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All Journal Narra J Narra X
Putra, Kuswantoro R.
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Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Physics Public Health

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Developing a maturity-level model for interprofessional collaboration in elective surgery preparation Agustina, Else; Dradjat, Respati S.; Wardhani, Viera; Putra, Kuswantoro R.
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i2.2213

Abstract

Interprofessional collaboration plays a crucial role in the preparation for elective surgeries to enhance the quality, safety, and efficiency of patient care. However, its implementation continues to encounter substantial obstacles, which require the creation of a customized maturity model to effectively resolve these concerns. The aim of this study was to develop an interprofessional collaboration maturity model that is specifically designed for the context of elective surgery preparation. This qualitative study employed a case study approach, conducted in 2024. This maturity model was developed through four stages: (1) a literature study to identify key interprofessional collaboration indicators in surgery; (2) in-depth interviews with ten healthcare professionals at Universitas Muhammadiyah Malang Hospital, Malang, Indonesia; (3) adaptation of existing maturity models (Fleming, Hudson, collaboration maturity model, and quality management system) as a framework for synthesizing data from the findings of stage 2 (in-depth interviews); and (4) expert panel review to evaluate the maturity model. We successfully developed an interprofessional collaboration maturity model specifically applied to elective surgery preparation, Preoperative Interprofessional Collaboration Maturity Model (P-ICMM), consisting of five maturity levels: emerging, developing, coordinated, integrated, and optimized. Each level’s assessment criteria are based on indicators of interprofessional collaboration. This maturity model has been evaluated by the experts in elective surgery preparation to ensure its validity and applicability. This maturity model is expected to help hospitals identify the level of interprofessional collaboration, design strategies to enhance collaboration, and ultimately improve the quality of healthcare services and patient safety in the preparation for elective surgeries.
Key factors associated with self-care among patients with heart failure: A scoping review of cross-sectional studies Vatmasari, Ratih A.; Putra, Kuswantoro R.; Windarwati, Heni D.; Hany, Alfrina
Narra X Vol. 3 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v3i3.231

Abstract

Heart failure is a life-threatening condition with increasing prevalence and mortality rate worldwide, often resulting in frequent hospitalizations and reduced quality of life. Effective self-care behaviors are essential for minimizing adverse health effects among patients with heart failure. The aim of this study was to identify and synthesize factors influencing self-care among individuals with heart failure. Articles published in English between 2017 and 2022 were retrieved from Google Scholar, PubMed, and ScienceDirect using predefined Boolean search terms, including 'self-care', 'factors', 'influence', 'heart failure patients', and 'cross-sectional study'. Of 740 records screened, 21 studies met the inclusion criteria. The identified factors were thematically categorized into sociodemographic, psychological, cognitive, and social domains. Sociodemographic factors (age, education, marital status, and New York Heart Association (NYHA) class), health literacy, self-efficacy, depression, and family support were consistently identified as critical determinants. Self-efficacy emerged as a central factor, influencing the relationship between depression and knowledge of self-care performance. Family support proved to be a significant facilitator of effective self-care. These findings suggest that multiple interrelated factors contribute to suboptimal self-care among patients with heart failure. Addressing these determinants may inform the development of effective, culturally sensitive self-care interventions and guide nursing practice and health policy aimed at improving heart failure management.
Co-Authors Agustina, Else Alfrina Hany, Alfrina Dradjat, Respati S. Vatmasari, Ratih A. Viera Wardhani Windarwati, Heni D.