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Achir Yani S. Hamid
Fakultas Ilmu Keperawatan 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 Abdul Gowi Abdul Wakhid Agung Waluyo Agus Setiawan Agus Waluyo Agus Waluyo, Agus Ahmad Watik Pratiknya Anggoh, Sophia Euodia Anny Rosiana Masithoh Anny Rosiana Masithoh Anton Surya Prasetya Apri Rahma Dewi Arianti, Diana Arini, Larasuci Awatiful Azza Azhari, Nanang Khosim Bambang Budi Siswanto Beni Utomo Budi Anna Keliat Dahlia, Debie - Dewi Gayatri DEWI IRAWATI Dwi Dahlia Susanti Dwi Heppy Rochmawati Dwiyantoro, Dwiyantoro E.P., Yossie Susanti Ede Surya Darmawan Edi Purnomo Edy Wuryanto Ellya Qolina Emi Wuri Wuryaningsih Emilia Puspitasari S Endar Cahyawati Erti Ikhtiarini Dewi Erwina, Ira Etty Rekawati Evi Martha Fajriyati Nur Azizah Fauzan Alfikrie Fauziah Fauziah Feri Fernandes Fernandes, Feri Ferry Efendi Firman Hidayat Gipta Galih Widodo Giyaningtyas, Ika Juita Guzon, Angela Fatima H. Hapsah Hapsah Hargiana, Giur Helen, Helen Henny Permatasari Herni Susanti Hongki Julie I Ketut Budaya I Ketut Suada Ice Yulia W Ice Yulia W Ice Yulia Wardani Imami Nur Rachmawati Jovitha Indah Gisbtarani Jumilia Junaiti Sahar Kartikasari, Ida Ayu Kusnadi, Rudi Kuswantoro Rusca Putra Laksono Trisnantoro Luknis Sabri Luknis Sabri Luknis Subri MARIA BINTANG Maria Suci Apriani Maria Turnip Muhamad Irfanudin Muhamad Irfanudin Muhammad Anshari Muhammad Anshari, Muhammad Muhammad Hadi Muhammad Syafwani Mujahidah, Zakiyah Muliyadi Muliyadi Muri Cahyono Purba Mustikasari - Mustikasari Mustikasari Mustikasari, Nasrah Halim Noor, Mahdian Norsehan Norsehan Norsehan, Norsehan Novy H.C. Daulima Novy Helena Chatarina Daulima Nur Azizah, Fajriyati Nur Oktavia Hidayati Nurhalimah Nurhalimah Nurmagandi, Boby Nursalam Nursalam P, Yossie Susanti E Pardede, Jek Amidos Purwadi Purwadi Rahmawati, Rahmawati Ratna Aryani Reflin Mahmud Reza Fajar Amalia Ria Utami Panjaitan Riris Ocktryna Silitonga Rislah Dibah Royani Royani Rudhito, Marcellynis Andy S, Emilia Puspitasari Safitri, Aisyah Safitri, Aisyah Sari, Ni Luh Putu Dian Yunita Setyowati Setyowati Silitonga, Riris Ocktryna Sitti Maesuri Patahudin Sri Burhani Putri Sri Endriyani Sri Maryatun Sri Yulia Stephani Rangga Larasati Stephani Rangga Larasati, Stephani Rangga Sudijanto Kamso Susanti Niman Sutoto Sutoto Suyatno, S Syafwani, M Syafwani, M. Syarli, Setiadi Tati Suryati Tengku Riza Zarzani N Titin Ungsianik Tiveni Elisabhet Toar JM Lalisang Tuti Nuraini Tutik Sri Hariyati Wicaturatmashudi, Sukma Widyatuti Winahayu, Neng Esti Winda Ratna Wulan Winiarty, Yayoe Wiwin Wiarsih Yanti Apriyanti Yati Afiyanti Yossi Susanti Eka Putri Yossie Susanti E P Yossie Susanti E.P. Yossie Susanti Eka Putri zakiyah mista Zulhaini Sartika A. Pulungan