Siti Zahara
Fakultas Keperawatan Universitas Sumatera Utara

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Pengaruh hierarki terhadap efektivitas komunikasi dalam interprofesional colaboration (IPC) pada pelayanan kesehatan: Literature review Tria Juliana; Siti Zahara; Evi Karota; Rika Endah
JOURNAL OF Pharmacy and Tropical Issues Vol. 6 No. 2 (2026): June Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/pti.v6i2.3466

Abstract

Background: Interprofessional Collaboration (IPC) plays a crucial role in improving the quality of healthcare services and patient safety. However, hierarchical culture and ineffective communication remain significant barriers to its implementation. Objective: This study aimed to analyze the influence of hierarchical culture on communication effectiveness within IPC and to examine the role of Interprofessional Education (IPE) in enhancing collaboration among healthcare teams. Method: This study employed a Systematic Literature Review (SLR) approach by searching articles from Google Scholar, Scispace, and national journals published between 2020 and 2026. Articles were selected based on predefined inclusion and exclusion criteria and according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 10 articles were included in the analysis. Results: The findings revealed that communication is a key determinant of successful IPC implementation, while hierarchical culture acts as a barrier by creating professional dominance and limiting team members’ participation. Communication effectiveness is influenced by individual, team, organizational, and healthcare system factors. Furthermore, IPE has been shown to improve role understanding, communication skills, and interprofessional teamwork. Conclusion: Hierarchical culture significantly influences communication effectiveness in IPC. Strengthening IPE and fostering a collaborative culture are essential to improve healthcare quality and patient safety.   Keywords: Communication; Hierarchy; Interprofessional Collaboration; Interprofessional Education; Patient Safety.
Efektivitas pembelajaran e-learning dalam meningkatkan kompetensi mahasiswa keperawatan dan kolaborasi interprofesional: literature review Siti Zahara; Zarkani Zarkani; Evi Karota; Rika Endah
JOURNAL OF Pharmacy and Tropical Issues Vol. 6 No. 2 (2026): June Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/pti.v6i2.3468

Abstract

Background: Digital transformation has encouraged nursing education to adopt e-learning, blended learning, virtual simulation, and online interprofessional education. These approaches are relevant for improving nursing students' knowledge, clinical skills, clinical reasoning, and collaborative competencies. However, their effectiveness still needs to be synthesized from recent evidence. Purpose: To analyze the effectiveness of e-learning in improving nursing students' competencies and interprofessional collaboration. Method: This study used a systematic literature review with a descriptive qualitative approach. Articles were searched through PubMed, ScienceDirect, Google Scholar, Jurnal Ners, Garuda, and national journal portals indexed by SINTA. The inclusion criteria were full-text or open-access articles published between 2021 and 2026, focusing on e-learning, blended learning, virtual simulation, virtual reality, online learning, or online interprofessional education in nursing education. Article selection followed the PRISMA 2020 flow and resulted in 12 articles for analysis. Results: E-learning improved learning access, motivation, self-directed learning, and conceptual understanding. Blended learning and virtual simulation provided stronger support for clinical skills, clinical reasoning, confidence, and practice readiness. Online interprofessional education supported communication, teamwork, and role understanding, although its effectiveness depended on instructional design, platform interactivity, and lecturer facilitation. Conclusion: E-learning is effective in supporting nursing students' competencies and interprofessional collaboration, especially when integrated with blended learning, virtual simulation, and structured collaborative learning activities.   Keywords: Blended Learning; E-Learning; Interprofessional Education; Nursing Education; Virtual Simulation.