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KOMPAK: Translation, cross-cultural adaptation, and validation of an instrument for assessing interprofessional collaboration between pharmacists and physicians in Indonesia Amin, Irnawati H.; Massi, Muhammad N.; Wahyudin, Elly; Bahar, Muhammad A.; Hadju, Veni; Niamuzisilawati, Eva; Munawwaroh, Makiyatul; Utami, Ikrimah N.; Ardiansyah, Akhmad; Alkaff, Sylmina D.; Arifin, Bustanul
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.1309

Abstract

Interprofessional collaboration is crucial for addressing the complexity of health problems, requiring contributions from various professions to enhance healthcare quality, improve patient satisfaction, and achieve better clinical outcomes. The aim of this study was to develop and validate the physicians and pharmacists collaborative practice instrument, known as KOMPAK (Kolaborasi Medis Persepsi Apoteker dan Dokter/Medical Collaboration: Perceptions of Pharmacists and Physicians) for use in Indonesia. A cross-sectional study was conducted across the western, central, and eastern rigors of Indonesia, targeting physicians and pharmacists. The study included translation (forward and backward), cross-cultural adaptation (with 30 participants), and validation using confirmatory factor analysis (CFA) among 315 physicians and 315 pharmacists. The present study found no significant changes emerged during the translation and adaptation phases. In the validation phase, the CFA results for the physician instrument indicated a Comparative Fit Index (CFI) of 0.94 (>0.92), Tucker-Lewis Index (TLI) of 0.93 (>0.92), Root Mean Squared Error of Approximation (RMSEA) of 0.055 (<0.07), Standardized Root Mean Residual (SRMR) of 0.07 (<0.08), and Cronbach’s Alpha reliability of 0.88. The pharmacist instrument yielded similar results with a CFI of 0.94 (>0.92), TLI of 0.93 (>0.92), RMSEA of 0.06 (<0.07), SRMR of 0.05 (<0.08), and Cronbach’s Alpha reliability of 0.83. The final instrument consists of 24 items. In conclusion, the KOMPAK instrument demonstrated validity and reliability, supporting its use for measuring interprofessional collaboration between physicians and pharmacists in Indonesia.
Analysis of Infection-Causing Factors and Antibiotic Sensitivity to the Degree of Ulcers in Diabetes Mellitus Patients Ramadhan, Ahmad Rizqi; Niamuzisilawati, Eva; Susilawati, Tri Nugraha; Harioputro, Dhani Redhono
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 1 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i1.501

Abstract

The diabetic foot ulcer prevalence was 6.3% globally and 7.3% in Indonesia. This study analyzes the relationships between the type of germs and antimicrobial susceptibilities to the Wagner’s degree of diabetic-foot-ulcers on patients with type-2 diabetes mellitus admitted to Dr. Moewardi regional hospital. The method used in this observational analysis is a cross-sectional approach. The variables used were the type-of-germs, antimicrobial susceptibilities, and the degree of diabetic-foot-ulcers with the data extracted from 149 inpatients between the period of 2021-2022 and tested with Fisher’s-exact and multinomial-logistic-regressions. Data for the 4-most-frequent germs on the diabetic-foot-ulcers are Pseudomonas aeruginosa (17.4%; 26/149), Escherichia coli (12.8%; 19/149), Klebsiella pneumoniae ss. Pneumoniae (11.4%, 17/149) and Proteus mirabilis (10.7%; 16/149). Data for the 4-most-frequent antimicrobial susceptibilities are ampicillin (20,8%; 31/149), sulfamethoxazole (20,8%; 31/149), gentamicin (18,8%; 28/149) and amikacin (16,1%; 24/149). Data for the 3-most-frequent degree of diabetic-foot-ulcers are the 4th (39.6%; 59/149), 3rd (31.5%; 47/149) and 2nd (19.5%; 29/149) degrees. There is no relationship between the type-of-germs and the degree of diabetic-foot-ulcers (p=0.111). There is a relationship between antimicrobial susceptibilities and the degree of diabetic-foot-ulcers (p=0.009). There is a relationship between the type-of-germs and antimicrobial susceptibilities (p=0,0001). There is a simultaneous relationship between the type-of-germs (p=0.029) and antimicrobial susceptibilities (p=0.032) to the degree of diabetic-foot-ulcers (p=0.005). Therefore, it is necessary to conduct microbial culture and antimicrobial susceptibility tests on all patients with diabetic foot ulcers.