B., Fowler-Kerry, S. E., & Anonson, J. M. (2010). Knowledge of the professional role of others: a key interprofessional competency. Nurse Education in Practice, 10(4), 238–242. https://doi.org/10.1016/j.nepr.2009.11.012
Madisa, M., Filmalter, C. J., & Heyns, T. (2023). Considerations for promoting the implementation of work-based interprofessional education programmes: A scoping review. Nurse Education Today, 120, 105617. https://doi.org/10.1016/j.nedt.2022.105617
Makeen, H. A., Meraya, A. M., Alqahtani, S. S., Hendi, A., Menachery, S. J., Alam, N., Banji, D., Banji, O. J. F., Sadili, A. E. Y., Hadi Daghriri, S., & Alameer, E. A. (2023). Exploring the awareness, attitude, and inclination of healthcare students towards interprofessional education: A cross-sectional study in Saudi Arabia. Saudi Pharmaceutical Journal, 31(10), 101784. https://doi.org/10.1016/j.jsps.2023.101784
Marion-Martins, A. D., & Pinho, D. L. M. (2020). Interprofessional simulation effects for healthcare students: A systematic review and meta-analysis. Nurse Education Today, 94, 104568. https://doi.org/10.1016/j.nedt.2020.104568
McFadyen, A. K., Maclaren, W. M., & Webster, V. S. (2007). The Interdisciplinary Education Perception Scale (IEPS): An alternative remodelled sub-scale structure and its reliability. Journal of Interprofessional Care, 21(4), 433–443. https://doi.org/10.1080/13561820701352531
Ogbaghebriel, A. A. J., & AlZeer, R. (2021). Perceptions of pharmacy and other health professional students toward interprofessional education. Indian Journal of Pharmaceutical Education and Research, 55(3), 916–923. https://doi.org/10.5530/ijper.55.3.166
O'Keefe, M., Henderson, A., & Chick, R. (2017). Defining a set of common interprofessional learning competencies for health profession students. Medical Teacher, 39(5), 463–468. https://doi.org/10.1080/0142159X.2017.1300246
Orbayinah, S., & Utami, L. P. (2015). Impact of interprofessional education on collaboration attitudes among the student of medical faculty and health sciences Universitas Muhammadiyah Yogyakarta. Journal of Health, Medicine and Nursing, 17(0), 97. https://iiste.org/Journals/index.php/JHMN/article/view/25384
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. International Journal of Surgery (London, England), 88, 105906. https://doi.org/10.1016/j.ijsu.2021.105906
Reeves, S. (2016). Why we need interprofessional education to improve the delivery of safe and effective care. Interface, 20, 185–197. https://doi.org/10.1590/1807-57622014.0092
Reid, A. M., Fielden, S. A., Holt, J., MacLean, J., & Quinton, N. D. (2018). Learning from interprofessional education: A cautionary tale. Nurse Education Today, 69, 128–133. https://doi.org/10.1016/j.nedt.2018.07.004
Rodrigues da Silva Noll Gonçalves, J., Noll Gonçalves, R., da Rosa, S. V., Schaia Rocha Orsi, J., Moysés, S. J., & Iani Werneck, R. (2021). Impact of interprofessional education on the teaching and learning of higher education students: A systematic review. Nurse Education in Practice, 56, 103212. https://doi.org/10.1016/j.nepr.2021.103212
Saragih, I. D., Arna Uly Tarihoran, D.E.T., Sharma, S., & Chou, F. H. (2023). A systematic review and meta-analysis of outcomes of interprofessional education for healthcare students from seven countries. Nurse Education in Practice, 71, 103683. https://doi.org/10.1016/j.nepr.2023.103683
Saudi Vision 2030. (2016). Saudi vision 2030. Retrieved from https://www.vision2030.gov.sa
Schot, E., Tummers, L., & Noordegraaf, M. (2020). Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care, 34(3), 332–342. https://doi.org/10.1080/13561820.2019.1636007
Silva, J. A. M. D., Viana da Costa, M., Mininel, V. A., Rossit, R. A. S., & Xyrichis, A. (2022). The effectiveness of faculty development activities for interprofessional education: A systematic review protocol. Journal of Interprofessional Care, 36(4), 630–633. https://doi.org/10.1080/13561820.2021.1929105
Silver, I. L., & Leslie, K. (2017). Faculty development for continuing interprofessional education and collaborative practice. The Journal of Continuing Education in the Health Professions, 37(4), 262–267. https://doi.org/10.1097/CEH.0000000000000178
Smith, T., Fowler-Davis, S., Nancarrow, S., Ariss, S. M. B., & Enderby, P. (2018). Leadership in interprofessional health and social care teams: a literature review. Leadership in Health Services (Bradford, England), 31(4), 452–467. https://doi.org/10.1108/LHS-06-2016-0026
Spaulding, E. M., Marvel, F. A., Jacob, E., Rahman, A., Hansen, B. R., Hanyok, L. A., Martin, S. S., & Han, H. R. (2021). Interprofessional education and collaboration among healthcare students and professionals: a systematic review and call for action. Journal of Interprofessional Care, 35(4), 612–621. https://doi.org/10.1080/13561820.2019.1697214
Stadick, J. L. (2020). The relationship between interprofessional education and health care professional's attitudes towards teamwork and interprofessional collaborative competencies. Journal of Interprofessional Education & Practice, 19, 100320. https://doi.org/10.1016/j.xjep.2020.100320
Telmesani, A., Zaini, R. G., & Ghazi, H. O. (2011). Medical education in Saudi Arabia: A review of recent developments and future challenges. Eastern Mediterranean Health Journal, 17(8), 703–707. https://applications.emro.who.int/emhj/V17/08/17_8_2011_0703_0707.pdf
van Diggele, C.,Roberts, C.,Burgess, A., & Mellis, C. (2020). Interprofessional education: Tips for design and implementation. BMC Medical Education, 20(Suppl 2), 455. https://doi.org/10.1186/s12909-020-02286-z
WHO (World Health Organization). (2010). Framework for action on interprofessional education and collaborative practice. http://www.who.int/hrh/resources/framework_action/en/index.html
Williams, B., Lynch, M., Olaussen, A., Lachmann, H., Kalén, S., & Ponzer, S. (2018). Translation and psychometric evaluation of the Swedish version of the Interdisciplinary Education Perception Scale. Journal of Interprofessional Care, 32(1), 63–68. https://doi.org/10.1080/13561820.2017.1381077
Yune, S. J., Park, K. H., Min, Y. H., & Ji, E. (2020). Perception of interprofessional education and educational needs of students in South Korea: A comparative study. PloS One, 15(12), e0243378. https://doi.org/10.1371/journal.pone.0243378