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Ede Surya Darmawan
Departemen Administrasi Dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Indonesia
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Journal : Belitung Nursing Journal

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Exploring the implementation of multidisciplinary collaboration at nursing homes in Jakarta, Indonesia: A descriptive phenomenological study Royani; Hamid, Achir Yani S.; Rekawati, Etty; Darmawan, Ede Surya
Belitung Nursing Journal Vol. 10 No. 3 (2024): May - June
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3226

Abstract

Background: A well-functioning multidisciplinary team optimizes resource utilization and reduces care redundancy, fragmentation, and wastage. Collaborative efforts yield a clearer understanding of older people’s needs and desires, significantly reducing hospitalization days. Despite limited studies, particularly in Indonesia, investigating professionals’ experiences in implementing multidisciplinary collaboration in government nursing homes, nursing care quality remains a concern. Objective: This study aimed to explore the implementation of multidisciplinary collaboration in nursing homes from the perspectives of various disciplines. Methods: A descriptive phenomenological study was used with semi-structured interviews and focus group discussions with multidisciplinary care providers, including nurses, doctors, social workers, physiotherapists, psychologists, occupational and recreational activity instructors, and clergy in nursing homes owned by the Jakarta provincial government. A total of 64 participants were involved, and data were collected from September 2022 to July 2023. Data were analyzed using content-based analysis. Results: Three main themes emerged: 1) context of multiple collaborations, 2) barriers to implementing multiple collaborations, and 3) impacts of non-optimal multidisciplinary collaborations. Nursing home management’s multidisciplinary teams predominantly implement professional-centered care with limited support systems. While providers generally perceive collaboration positively, shared responsibility and joint work among professionals are lacking. Conclusion: This study highlights the need to improve multidisciplinary collaboration in nursing homes to enhance care quality for older individuals. While providers view collaboration positively, barriers like a lack of shared responsibility and joint work persist. Enhancing teamwork cohesion through improved communication and integrated case reporting systems is crucial. Addressing human resource and systemic barriers is also vital. By overcoming these challenges, nursing homes can optimize resource use, reduce care redundancy, and better meet the diverse needs of older residents.
Co-Authors Achir Yani S. Hamid Adang Bachtiar Agung Waluyo Amelia Kusumawardhani Amelia Kusumawardhani Setiawan Amelia Rahayu Amelia Rizki Alfriantin Anhari Achadi Arani Nadhira Arif, Umi Fikria Ariyanti, Fajar Asnawi Abdullah Azni, Nurkarti B, Ilmah Yanuarti Baequni, Baequni Bashabih, Masyitoh Bernadeth Novita Budisusilowati Bunga Listia Paramita Chintia, Amelia Cicilya Candi David R. I. Hutajulu DEWI IRAWATI Dhynianti, Levi Diah Ekawati Diah Ekawati Diah Ekawati Eka Putri, Nidya Elvira Elvira Eska Perdini Suhendi Etty Rekawati Fahnida Zeydra Thohari Farid Fauzan Mahubessy Farid Kharisma Feni Dwi Lestari Fika Maulani Fadrianti Fitriana, Mila Fransisca, Martha Hafnidar A. Rani Hartono, Widy Hendra Ayusra Hermansyah Hermansyah Ilyas, Jaslis Immanuel Natanael Tarigan Indriana, Yuki Melati Irene Jesihka Pandiangan Irmayanto, Randi Isroil Samihardjo Ita Wulandari Jaya, Danil Anugrah Julian Simanjuntak Kusumawardhani Setiawan , Amelia Mardiati Najib Mardiati Najib Marianus Ruba Marianus Ruba Martha Fransisca Martini Heniastaty Patuwondatu Mulyadi, Budhi Mumpuni, Dian Pitaloka Sri Mustafa, Ghulam Mutia Nasir , Narila Nadia Irina Darmawan Nadia Irina Darmawan Ngabila Salama Nova Perdana Novie Irawaty L. Manurung Nurkarti Azni Nyoman Dwi Maha Udiyana Ovi Norfiana Paramita, Stephanie Permanasari, Vetty Yulianty Prasetyo, Chandra Istanti Pratama, Muhammad Fachmi Adi Pratiwi Pujiyanto Pujiyanto Puput Oktamianti Puput Oktamianti Purbosari Purbosari Purnawan Junadi Purnawan Junadi Putri Ardhani Putu Darmika Randi Irmayanto Ratna Sitorus Rendy Setya Wardana Rheine Indira Putrie Sesunan Rifda Amalia Choirunnisa Rinie Indah Chandra Wirasati Rita Mutia Royani Royani Sabarinah Prasetyo Sabarinah Sabarinah Samboe, Betania Saza Fitria Septama, Andis Sidhi Laksono Sila Wiweka, Ida Bagus Sjaaf, Amal Chalik Stephanie Paramita Stephanie Paramita Suci Nurul Andini Susanti, Lili Syarif Rahman Hasibuan Syifa Silviana Tarigan, Immanuel Natanael Tintin Sukartini Sukartini, Tintin Sukartini Tulus Kurnia Indah Ulfah, Annisa Ulianto Ulianto Wirasati, Rinie Indah Chandra Yaslis Ilyas Yasrizal, Meutia Arini Yulianty Permanasari , Vetty Yunianti, Siti Zamzanah, Sofi Zuhdi, Nadya Adina