Exploring the implementation of multidisciplinary collaboration at nursing homes in Jakarta, Indonesia: A descriptive phenomenological study

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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.

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The qualitative content analysis process.

Satu Elo, Helvi Kyngäs (2008)

This paper is a description of inductive and deductive content analysis. Content analysis is a method that may be used with either qualitative or quantitative data and in an inductive or deductive way. Qualitative content analysis is commonly used in nursing studies but little has been published on the analysis process and many research books generally only provide a short description of this method. When using content analysis, the aim was to build a model to describe the phenomenon in a conceptual form. Both inductive and deductive analysis processes are represented as three main phases: preparation, organizing and reporting. The preparation phase is similar in both approaches. The concepts are derived from the data in inductive content analysis. Deductive content analysis is used when the structure of analysis is operationalized on the basis of previous knowledge. Inductive content analysis is used in cases where there are no previous studies dealing with the phenomenon or when it is fragmented. A deductive approach is useful if the general aim was to test a previous theory in a different situation or to compare categories at different time periods.

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Research Design : Qualitative, Quantitative, and Mixed Methods Approaches

John W. Creswell (2014)

The eagerly anticipated Fourth Edition of the title that pioneered the comparison of qualitative, quantitative, and mixed methods research design is here! For all three approaches, Creswell includes a preliminary consideration of philosophical assumptions, a review of the literature, an assessment of the use of theory in research approaches, and refl ections about the importance of writing and ethics in scholarly inquiry. He also presents the key elements of the research process, giving specifi c attention to each approach. The Fourth Edition includes extensively revised mixed methods coverage, increased coverage of ethical issues in research, and an expanded emphasis on worldview perspectives.

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Is Open Access

‘Gearing Up’ to improve interprofessional collaboration in primary care: a systematic review and conceptual framework

Gillian Mulvale, Mark Embrett, Shaghayegh Razavi (2016)

Background Interprofessional Primary Care Teams (IPCTs) have been shown to benefit health systems and patients, particularly those patients with complex care needs. The literature suggests a wide range of factors that may influence collaboration in IPCTs, however the evidence base is unclear for many of these factors. To target improvement efforts, we identify studies that demonstrate an association between suggested factors and collaborative processes in IPCTs. Methods A systematic review of 25 years of peer-review literature was conducted to identify studies that test associations between policy, organizational, care team and individual factors, and collaboration in IPCTs. We searched Medline, ProQuest subject, ProQuest abstract, CINAHL, HealthSTAR, and Embase electronic databases between January 1990 to June 2015 and hand-searched reference lists of identified articles. Results The electronic searches identified 1421 articles, nine of which met inclusion criteria. Eighteen factors were significantly associated with collaboration in at least one article. We present the findings within a proposed conceptual model of interrelated ‘gears’. The model offers a taxonomy of factors that policy makers (macro gear), organizational managers (meso gear), care teams (micro gear) and health professionals (individual gear) can adjust to improve interprofessional collaboration in IPC teams. Thirteen of the eighteen identified factors were within the micro gear, or team level of decision-making. These pertained to formal processes such as quality audits and group problem-solving; social processes such as open communication and supportive colleagues; team attitudes such as feeling part of the team; and team structure such as team size and having a collaboration champion or facilitator. Fewer policy (eg governance), organizational (eg information systems, organizational culture) or individual (eg belief in interprofessional collaboration care and personal flexibility) level factors were identified. Conclusions The findings suggest that individual IPCTs have opportunities to improve collaboration regardless of the organizational or policy context within which they operate. Evidence supports the importance of having a team vision and shared goals, formal quality processes, information systems, and professionals feeling part of the team. Few studies assessed associations between collaboration and macro and meso factors, or between factors across levels, which are priorities for future research. Electronic supplementary material The online version of this article (doi:10.1186/s12875-016-0492-1) contains supplementary material, which is available to authorized users.

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Author and article information

Journal

Journal ID (nlm-ta): Belitung Nurs J

Journal ID (iso-abbrev): Belitung Nurs J

Journal ID (publisher-id): BNJ

Title: Belitung Nursing Journal

Publisher: Belitung Raya Foundation

ISSN (Print): 2528-181X

ISSN (Electronic): 2477-4073

Publication date (Electronic): 28 June 2024

Publication date Collection: 2024

Volume: 10

Issue: 3

Pages: 332-340

Affiliations

[1 ]Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia

[2 ]Sekolah Tinggi Ilmu Kesehatan Banten, Banten, Indonesia

[3 ]Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia

Author notes

[* ] Corresponding author: Prof. Achir Yani S. Hamid, M.N, DNSc Department of Mental Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia. Jalan Prof. Dr. Bahder Djohan, Kampus UI Depok, West Java 16424, Indonesia. Email: achir@ 123456ui.ac.id

Cite this article as: Royani., Hamid, A. Y. S., Rekawati, E., & Darmawan, E. S. (2024). Exploring the implementation of multidisciplinary collaboration at nursing homes in Jakarta, Indonesia: A descriptive phenomenological study. Belitung Nursing Journal, 10(3), 332-340. https://doi.org/10.33546/bnj.3226

Author information

Royani https://orcid.org/0000-0002-2746-5364

Achir Yani S. Hamid https://orcid.org/0000-0002-3548-1348

Etty Rekawati https://orcid.org/0000-0002-5431-3657

Ede Surya Darmawan https://orcid.org/0000-0002-7250-6727

Article

Publisher ID: BNJ-10-3-332

DOI: 10.33546/bnj.3226

PMC ID: 11211744

SO-VID: 75600b61-6754-495f-b6da-e16fa1a8e59c

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which allows others to remix, tweak, and build upon the work non-commercially as long as the original work is properly cited. The new creations are not necessarily licensed under the identical terms.

History

Date received : 17 January 2024

Date revision received : 21 February 2024

Date accepted : 16 April 2024

Funding

Funding This research was funded by the Directorate of Research and Development, Universitas Indonesia, under Hibah PUTI 2023 (Grant No. NKB-050/UN2.RST/HKP.05.00/2023).

Exploring the implementation of multidisciplinary collaboration at nursing homes in Jakarta, Indonesia: A descriptive phenomenological study

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Indonesia family life and health survey

Most cited references 36

The qualitative content analysis process.

Research Design : Qualitative, Quantitative, and Mixed Methods Approaches

‘Gearing Up’ to improve interprofessional collaboration in primary care: a systematic review and conceptual framework

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