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Assessing Interprofessional Collaboration among Healthcare Professionals for Noncommunicable Disease Management in Primary Care: A Cross-Sectional Study Junaiti Sahar; M Agung Akbar; Etty Rekawati; Utami Rachmawati; Kuei-Ru Chou
Nurse Media Journal of Nursing Vol 16, No 2 (2026): (August 2026) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i2.77921

Abstract

Background: Interprofessional collaboration (IPC) is critical for delivering comprehensive and coordinated care, particularly in managing complex noncommunicable diseases (NCDs). However, in primary care settings, collaboration among healthcare professionals remains fragmented. Evidence on how different health professions collaborate in community health centers (CHCs) remains limited. This knowledge gap hampers efforts to strengthen team-based NCD management in primary care.Purpose: This study aimed to assess IPC among healthcare professionals in primary care and identify domains that require strengthening for NCD management.Methods: A cross-sectional study was conducted in 37 CHCs in Palembang City, South Sumatra Province, Indonesia. A total of 301 healthcare professionals, including nurses, medical doctors, midwives, and public health workers, were selected through simple random sampling. Data were collected using a sociodemographic questionnaire and the validated Indonesian version of the Collaborative Practice Assessment Tool (CPAT), which consists of 56 items across eight subscales. Descriptive statistics and Kruskal–Wallis tests were used to analyze the data.Results: A total of 301 healthcare professionals participated. Overall CPAT scores were relatively similar across professions, with median (IQR) values of 292 (275.75–330.50) for nurses, 304 (278–329.50) for medical doctors, 292 (278.50–334) for midwives, and 287 (279–314) for public health workers. The highest scores across professions were observed for general role responsibilities and autonomy and team leadership, while the lowest scores were observed for community linkages and coordination of care and patient involvement. Only the communication and information exchange domain showed a significant difference among professions (p = .039).Conclusion: IPC for NCD management in primary care demonstrated strengths in role clarity, autonomy, and team leadership but remained weak in communication, patient involvement, and community linkages. Targeted interventions, including structured interprofessional education, patient-centered care approaches, and stronger community partnerships, are needed to strengthen collaboration. 
The utilization of robotic technology as a support for rehabilitative nursing care in stroke patients with impaired physical mobility: A scoping review Indra Frana Jaya KK; Aris Citra Wisuda; M Agung Akbar; Afrida Pratiwi; Agusdiman Saputra; Ahmad Zulfikri; Arif Billah Pangestu Idil Adha; Ayu Andira; Ayu Safitriyana
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.883

Abstract

Background: Stroke frequently causes persistent mobility impairment and dependence. Robotic rehabilitation offers intensive, repetitive, and measurable practice, but its integration with rehabilitative nursing care remains insufficiently mapped. Objective: To map robotic technologies used for adult stroke survivors with impaired physical mobility, summarize functional outcomes, and identify implications and evidence gaps for rehabilitative nursing care. Methods: A scoping review guided by PRISMA-ScR was conducted. PubMed, Scopus, ScienceDirect, ProQuest, CINAHL, Google Scholar, and Wiley Online Library were searched for peer-reviewed primary studies published in English from January 2019 to May 2026. Eligible studies involved adult stroke survivors, evaluated a robotic rehabilitation technology, and reported mobility- or function-related outcomes. Data were charted and synthesized descriptively. Results: Twenty-seven studies were charted. Technologies included robot-assisted gait-training systems, lower-limb exoskeletons, end-effector devices, upper-limb robotic systems, robotic hand devices, soft robotic gloves, and socially assistive robots. Reported benefits primarily concerned gait, balance, limb motor function, coordination, activities of daily living, and independence. Findings were heterogeneous, and robotic interventions were not consistently superior to intensive conventional rehabilitation. Nursing relevance centered on readiness and mobility assessment, fall-risk management, monitoring of physiological and activity tolerance, education, motivation, and evaluation of nursing-sensitive functional outcomes. Few studies explicitly evaluated nurses' roles or integration with the nursing process. Conclusion: Robotic technology is a promising adjunct to interdisciplinary stroke rehabilitation but should not replace conventional therapy or therapeutic human interaction. Nursing-led implementation research is needed to establish safety protocols, competency requirements, workflow models, patient-selection criteria, and nursing-sensitive outcomes.
Co-Authors Afrida Pratiwi Agung Waluyo Agusdiman Saputra Ahmad Yamin Ahmad Zulfikri Al Hakim, Abdul Rahman Amirudin, Ikhwan Anggraeni, Hesti Aprilia, Rike Aria Wibisana Arif Billah Pangestu Idil Adha Aris Citra Wisuda Astuti Yuni Nursasi Ayu Andira Ayu Safitriyana Ayunani, Sabrina Cahya, Febriani Cahyadi, Gabriel Ekoputra Hartono Chandra Rahmadi Charista, Rysha Citra Amelia Yulianti Dea Wahyuni, Elisa Dian Ayubi Dian Ayubi Efrianty, Novalia Elisa Dea Wahyuni Endang Triyanto Eni Folendra Rosa Eni Rahmawati Erlika, Yesifa Esi Afriyanti Etty Rekawati Fadhilah, Laila Fadhillah, Laila Fakhri Rizki Fakhri Rizki Fatin, Nurul Ferdi, Roni Fitri Fujiana Fitriani Agustina Gupta, Prateek Harsanto, D Eka Harto, Toto Hema Malini, Hema Henny Suzana Mediani Hesti Anggraeni Ikhwan Amirudin Ikhwan Amirudin Ina Yatul Khoiriyah Indah Ambarwati Iraningrum INDRA FRANA JAYA KK Joni Siahaan Junaiti Sahar Kasiyah M. Junus Khoiriyah, Ina Yatul Kinantika Nur Dewanti Kuei-Ru Chou La Ode Saltar Laila Fadhilah Laila Fadhillah Lina Oktavia, Lina Lisa Novianti Utami Lisdahayati Lisdahayati Lisdahayati Lisdahayati Lisdahayati Lisdahayati, Lisdahayati Lita Heni Kusumawardani Mahafira, Nesa Dwi Martadinata, Umar Hasan Maula Mar'atus Solikhah Megah Andriany Muhamad Jauhar Mulia Ganta Saputri Nelly Rustiati Nelly Rustiati Nelly Rustiati Neti Juniarti Ni Ketut Sujati Ni Ketut Sujati Nicole van Veenendaal Ningsih, Deasy Kurnia Nor Aziyan Nor Aziyan Binti Yahaya Novalia Efrianty Nurul Fitriah Pome, Gunardi Prateek Gupta Pratiwi, Afrida Prawiti, Ayu Dwi Rachmawati, Utami Rafela, Sindi Ramadhona, Shinta Ratu Ayu Dewi Sartika Rizki, Fakhri Roni Ferdi Roni Ferdi Rustiati , Nelly Rustiati, Nelly Rysha Charista Samsuryadi Samsuryadi Saprianto Saprianto Saprianto, Saprianto Septami Putri Hajati Shinta Ramadhona Siahaan, Joni Siti Aulia Sukemi Sukemi Supangat Supangat Supangat Supangat , Supangat Supangat Marzuki Supangat Supangat Supangat Supangat Supangat Supangat Supangat Supangat Umi Hani Untung Sujianto Untung Sujianto Utami Rachmawati Utami, Lisa Novianti Wanda , Dessie Wang, Jing Jy Wati, Dwi Nurviyandari Kusuma Wibowo Apriandi Widyatuti Willy Astriana Wiwice Arianti Wiwin Wiarsih Yeni Rustina Yesifa Erlika Yudi Budianto Yudi Budianto Zanzibar Zanzibar Zanzibar Zanzibar Zulfikri, Ahmad