PROTOTIPE MODEL PENGEMBANGAN KOLABORASI INTERPROFESI PELAYANAN OBSTETRI DAN NEONATAL EMERGENSI KOMPREHENSIF RUMAH SAKIT PENDIDIKAN

Isrona, Laila (2024) PROTOTIPE MODEL PENGEMBANGAN KOLABORASI INTERPROFESI PELAYANAN OBSTETRI DAN NEONATAL EMERGENSI KOMPREHENSIF RUMAH SAKIT PENDIDIKAN. Doctoral thesis, Universitas Andalas.

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Abstract

ABSTRACT by: Laila Isrona (1730322007) (Supervised by: Prof.Dr.dr.Yusrawati, SpOG(K); Prof.dr.Ardi Findyartini, PhD.;dr.Firdawati, M.Kes.,PhD.) Maternal and infant mortality rates remain high in Indonesia, despite the implementation of Comprehensive Emergency Obstetric and Neonatal Care (CEmONC) services. Solutions to address this condition have been implemented, but there is limited research that examines the implementation of interprofessional collaboration in these services. This study aims to explore and analyze the perceptions of healthcare professionals in CEmONC teams at Teaching Hospitals regarding factors that support and hinder the implementation of interprofessional collaboration, resulting in the development of an interprofessional collaboration implementation model in educational hospitals in West Sumatra. This research uses a mixed-methods approach with a sequential exploratory design. There are three stages of the study: first, a qualitative study using a phenomenological approach with in-depth interviews conducted with 29 informants from CEmONC teams at four educational hospitals, analyzed thematically. The second stage involves developing a questionnaire from 56 statement items to 51 statement items. The final stage is a quantitative study using SEM PLS 4 to develop the interprofessional collaboration model in Teaching Hospitals. Qualitative research results identified factors supporting interprofessional collaboration, including individual competencies, institutional support mechanisms, environmental mechanisms, and conducive work culture. Hindering factors include lack of professional compliance and ethics, inadequate specialized personnel, coordination and communication difficulties, and facility limitations. This study also developed a valid and reliable questionnaire to evaluate interprofessional collaboration implementation. It is found that in general this research has an i-CVI result for 'relevance between objectives and statements' = 0.96, while for the language used it has a value = 0.90. Then with Cronbach’s alpha score is 0.925 from 51 items. The SEM PLS 4 analysis results indicate that individual competencies and institutional support mechanisms significantly influence interprofessional collaboration implementation, while environmental mechanisms have a lesser impact. Based on the mixed-methods research findings, it is produced a prototype of the ONA (One Network for Action) model for interprofessional collaboration and recommended that hospitals enhance interprofessional education, develop clear SOPs, ensure adequate human resources, reward healthcare teams, design collaborative spaces, and advocate for cultural changes supportive of interprofessional collaboration. Keywords: collaboration interprofessional implementation, CEmONEC, Teaching hospital, communication.

Item Type:	Thesis (Doctoral)
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Depositing User:	s3 Biomedik kedokteran
Date Deposited:	19 Aug 2024 09:13
Last Modified:	19 Aug 2024 09:13
URI:	http://scholar.unand.ac.id/id/eprint/475886

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