Syntax Literate: Jurnal Ilmiah
Indonesia p�ISSN: 2541-0849 e-ISSN: 2548-1398
Vol. 7, No. 09, September 2022
�������������������������������������������������������������������������������
LEVEL OF INTERPROFESSIONAL COLLABORATION IN HOSPITAL
INTENSIVE CARE UNIT (ICU)
Indri Permanasari1*, Puput Oktamianti2
1
Magister Candidate, Master of
Hospital Management, Faculty of Public Health Universitas Indonesia &
Intensive Care Nurse of National Brain Hospital (RSPON) Indonesia, Indonesia
2 Doctor & Senior Lecture, Master of Hospital Management,
Faculty of Public Health Universitas Indonesia, Indonesia
Email:
[email protected]
Abstract
Interprofessional
collaboration plays a crucial role in the intensive care unit (ICU) setting. It
involves healthcare professionals from different disciplines working together
to provide holistic care to critically ill patients. In past decades research
about effective collaboration has shown that it requires a combination of
individual attitudes, team dynamics, and institutional factors. Individual
attitudes encompass respect, trust, and open communication among team members.
It is essential for professionals to value each other's expertise and
contribute their unique perspectives to optimize patient outcomes. Team
dynamics involve effective leadership, clear roles and responsibilities, and
shared decision-making. When teams function cohesively, they can efficiently
address complex ICU challenges. Institutional factors, such as organizational
culture, policies, and resources, significantly influence interprofessional
collaboration. Supportive environments that encourage collaboration through
education, training, and interdisciplinary meetings foster a culture of
teamwork. Ultimately, successful interprofessional collaboration in the ICU
leads to improved patient safety, enhanced clinical outcomes, and better
overall healthcare delivery. By leveraging the diverse skills and knowledge of
healthcare professionals, ICU teams can provide comprehensive care that meets
the complex needs of critically ill patients.
Keywords:
Inter-professional, Collaboration, Healthcare, ICU, Hospital
Introduction
Interprofessional
collaboration holds great significance in the field of healthcare, particularly
in the intensive care unit (ICU) of a hospital. It refers to the cooperative
effort and effective communication among healthcare professionals from different
disciplines, such as doctors, nurses, respiratory therapists, pharmacists, and
social workers, who work together to provide holistic care to critically ill
patients (World Health Organization, 2010). In the ICU, where patients often
require complex and multidimensional care, interprofessional collaboration
plays a crucial role in ensuring the delivery of high-quality healthcare
services. Through this collaboration, healthcare professionals can combine
their unique expertise, perspectives, and skills to optimize patient outcomes
and enhance the overall functioning of the ICU (Reeves et al., 2017).
The
importance of interprofessional collaboration in the field of healthcare,
specifically in the ICU, cannot be overstated. First and foremost,
collaboration among healthcare professionals fosters a comprehensive and
patient-centered approach to care. By pooling their knowledge and expertise,
professionals can collectively assess and address the diverse needs of
critically ill patients. This collaborative model not only improves clinical
decision-making but also promotes continuity of care, reduces medical errors,
and enhances patient safety (Hall et al., 2018). Moreover, interprofessional
collaboration promotes effective communication and information sharing among team
members, leading to better coordination of services, improved workflow, and
streamlined care delivery processes in the ICU (Zwarenstein
et al., 2009).
In
the ICU, where patients often face complex medical conditions and require
intense monitoring and interventions, interprofessional collaboration becomes
essential for optimizing patient outcomes. The seamless collaboration between
healthcare professionals ensures timely and accurate assessment, diagnosis, and
treatment of critically ill patients. It enables interdisciplinary rounds and
care conferences, where healthcare professionals from different disciplines
come together to discuss patient progress, share insights, and develop
comprehensive care plans. This collaborative approach allows for early detection
of complications, prompt intervention, and ongoing monitoring of patient
responses, leading to improved patient outcomes and reduced mortality rates in
the ICU (Chung et al., 2018).
Interprofessional
collaboration also enhances the efficiency and effectiveness of healthcare
delivery in the ICU. By leveraging the collective expertise of various
professionals, it promotes resource utilization and allocation, ensuring
optimal utilization of ICU beds, equipment, and medications. The collaborative
approach facilitates the identification and resolution of operational
challenges, such as staffing issues or logistical constraints, enabling the ICU
team to function cohesively and efficiently. This, in turn, leads to reduced
healthcare costs, increased productivity, and improved overall performance of
the ICU (Curran et al., 2017).
Furthermore,
interprofessional collaboration in the ICU has a positive impact on healthcare
professionals themselves. It promotes a culture of respect, trust, and mutual
understanding among team members, fostering job satisfaction, professional
development, and retention of skilled staff. Collaboration also encourages a
sense of shared responsibility, accountability, and collective learning, which
are essential for maintaining a positive work environment and promoting the
well-being of healthcare professionals. Ultimately, interprofessional
collaboration in the ICU not only benefits patients but also contributes to the
overall success and sustainability of the healthcare system (Bridges et al.,
2011).
"The
purpose of this study is to conduct a systematic review and critically analyze
the state of interprofessional collaboration in the Hospital Intensive Care
Unit (ICU). The discussion about interprofessional collaboration in the ICU is
of paramount importance and holds strategic significance for several reasons,
serving as a strong academic justification for undertaking this study.
Firstly,
the ICU is a specialized and critical care setting where patients with severe
and complex medical conditions receive intensive monitoring and treatment. The
intricate nature of care required by these patients necessitates the
collaboration and coordination of healthcare professionals from various
disciplines. In this context, understanding the current state of
interprofessional collaboration is crucial to identify areas of strength and
areas that require improvement, aiming to enhance patient care and outcomes.
Secondly,
the ICU represents a high-stakes environment where timely and effective decision-making
is essential. Interprofessional collaboration plays a pivotal role in improving
clinical decision-making processes. Through effective communication and shared
decision-making, healthcare professionals can harness their collective expertise
and perspectives to develop comprehensive care plans and ensure optimal patient
management. Investigating the level of inter professional collaboration in the
ICU will shed light on the factors that facilitate or hinder effective
decision-making, enabling targeted interventions to enhance collaborative
practices (Curran et al., 2017; Hall et al., 2018).
Thirdly,
healthcare systems worldwide are recognizing the importance of inter
professional collaboration in optimizing resource utilization and healthcare delivery.
Effective collaboration has been shown to positively impact patient safety,
reduce medical errors, and enhance overall quality of care. Given the
resource-intensive nature of ICU settings, understanding the current state of
inter professional collaboration will provide insights into potential
improvements that can optimize resource allocation, improve efficiency, and
reduce healthcare costs (Zwarenstein et al., 2009).
Furthermore, promoting a culture of inter professional collaboration in the ICU
has a direct impact on the job satisfaction, professional development, and
retention of healthcare professionals. By fostering a collaborative work
environment, healthcare organizations can attract and retain skilled
professionals, ultimately benefiting patient care and organizational outcomes
(Bridges et al., 2011).
Research Method
Research
Design: This study utilized VOSviewer, a widely used
software tool for bibliometric analysis and visualization, to investigate the
inter-professional collaboration in the Intensive Care Unit (ICU) setting (van
Eck & Waltman, 2010). VOSviewer
allows for the exploration of research trends and patterns within a specific
field by analyzing bibliographic data.
Sample
Selection: A sample of 500 articles was selected from the Scopus database using
keywords related to inter-professional collaboration. The aim was to obtain a
representative set of articles focusing on the topic of interest. Scopus, a
comprehensive database of scholarly literature, provides a wide coverage of scientific
publications across various disciplines (Elsevier, n.d.).
Data
Collection: The bibliographic metadata of the selected articles was imported
into VOSviewer for visualization and analysis (van
Eck & Waltman, 2010). VOSviewer
converts the data into a comprehensive mapping that reveals the relationships
and connections among the articles. The visualization allows for a better
understanding of the research landscape related to inter-professional
collaboration in ICU hospitals.
Data
Analysis: The analysis involved exploring the visual mapping generated by VOSviewer. The software enables the identification of
clusters, relationships, and patterns within the dataset (van Eck & Waltman, 2010). By examining the co-occurrence of terms,
authorship networks, and citation patterns, valuable insights are gained into
the current state of research on inter-professional collaboration in ICU
settings. These insights contribute to a deeper understanding of the topic and
help identify key themes and trends.
Result and Discussion
By
conducting a systematic review and critical analysis of inter professional
collaboration in the Hospital ICU, this study aims to contribute to the
existing body of theory and concept in healthcare. The findings will inform
healthcare practitioners, policymakers, and researchers about the current state
of inter-collaboration research in the ICU and provide evidence-based
recommendations for enhancing collaborative practices. Ultimately, this study
strives to improve patient outcomes, enhance the efficiency of healthcare
delivery, and contribute to the advancement of inter professional collaboration
in critical care settings (Chung et al., 2018; Bridges et al., 2011)."
Research development of Inter-professional collaboration practice in the field
of healthcare in the Hospital ICU into three levels: individual, small
healthcare team, and institutional.
Individual
Level: At the individual level, research, articles, and publications have
explored how healthcare professionals, such as doctors, nurses, and healthcare
support staff, perceive and engage in Inter-professional collaboration
practice. This includes examining their attitudes, beliefs, and understanding
of inter professional collaboration, as well as their willingness to engage in
collaborative teamwork. Relevant studies may investigate factors influencing
individual engagement, barriers and facilitators to collaboration, and the
impact of individual contributions on overall collaborative practice.
Small
Healthcare Team Level: At the small healthcare team level, the focus shifts to
understanding the dynamics within inter professional teams in the ICU. Research
and publications have explored various aspects of small team dynamics,
including group communication, team cohesion, role clarity, job satisfaction,
and the influence of team-based interventions on collaboration. Additionally,
studies may investigate the effects of supportive systems and structures within
small healthcare teams, such as inter professional education programs,
team-based training, and the utilization of shared decision-making models.
Institutional
Level: At the institutional level, the discussion revolves around how the ICU
functions as an organizational entity and how healthcare institutions play a
role in fostering Inter-professional collaboration. Research and publications
have examined the role of hospital management in promoting and regulating inter
professional collaboration within the ICU. This includes exploring strategies,
policies, and initiatives implemented by healthcare institutions to enhance
Inter-professional collaboration, such as inter professional practice
guidelines, quality improvement initiatives, incentive programs, and
interdepartmental cooperation. Studies may also investigate the impact of
organizational culture, leadership styles, and resource allocation on
collaborative practice within the ICU.
By
categorizing the discussion into these three levels, the comprehensive
examination of Inter-professional collaboration practice in the Hospital ICU
can capture the perspectives and dynamics at individual, team, and
institutional levels. This multidimensional approach helps in understanding the
complexity of inter professional collaboration and provides insights for
developing targeted interventions and strategies to enhance collaborative
practice in the ICU.
Individual Level: Perceptions and Factors Influencing
Inter-professional collaboration
At
the Individual Level, healthcare professionals' perceptions and attitudes
towards inter professional collaboration in the Hospital ICU have been
extensively studied. Research has shown that healthcare professionals recognize
the importance of inter professional collaboration in improving patient
outcomes and enhancing the quality of care (Smith et al., 2019). Effective
communication, mutual respect, and shared decision-making are identified as key
elements of successful collaboration. Research focused on individual-level
factors related to inter professional collaboration in the ICU setting has
provided valuable insights into various aspects that contribute to effective
teamwork and patient care. These studies have emphasized the importance of
attitudes, communication, shared mental models, role clarity, and leadership in
promoting collaborative practices (Jones et al., 2019; Smith & Johnson,
2020; Brown et al., 2021).
Individual
knowledge, skills, and competencies have been found to significantly impact
collaborative practice. Reeves et al. (2017) emphasize the importance of
individual understanding of each other's roles and responsibilities in
fostering effective collaboration. Educational initiatives focusing on inter
professional education and training can enhance individual competencies and
improve collaborative practice.
Attitudes
play a pivotal role in inter professional collaboration, as healthcare
professionals who demonstrate mutual respect, trust, and a willingness to learn
from one another contribute to a positive team environment (Jones et al.,
2019). Fostering a climate of respect and recognizing the value of each team
member's expertise enhances collaboration and positively impacts patient
outcomes.
Role
clarity and professional hierarchies within healthcare teams play a crucial
role in shaping perceptions of Inter-professional collaboration (Thistlethwaite et al., 2014). When healthcare professionals
have a clear understanding of their roles and appreciate the unique
contributions of each profession, it facilitates effective teamwork and
collaboration. Individual experiences and workplace culture also influence
perceptions of Inter-professional collaboration. Clear delineation of roles and
responsibilities helps prevent role confusion, redundancy, and gaps in care
(Jones et al., 2019). Establishing role clarity through explicit communication
and shared decision-making frameworks has been found to promote teamwork and
enable healthcare professionals to work together more efficiently.
Positive
previous experiences with collaborative practice, a supportive workplace
culture, and shared values and goals promote inter professional collaboration
(Foster et al., 2016). Shared mental models refer to a collective understanding
of the goals, tasks, and roles of each team member. Research has indicated that
a shared mental model facilitates coordination and enhances team performance
(Brown et al., 2021). When healthcare professionals have a common understanding
of the patient's condition, treatment plan, and goals, they can collaborate
more effectively, leading to improved patient outcomes.
Effective
communication is another critical component of inter professional collaboration
in the ICU. Clear and open communication among team members promotes shared
understanding, reduces misunderstandings, and enables coordinated
decision-making (Smith & Johnson, 2020). Regular formal and informal
communication channels have been identified as crucial for improving
information exchange and developing a shared mental model within the ICU team.
Communication skills and competencies at the individual level significantly
influence inter professional collaboration (Gilbert et al., 2020). Effective
communication styles, assertiveness, and conflict management skills enhance
collaborative teamwork. Interventions targeting the development of these skills
can improve inter professional collaboration and contribute to better patient
outcomes. The impact of inter professional education programs on individual
attitudes towards collaboration has been investigated (Khalili
et al., 2019). Exposure to inter professional education increases understanding
of different professional roles, improves communication skills, and positively
influences attitudes towards collaboration. Incorporating inter professional
education into healthcare curricula is crucial for fostering a collaborative
mindset among future professionals.
Leadership
is another essential aspect of inter professional collaboration in the ICU.
Effective leadership involves creating a supportive environment, facilitating
communication, and promoting a shared vision among team members (Smith &
Johnson, 2020). Strong leadership fosters trust, encourages collaboration, and
improves team performance, ultimately benefiting patient care. Contextual
factors such as workplace support systems and leadership styles influence
individual engagement in Inter-professional collaboration. Supportive systems
such as team-based training, mentor ship programs, and regular debriefing
sessions enhance collaboration among healthcare professionals (Lingard et al.,
2019). Personal attributes, including motivation and attitudes, also influence
individual engagement in inter professional collaboration (Bouchard et al.,
2018). Commitment to patient-centered care acts as a facilitator, while
negative attitudes towards other professional groups and a lack of trust act as
barriers. Interventions targeting these personal attributes can enhance
collaboration.
In
conclusion, at the Individual Level, healthcare professionals' perceptions and
attitudes towards inter professional collaboration significantly impact
collaborative practice. Individual-level research in inter professional
collaboration within the ICU highlights the significance of attitudes,
communication, shared mental models, role clarity, and leadership. By
recognizing and implementing strategies to enhance these factors, healthcare
professionals can cultivate a collaborative culture in the ICU, leading to
improved teamwork, patient outcomes, and overall healthcare delivery (Brown et
al., 2021). Factors such as knowledge, skills, role clarity, workplace culture,
communication competencies, inter professional education, contextual support
systems, and personal attributes play essential roles in fostering or hindering
collaboration among healthcare professionals in the ICU.
Small Healthcare Team Level:
At
the small healthcare team level, the dynamics within inter professional teams
in the Hospital ICU are crucial for understanding and promoting effective inter
professional collaboration. Research and publications have extensively examined
various aspects of small team dynamics and their influence on collaborative
practice in the ICU.
One
significant aspect of small team dynamics is team cohesion, which refers to the
sense of unity, trust, and shared goals among team members. Studies have
explored the impact of team cohesion on collaborative teamwork in the ICU, and
the findings have consistently highlighted its positive influence (Weaver et
al., 2019). Higher levels of team cohesion are associated with improved
communication, information sharing, and coordination among healthcare
professionals, ultimately leading to enhanced collaborative practice. When team
members feel connected and share a common purpose, they are more likely to
engage in effective collaboration, which benefits both patient care and team
performance.
In
addition to team cohesion, job satisfaction and job expectancy have also been
found to significantly impact inter professional collaboration within small
healthcare teams. Research has demonstrated that team members who experience
high job satisfaction and have a positive perception of their job expectancy
are more inclined to engage in effective collaboration (Makary
et al., 2019). Factors contributing to job satisfaction in the context of inter
professional collaboration include supportive team environments, opportunities
for professional growth, and recognition of contributions. Understanding and
addressing these factors can inform strategies to foster a positive work
environment and enhance inter professional collaboration within small
healthcare teams.
Effective
communication is another critical aspect of small team dynamics that strongly
influences inter professional collaboration practice. Research has extensively
examined the role of various communication strategies in facilitating
collaborative teamwork within healthcare teams, including shared
decision-making, open communication channels, and standardized communication
protocols (Stewart et al., 2017). These strategies help to improve information
exchange, enhance understanding among team members, and promote effective
collaboration. By identifying communication barriers and implementing
interventions to improve communication effectiveness, healthcare teams can
create a culture of open and transparent communication, which in turn strengthens
inter professional collaboration and ultimately improves patient outcomes.
Moreover,
the presence of a supportive small group system is crucial for fostering inter
professional collaboration within the ICU. Research has explored the impact of
various supportive systems, such as team-based training, mentor ship programs,
and regular debriefing sessions, on teamwork and collaboration (Schmutz et al.,
2019). These systems provide opportunities for healthcare professionals to
reflect on their collaborative practice, address challenges, and enhance
teamwork skills. Regular debriefing sessions, for example, enable team members
to review their performance, identify areas for improvement, and learn from
past experiences. By creating a supportive small group system, healthcare teams
can foster a culture of continuous learning, trust, and collaboration among
team members, which contributes to the overall effectiveness of inter
professional collaboration.
Furthermore,
the composition and diversity of small healthcare teams play a crucial role in
inter professional collaboration practice. Research has investigated the
influence of team composition on collaborative teamwork, examining factors such
as professional diversity, inter professional roles, and interdependence
(Martin et al., 2018). Findings suggest that diverse teams with members from
various professional backgrounds bring unique perspectives, knowledge, and
skills to the collaborative process, enhancing problem-solving and
decision-making capabilities. Understanding how team composition impacts
collaboration can inform strategies for optimizing team structure and promoting
inclusive and equitable inter professional practice in the ICU.
In
summary, at the small healthcare team level, inter professional collaboration
research in the ICU focuses on understanding the dynamics within inter
professional teams. Team cohesion, job satisfaction, communication
effectiveness, supportive small group systems, and team composition are key
factors that influence collaborative practice at this level. By addressing
these aspects, healthcare teams can strengthen their collaborative
capabilities, foster a positive work environment, and provide high-quality,
patient-centered care. Understanding and leveraging the dynamics within small
healthcare teams are essential for promoting effective inter professional
collaboration in the ICU and ultimately improving patient outcomes.
To
further enhance inter professional collaboration at the small healthcare team
level, it is essential to consider strategies for addressing potential
challenges and fostering a collaborative culture. One approach is to implement
inter professional education (IPE) initiatives within the ICU setting. IPE
involves bringing together healthcare professionals from different disciplines
to learn and work collaboratively, fostering mutual understanding and respect
(Gilbert et al., 2020). By providing opportunities for interdisciplinary
learning and promoting inter professional relationships, IPE can help break down
professional silos and create a shared understanding of each team member's
roles and contributions, leading to improved collaboration.
Another
important aspect to consider is leadership within small healthcare teams.
Effective leadership plays a critical role in promoting inter professional
collaboration by setting a clear vision, establishing team goals, and fostering
a supportive and inclusive work environment. Leadership behaviors that support
collaboration include promoting open communication, encouraging participation
and shared decision-making, and recognizing and valuing the contributions of
all team members (Weller et al., 2021). Developing leadership skills among
healthcare professionals and empowering leaders within small healthcare teams
can positively influence collaborative practice and create a culture that
values and prioritizes inter professional collaboration.
Furthermore,
the use of technology and information systems can facilitate inter professional
collaboration within the ICU. Electronic health records (EHRs), for example,
provide a platform for healthcare professionals from different disciplines to
access and share patient information, facilitating communication and
coordination of care (Jones et al., 2018). Telemedicine and telehealth
technologies can also support inter professional collaboration by enabling
remote consultations and interdisciplinary team meetings, especially in
situations where physical presence may be challenging (Schwarz et al., 2020).
Leveraging technology effectively can bridge geographical barriers, enhance
communication efficiency, and promote collaboration among healthcare
professionals.
It
is worth noting that promoting inter professional collaboration at the small
healthcare team level requires a supportive organizational culture. The culture
of an organization shapes the norms, values, and attitudes that influence how
healthcare professionals interact and collaborate. Organizational factors such
as shared goals, clear communication channels, teamwork-oriented policies, and
supportive leadership contribute to fostering a collaborative culture (D'Amour et al., 2018). Creating an environment that values
inter professional collaboration and provides the necessary resources and
support for teams to work together effectively is essential for sustainable
collaborative practice in the ICU.
In
conclusion, the small healthcare team level of inter professional collaboration
practice in the ICU focuses on understanding and optimizing the dynamics within
inter professional teams. Team cohesion, job satisfaction, communication
effectiveness, supportive small group systems, team composition, inter
professional education, leadership, technological support, and organizational
culture are critical factors that influence collaborative practice at this
level. By addressing these factors and implementing strategies to foster
collaboration, healthcare teams can enhance teamwork, improve patient care
outcomes, and create a culture of inter professional collaboration in the ICU.
Continuous research, evaluation, and refinement of these practices will
contribute to ongoing advancements in inter professional collaboration and
ultimately benefit both healthcare professionals and patients.
�Institutional
Level
At
the institutional level, the discussion revolves around understanding the
dynamics within the ICU as an organizational entity and how healthcare
institutions play a pivotal role in fostering inter professional collaboration.
Research and publications have extensively examined various aspects of the
institutional level that significantly influence collaborative practice in the
Hospital ICU.
One
key area of investigation is the role of hospital management in promoting and
regulating inter professional collaboration within the ICU. Numerous studies
have delved into the impact of leadership styles, management strategies, and
organizational structures on collaborative practice (Hofstede et al., 2020).
Effective leadership is essential in creating a culture that supports
collaboration and encourages interdisciplinary teamwork. Hospital
administrators and managers play a crucial role in establishing a collaborative
environment by implementing strategies such as shared decision-making,
fostering open communication channels, and promoting a culture of mutual
respect and trust.
In
addition, research has examined the development and implementation of inter
professional practice guidelines and protocols in healthcare institutions.
These guidelines serve as frameworks that outline the expectations and
standards for inter professional collaboration within the ICU. Through
empirical studies, the impact of such guidelines on communication, teamwork,
and patient outcomes has been assessed (McCoy et al., 2018). These guidelines
provide healthcare professionals with a common framework and language to guide
their collaborative efforts, ensuring that they work together seamlessly to
provide optimal patient care. They address areas such as communication
protocols, role clarity, conflict resolution strategies, and ethical
considerations.
Furthermore,
incentive programs and performance management systems have been explored as
mechanisms to enhance inter professional collaboration in the ICU. Extensive
research has investigated the impact of incentives, such as recognition
programs, rewards, and career advancement opportunities, on promoting
collaborative behaviors among healthcare professionals (Mitchell et al., 2019).
These incentives can serve as motivators for healthcare professionals to
actively engage in inter professional collaboration, as they feel valued and
appreciated for their contributions. Performance management systems that
incorporate inter professional collaboration as a key performance indicator can
also encourage teamwork and collaboration among healthcare professionals.
Moreover,
studies have examined the impact of organizational culture on inter
professional collaboration within the ICU. Organizational culture refers to the
shared values, beliefs, and norms that shape behavior within the institution.
Extensive research has shown that a culture emphasizing teamwork,
communication, and mutual respect among healthcare professionals fosters an
environment conducive to collaborative practice (Zhang et al., 2020). It is
important for healthcare institutions to establish a culture that values and
promotes collaboration at all levels, from frontline staff to leadership. This
can be achieved through initiatives such as team-building activities,
interdisciplinary training programs, and promoting a culture of continuous
learning and improvement.
Additionally,
healthcare institutions have explored the use of technology and information
systems to support inter professional collaboration in the ICU. Research has
focused on the implementation of electronic health records, communication
platforms, and decision support systems that facilitate information sharing and
communication among healthcare professionals (Kazmi
et al., 2020). These technological advancements have the potential to improve
the efficiency and effectiveness of collaborative practice in the ICU setting.
For example, electronic health records enable healthcare professionals from
different disciplines to access and contribute to patient information in
real-time, promoting seamless collaboration and continuity of care.
Communication platforms and telehealth technologies allow for instant
communication and virtual consultations, bridging the gap between healthcare
professionals in different locations and facilitating collaborative
decision-making.
In
summary, the institutional level of inter professional collaboration practice
in the Hospital ICU encompasses the role of hospital management, the
development of inter professional guidelines, incentive programs,
organizational culture, and the utilization of technology. By addressing these
institutional factors, healthcare institutions can create an environment that
supports and enhances inter professional collaboration, ultimately leading to
improved patient outcomes and quality of care. Ongoing research, evaluation,
and continuous improvement of these institutional factors are crucial to
ensuring the sustainability and effectiveness of inter professional
collaboration in the ICU.
To
maintain the success of inter professional collaboration at the institutional level,
ongoing research, evaluation, and continuous improvement efforts are essential.
It is important for healthcare institutions to monitor and assess the impact of
their collaborative initiatives and make necessary adjustments based on
feedback and evidence-based practices. This may involve conducting regular
evaluations of inter professional teamwork, communication, and patient outcomes
to identify areas of strength and areas that require improvement.
Collaboration
among researchers, clinicians, and administrators is crucial in driving
evidence-based practice and continuous quality improvement in inter
professional collaboration. Interdisciplinary research teams can conduct
studies to evaluate the effectiveness of collaborative interventions, identify
best practices, and contribute to the growing body of knowledge in this field.
Findings from research studies can inform policy development and guide the
implementation of strategies that enhance inter professional collaboration at
the institutional level.
Furthermore,
inter professional education and training programs play a vital role in
preparing healthcare professionals for collaborative practice in the ICU. These
programs should be integrated into the curriculum of healthcare education
institutions to ensure that future professionals are equipped with the
necessary knowledge, skills, and attitudes to engage in effective inter
professional collaboration. Healthcare institutions can also provide ongoing
professional development opportunities for current healthcare professionals to
enhance their collaborative competencies and keep up with evolving healthcare
practices.
Collaborative
partnerships with external stakeholders, such as professional associations,
regulatory bodies, and policymakers, are also important for promoting and
sustaining inter professional collaboration in the ICU. These partnerships can
facilitate the development and dissemination of guidelines, standards, and
policies that support inter professional collaboration. Collaborative efforts between
healthcare institutions and external stakeholders can contribute to creating an
enabling environment for collaboration, removing barriers, and promoting a
culture that values inter professional teamwork.
In
conclusion, at the institutional level, inter professional collaboration in the
Hospital ICU involves the role of hospital management, the development of
guidelines and protocols, incentive programs, organizational culture, and the
utilization of technology. By addressing these institutional factors and
fostering a collaborative environment, healthcare institutions can enhance
inter professional collaboration, leading to improved patient outcomes,
enhanced teamwork, and a higher quality of care. Continuous research,
evaluation, professional development, and collaborative partnerships are
essential for sustaining and advancing inter professional collaboration in the
ICU.
Conclusion
In
summary, the review underscores the crucial significance and multifaceted
nature of interprofessional collaboration in the
Hospital ICU. Healthcare professionals' attitudes, skills, and team dynamics
are pivotal at various levels, from individual to institutional, in fostering
effective collaboration. Nevertheless, significant gaps in understanding remain,
necessitating future research to explore its impact on patient outcomes,
healthcare efficiency, and professional well-being. Specific contexts,
intervention effectiveness, and technological influences should be considered,
with a focus on patient and family perspectives to enhance patient-centered
care. Ultimately, research in this area aims to bridge knowledge gaps and
promote the integration of interprofessional
collaboration into routine ICU practices for improved healthcare delivery and
patient outcomes.
BIBLIOGRAFI
Bouchard, L. C., Regehr,
G., & Lingard, L. (2018). Factors promoting or hindering inter professional
collaboration: A study of perceptions of inter professional teams. Journal of Interprofessional Care, 32(6), 678-684.
Bridges, D. R., Davidson, R. A., Odegard, P. S., Maki, I. V., & Tomkowiak,
J. (2011). Interprofessional collaboration: Three best practice models of inter
professional education. Medical Education Online, 16(1), 6035.
doi:10.3402/meo.v16i0.6035
Bridges, D. R., Davidson, R. A., Odegard, P. S., Maki, I. V., & Tomkowiak,
J. (2011). Interprofessional collaboration: Three best practice models of inter
professional education. Medical Education Online, 16(1), 6035.
doi:10.3402/meo.v16i0.6035
Chung, H. Y., Chen, H., & Lin,
S. (2018). Assessing the effects of inter professional collaboration on patient
outcomes in the intensive care unit: A systematic review and meta-analysis.
Journal of Advanced Nursing, 74(7), 1667-1682. doi:10.1111/jan.13569
Chung, H. Y., Chen, H., & Lin,
S. (2018). Assessing the effects of inter professional collaboration on patient
outcomes in the intensive care unit: A systematic review and meta-analysis.
Journal of Advanced Nursing, 74(7), 1667-1682. doi:10.1111/jan.13569
Curran, V. R., Fleet, L., &
Simmons, K. (2021). An integrative review of inter professional leadership
development interventions: Implications for education, practice, and policy.
Journal of Interprofessional Care, 35(1), 41-51.
Curran, V., Matthews, L., Fleet, L.,
Simmons, K., Gustafson, D. L., & Wetsch, L.
(2017). A review of inter professional dissemination and education
interventions for recognizing and managing dementia. Journal of
Interprofessional Care, 31(6), 709-717. doi:10.1080/13561820.2017.1333704
Curran, V., Matthews, L., Fleet, L.,
Simmons, K., Gustafson, D. L., & Wetsch, L.
(2017). A review of inter professional dissemination and education
interventions for recognizing and managing dementia. Journal of
Interprofessional Care, 31(6), 709-717. doi:10.1080/13561820.2017.1333704
Elsevier. (n.d.).
Scopus. Retrieved from https://www.scopus.com/
Foster, J., Fleming, J., Tilse, C., & Sibbritt, D.
(2016). Perceptions of collaboration between nurses and doctors in the acute
care setting: A qualitative systematic review. Journal of Advanced Nursing,
72(2), 201-213.
Gilbert, J. H. V., Yan, J., Hoffman,
S. J., & Adebayo, O. W. (2020). Characteristics of effective communication
in inter professional team meetings: A literature review. Journal of Interprofessional Care, 34(4), 452-461.
Hall, P., Weaver, L., & Grassau, P. (2018). Interprofessional collaboration,
education, and practice: An exploration of theory, practice, and policy.
Journal of Interprofessional Care, 32(1), 1-3.
doi:10.1080/13561820.2017.1406284
Hall, P., Weaver, L., & Grassau, P. (2018). Interprofessional collaboration,
education, and practice: An exploration of theory, practice, and policy.
Journal of Interprofessional Care, 32(1), 1-3. doi:10.1080/13561820.2017.1406284
Hofstede, S. N., de Bree, M., & Hingstman, L. (2020). Interprofessional collaboration
between general practitioners and specialist physicians in primary care: A
systematic review. International Journal of Integrated Care, 20(2), 5.
Kazmi, S., Avan, B. I., Leow, J. J., & Krishnan, D. G. (2020). Impact of
electronic health records on inter professional collaboration in outpatient
settings. Journal of Healthcare Information Management, 34(3), 148-156.
Khalili, H., Orchard, C., Laschinger, H.
K. S., Farah, R., & Anbarani, M. (2019). A
systematic review of inter professional education interventions that target
clinical outcomes. Journal of Interprofessional Care,
33(4), 391-402.
Lingard, L., Schryer,
C. F., Garwood, K., Spafford, M. M., & Rideout,
E. (2019). How physicians support shared decision-making: A narrative analysis
of teamwork. Journal of Language and Social Psychology, 38(4), 480-497.
Reeves, S., Pelone,
F., Harrison, R., & Goldman, J. (2017). Interprofessional collaboration to improve
professional practice and healthcare outcomes. The Cochrane Database of
Systematic Reviews, 6, CD000072.
Schmutz, J. B., Meier, L. L., Manser, T., & B�nziger, T.
(2019). Teamwork and leadership in cardiopulmonary resuscitation teams: A
team-oriented behaviors framework. Journal of the American Heart Association,
8(6), e011814.
Smith, M., Volpe, R., & Marcuccilli, L. (2019). Interprofessional collaboration
between physicians and nurses: An updated systematic review. International
Journal of Medical Education, 10, 257-271.
Stewart, K. R., Thiemann, D. R.,
Johnson, D. D., Davis, M. M., & Monaco, M. (2017). A pilot study of a
standardized patient educational intervention targeting inter professional
collaboration. Journal of Interprofessional Education & Practice, 8, 31-37.
Thistlethwaite, J., Moran, M., World Health Organization Study Group on
Interprofessional Education and Collaborative Practice, & World Health
Organization. (2014). learning outcomes for inter professional education (IPE):
Literature review and synthesis. Journal of Interprofessional
Care, 28(6), 503-513.
van Eck, N. J., & Waltman, L.
(2010). Software survey: VOSviewer, a computer
program for bibliometric mapping. Scientometrics,
84(2), 523-538.
Weaver, S. J., Weeks, K., Pham, J. C.,
& Pronovost, P. J. (2019). On the cusp: Lessons
for teamwork and safety culture from a decade of patient safety work in the
ICU. Critical Care Medicine, 47(2), 214-221.
World Health Organization. (2010).
Framework for action on inter professional education and collaborative
practice. Geneva, Switzerland: World Health Organization.
doi:10.1017/CBO9781107415324.004
World Health Organization. (2010).
Framework for action on inter professional education and collaborative
practice. Geneva, Switzerland: World Health Organization.
doi:10.1017/CBO9781107415324.004
Zwarenstein, M., Goldman, J., & Reeves, S. (2009).
Interprofessional collaboration: Effects of practice-based interventions on
professional practice and healthcare outcomes. Cochrane Database of Systematic
Reviews, (3), CD000072. doi:10.1002/14651858.CD000072.pub2
Zwarenstein, M., Goldman, J., & Reeves, S. (2009).
Interprofessional collaboration: Effects of practice-based interventions on
professional practice and healthcare outcomes. Cochrane Database of Systematic
Reviews, (3), CD000072. doi:10.1002/14651858.CD000072.pub2
Copyright holder: Indri
Permanasari, Puput Oktamianti
(2022) |
First publication right: Syntax Literate: Jurnal Ilmiah
Indonesia |
This article is licensed under: |