INTRODUCTION
Professional Care Providers (PPA) is an
interdisciplinary team consisting of doctors, nutritionists, physiotherapists,
pharmacists and nurses who provide care to patients whose role is to facilitate
the fulfillment of patient care needs, optimize the implementation of patient
centered care, communication and coordination, education and advocacy, quality
control and patient care costs (KARS, 2017). PPA works as a
team in providing integrated care, where each performs an assessment based on
information gathering, conducts analysis to create a care plan where the Doctor
in Charge of Service (DPJP) is the head of the care team that integrates care,
including determining the urgent needs for inpatients (KARS, 2018). To achieve the
level of safety and improve the quality of services, PPA must cooperate and
coordinate well and continuously by collaborating between disciplines known as
Interprofessional (IPC).
Interprofessional collaboration is a process of
collaboration between groups of different health professionals to have a
positive impact on care or care, professionals carry out regular negotiations
and interactions by appreciating the expertise and contributions made by
various health professionals in patient care, IPC can be well established if
there is good communication. effectively and efficiently carried out by
professional care providers so that patient safety can be achieved optimally (Dittman & Hughes, 2018). IPC can be
affected by issues related to imbalance of authority, limited understanding of
roles and responsibilities, and friction of professional boundaries when
providing care to patients (Reeves et al., 2017).
Effective and efficient communication between PPAs in
hospitals uses SBAR communication (Situation, Background, Assessment,
Recommendation) (KARS, 2017). SBAR
communication is used when PPAs conduct rounds involving various disciplines
through interprofessional bedside rounds (IBR), this will have a positive
impact on patient safety and improve the quality of care provided, where PPA is
a Caregiver for patients and families. Therefore, PPA must cooperate well and
effectively with patients and families by treating patients or their families
as partners in case management. In case management, apart from having a Doctor
in Charge of Service (DPJP), there are also Nurses in Charge of Care (PPJA),
nutritionists, pharmacists, and physiotherapists, who have full responsibility
for the patient in providing care.
The nurse in charge of care has full responsibility
for the patient from admission to discharge (KARS, 2017). The PPJA
assignment model aims to build good relationships between nurses, other PPAs
and patients. A PPJA is a competent nurse with a functional level of expert
nurse-Ners at least PK II who meets the competency
assessment as PPJA (PerMenPan no 25 of 2014). PPJA
together with other PPAs have responsibility for the care provided, for the
creation of patient safety as implied in PMK no 26 of 2019.
The research of Galleryzki, Hariyati, and Afriani (2021)
which examined the relationship between safety attitudes and the implementation
of patient safety goals stated that there were factors that affecting patient
safety, including gender, age, work experience, and career path of (P <
0.05) so that it can be concluded that there is a significant relationship
between safety attitudes and the implementation of nurse safety where it is
obtained (r = 0.441, p < 0, 01). In order for interdisciplinary care to be
carried out properly, adequate staff is needed which is the key to improving
the quality of care and staff retention, inadequate staff will harm patients
and will have a negative impact on the quality of care provided in addition to
having an impact on the profession (Miller, 2019).
Hospitals and nurse managers in this case PPJA have an
important role in improving patient safety to avoid unwanted incidents by
utilizing resources optimally. Liana, Lestari, Dwijayanti, and Fauziah (2021)
stated that there are three variables that influence patient safety culture,
namely safety climate, situational and safety behavior where situational
variables have the greatest influence on safety culture; both patient and staff
safety. In addition, indicators of compliance and risk management are indicators
that have an influence on safety culture.
Interprofessional bedside Rounds� is a round carried out between PPA consisting
of (doctors, nurses, pharmacists, nutritionists, physiotherapists) by involving
patients and families as partners or partners in managing cases, in complex
cases, rare cases, rare cases and new cases , which is an effective strategy
that aims to improve services and quality of care so that patient safety is
achieved. In line with that, the rounds carried out also aimed to develop
skills in decision making for the establishment of an effective and efficient
IPC for the creation of a work safety culture.
Interprofessional bedside rounds are an important
element in providing care for the creation of patient safety. The non-optimal
process carried out in hospitals will affect the quality of health services so
that a nurse's commitment is needed that leads to better changes in accordance
with the hospital's vision and mission (Kasanah, 2021). In its
implementation, IBR is influenced by several factors, including: knowledge,
attitudes, subjective norms, and intentions (Moi et al., 2019). In order for IBR
to be realized optimally, there must be a commitment made by the hospital by
providing knowledge to PPA as a case manager, fostering positive attitudes,
intentions and norms for the creation of quality care and creating a culture of
patient safety. As stated by Marquis and Huston (2009), PPA case
management must always refer to 5 management functions consisting of planning,
organizing, staffing, directing and controlling which are interrelated and
continuous so that IBR can run optimally.
Management residency program IV which was held at Dr
Rubini Mempawah Hospital, on September 20, 2021 to
December 15, 2021, researchers conducted observations and interviews in the
implementation of 5 management functions. In the planning function, the
researcher sees that the hospital has a vision and mission. Organizing Function
The hospital has an organizational structure where there is a division of tasks
from several sub-sections that are interconnected with each other.
The staffing includes staff reforms, namely by
distributing the total number of nurses where 189 nurses are spread in 11 rooms
including the ICU, IGD, Perinatology Room, Cempaka
Room, Kenanga Room, Orchid Room, Jasmine Room, Puring Room, Ashoka Room, OK room and Mawar/midwifery
room. The educational qualifications of DIII vocational nurses are 124 people,
DIV are 23 people, professional nurses are 48 people, and credentials have been
carried out in 11 rooms, but there is no PPJA determination and the
distribution of nurses is not evenly distributed, with 169 beds available.
spread over 11 rooms. On January 1, 2022, the managerial team made improvements
by distributing nurses in the hospital. KARS (2018)
states that in order to provide professional care, there must be a PPJA that is
authorized to manage cases.
The function of direction: based on the findings
obtained during the residency, among others; the rounds have not been
implemented optimally and continuously, there is no special code blue team,
there is still a lack of discipline of nursing staff in writing Nursing Care
(ASKEP), the application of PPA has not been optimal. For this reason, nursing
managers in particular and service managers direct and coordinate with various parties
in order to find alternatives by providing direction to the head of the room
and other PPAs to be able to carry out joint care by carrying out IBR, before
doing IBR the researchers coordinate with the head of nursing and the head of
the room. On November 18 to 23, researchers began to implement IBR together
with other PPAs (Doctors, nurses, pharmacists, nutritionists and
physiotherapists) by involving patients and families as partners, then the
process that was applied needed to be controlled.
The control function in the implementation of IBR uses
SBAR communication which aims to save time so that the information obtained can
be more optimal and accurate, work security and safety becomes more effective
and efficient. will create a culture of patient safety, job satisfaction and
security for PPAs, so that service quality and patient satisfaction are
achieved.
IBR implementation activities that have been carried
out are evaluated to see the context, inputs, processes and products (Sugiyono, 2019). This evaluation
is very important to do to assess the benefits and feasibility of the IBR
program that has been developed.
This study aims to evaluate the results of the
implementation of the rounds conducted between PPA (Interprofessional bedside
rounds) which were carried out in the inpatient room of Dr. Rubini Mempawah Hospital. And specifically, the objectives were 1)
Identifying PPA's experience regarding the implementation of Interprofessional
bedside Rounds inpatient room of RSUD dr Rubini Mempawah 2) Identifying PPA's perception about the
implementation of Interprofessional activities beside Rounds inpatient room at
RSUD dr Rubini Mempawah. 3)
Identification of patient safety target documentation /Patient Safety in the
Inpatient Room of RSUD Dr. Rubini Mempawah 4)
Identification of Documentation of Safety of PPA in the Inpatient Room of RSUD
Dr. Rubini Mempawah.
METHOD
The research method used in this study is a
combination method (mix method).� In this
study, researchers used� Mixed
Methods� in the evaluation. Where the
evaluation is carried out with Mixed Methods, carried out systematically by
integrating two or more evaluation methods (qualitative and quantitative). At
each stage of the evaluation process by describing quantitative and qualitative
data (Ambiyar & Dewi, 2019). The researcher
uses The Convergent Parallel Design (parallel together) where the researcher
uses mixed methods (qualitative and quantitative). Qualitative and quantitative
data that have been obtained or have been collected are combined to reinforce
or complete the research problems found and to provide a more complete
understanding of the results of research that has been carried out.
RESULTS AND DISCUSSION
Table 1
Analysis of Experience
Overview of PPA's Patient Safety and Security Goals
|
No
|
Category
|
Qualitative Data
|
Quantitative Data
|
Conclusions
|
|
Goals of patient safety
|
Security of PPA
|
|
1
|
Characteristics of
collaboration
|
Collaboration:
P3: "... teamwork
seems to be more solid if for example together..." P4 : "At
that time, we were discussing about one patient, together with all
PPA... we were patients... assessing the patient's condition, we were
both discussing..." P5: "...in... do rounds together...�
|
�97.52%
|
98.49%
|
Qualitative data
consisting of the characteristics of collaboration with the collaboration
between PPAs; the implementation time of activities can be seen from the
opinion of the PPA; the feeling of being appreciated by the feeling of
pleasure felt by PPA was confirmed by quantitative data on patient safety
goals of 97.52% and PPA safety of 98.49%.
|
|
2
|
Timing of implementation
|
|
|
3
|
Feelings of Appreciation
|
|
The themes obtained in this study provide an overview of the
experiences experienced by PPA in conducting interprofessional collaborations. Wolff and Resnick (2012) states that experience is a
category of thinking, a minimal unit of analysis that includes people
(intellectual, affective, and practical characteristics), material and social
environments, transactional relationships (influence each other) and influence,
this is in line with the results interviews were conducted in which three
sub-themes were found that compose the theme. The first sub-theme found in this
study is the characteristics of collaboration. The characteristics of
collaboration are the characteristics that exist or are found when
collaboration is carried out. the category obtained in this sub-theme is
collaboration, the second sub-theme is the timing of the activity, which is the
sequence of activities carried out or carried out. The category obtained in
this sub-theme is opinion. The third sub-theme found in this study is feeling
valued. Feeling valued is feeling given an opportunity or feeling respected.
The category obtained in this sub-theme is happy. The sub-themes and categories
emphasize team members to learn work skills (Stevens & Campion, 1994) to develop the "executive consciousness" needed
to self-regulate and manage their work processes (Mills, 1967). Zhao et al. (2021) in his
research stated that the collaboration between nurses and doctors as a whole
showed a positive attitude towards the collaboration carried out by nurses and
doctors in the implementation of IBR, with no significant differences found
between nurses and doctors. While information sharing was reported as the most
frequent collaborative activity, cooperative relationships were rated as the
least frequent. The most common barrier was related to time issues, where
nurses reported significantly greater perceived barriers to attending IBR were
doctors. This is in line with the results of interviews obtained where a good work process is
carried out by collaboration between PPA, opinions, creates feelings of
pleasure when carrying out activities or interventions and is confirmed by data
from observations of patient safety targets of 97.52% and PPA safety. of 98.49%
means that it has a positive impact on the implementation of Interprofessional Collaboration.
Table 2
Analysis
of PPA's Perception of PPA's Patient Safety Goals and PPA's security
|
No
|
Category
|
Qualitative Data
|
Quantitative Data
|
Conclusions
|
|
Goals of patient safety
|
Security of PPA
|
|
1
|
Wishing
|
Wish :
P 1: �...hopefully...can
run until the next and hopefully jak runs smoothly...� And P5
reveals: �...should be more often done...�
|
97.52%
|
98.49%
|
Qualitative data consisting of
wishes with expectations conveyed from PPA; processes that are passed
automatically; science with a lack of confidence; quality of care with a
caring attitude; analyzing interprofessional collaboration with the opinions
expressed is confirmed by quantitative data on patient safety goals of 97.52%
and PPA safety of 98.49%.
|
|
2
|
The Processes
|
automatically:
P3"... so that the
patient is comfortable, we are comfortable...", if for example he
doesn't feel comfortable, it's automatically ..."
|
|
3
|
Science
|
Lack of Confidence:
P5"... preparation
of knowledge in their respective fields each ... afraid that there might
be a shortage or we lack the bibliography�.
|
|
4
|
Quality of care
|
Caring Attitude:
P5 �... more care, more
care...� �... forms of drug interactions...�, �...more patient safety,
care for patients�.
|
|
5
|
Analyzing Interprofessional collaboration
|
Opinion:
P 3: �...there is doesn't
take long for a while... if it's only 's not enough... each person
asks maybe there's a lack of time.. . because of the time...� Q 4:
�... 30 minutes is enough...� �...from preparation, assessment, to
discussion...from each PPA...�P 5: �...the time may have to be
extended ...�
|
The themes obtained in this study provide an
overview of PPA's perception of interprofessional collaboration. Langton
(2006) states
that perception is influenced by the situation (time, work setting, social
setting), the perceiver (attitudes, motivations, interest, experience,
expectation); the target (novelty, motion, sounds, size, background,
proximity).� This is in line with the
results of interviews obtained where five sub-themes were found that make up
the theme, which consist of; The first sub-theme found in this study is desire.
Desire is having a desire to make changes or improvements. the categories found
in this sub-theme are hope; The second sub-theme found in this study is the
process that is passed. The process that is passed is a series of events that
are lived or passed. the categories obtained in this sub-theme are
automatically; The third sub-theme found in this research is science.
Scientific knowledge is knowledge obtained from interprofessional
collaboration, the categories obtained in this sub-theme are lack of confidence;
The fourth sub-theme found in this study is the quality of care. Quality of
care is the quality of care in terms of service delivery by PPA. The category
found in this sub-theme is showing caring attitude. The fifth sub-theme found
in this study is the process of analyzing interprofessional collaboration. The
process of analyzing interprofessional collaboration is a process or method of
studying, describing or analyzing collaborations or collaborations between
professions, the categories found in this sub-theme are opinions.
Liu and
He (2022) revealed
that the components of the Health belief model (HMB) include: perceived
susceptibility; perception of severity (perceived severity); perception of
benefits (perceived benefits); perception of barriers (perceived barriers); (Cies to action) and self-efficacy). Gonzalo,
Kuperman, et al. (2014) stated
that the staff's perception of IBR The highest benefits were related to
communication or coordination, including "improved nurse-physician
communication;" the lowest benefits were related to efficiency, process,
and outcomes, including �reduced length of stay� and �improved consultation
timeliness.� where Nurses reported the most favorable ratings for all items
(P<0.05). The ranking order for the 3 provider groups showed a high
correlation (r = 0.92, P < 0.001). The highest barriers were related to
time, including "nursing staff have limited time;" the lowest
barriers were related to provider and patient factors, including �patient
discomfort�. Sutoto
(2017) stated
that� the case manager has a very
important role, namely as a coordinator, facilitator, education provider and
also an educator. This is in line with the results of interviews where the
PPA's perception that it was found that there was hope from the PPA to make
changes or improvements by applying knowledge through the process that was
passed or carried out to improve the quality of care by conducting analysis was
confirmed by the observation results of patient safety targets of 97.52%. and
the safety of PPA is 98.49%, which means that the implementation of the
Interprofessional bedside round (IBR) has a positive impact on improving the
quality of care or service quality.
�
A. Interprofessional
Collaboration
The themes obtained in this study
provide an overview of the collaboration between PPA. Dittman
K, Hughes S, 2018 states interprofessional collaboration (IPC) is a process of
collaboration between different professional groups to have a positive impact
on care or care through regular negotiations and interactions by valuing the
expertise and contributions made by various health professionals in patient
care. IPC can be well established if there is effective and efficient
communication carried out by PPA so that patient safety can be achieved
optimally, for Aini
et al. (2021) stated the presence of the Patient Service Manager (MPP) has an important
role as part of the implementation of the Patient Center Care (PCC), in helping
to improve interprofessional collaboration and increasing involvement and
empowerment of patients and families in patient care, resulting in outcomes ,
increasing patient satisfaction and service quality in hospitals, is in line
with the results of in-depth interviews with four sub-themes found which
composes the theme as described below:
1) The PPA's experience with the collaboration.
Experience is the learning gained by a person or individual or team in the
process of interacting with an event that is experienced or passed. Some of the
categories found in this sub-theme are fear of dealing and self-confidence.
2) the PPA's perception of the collaboration.
Perception is an interpretation process that is influenced by various factors,
both internal and external factors from an individual in an effort to express
his views on an action or intervention. Some of the categories found in this
sub-theme are self-confidence and feelings of pleasure towards the profession.
3) Professional autonomy is the right, authority and
obligation of a profession. The categories obtained in this sub-theme are
competence, ensuring, agreeing, scientific.
4) Desire is having a desire to make changes or improvements.
The category found in this sub-theme is hope.
5) Competence is the authority (power) to determine or
decide something. the category found in this sub-theme is autonomy.
Gonzalo,
Wolpaw, Lehman, and Chuang (2014) stated
that there were independent factors associated with an increase in the
incidence of IBR, namely senior residents, working days, team census size, and
experience. In this study, researchers found the perceived experiences and
positive perceptions of the PPA, the existence of professional autonomy, the
wishes or expectations of the PPA and competence which is a complete component
that has relevance in the implementation of Interprofessional Collaboration
(IPC) for the creation of service continuity and quality care improvement.
B. Activity
Systematic
This study provides an overview of the systematics
of IBR activities. IBR is a model process carried out by two or more health professionals
(doctors, nurses, pharmacists, nutritionists, physiotherapists) together with
patients and families as part of a consistent team-based routine in order to
share information and collaborate on daily care plans. This is in line with the
results of interviews found with the sub-theme of activity procedures. The
activity procedure is the activity stage to complete an activity. The category
obtained in this sub-theme is the process of implementing activities. Alberini
et al. (2022) stated
that the IBR functioned to meet the needs of patients on a regular basis and to
ensure patient safety. Peter R Lichstein and Hal H
Atkinson 2018 state that efficient IBR requires patient and team preparation.
by providing structure and timing activities. By using effective patient-centred communication. Clinical examinations can be
integrated into the presentation flow and become a material for discussion,
this has an impact on the creation of patient safety and PPA security in the
process of providing care SOPs 97.52% and PPA security data when working as
much as 98.49%. This illustrates that cooperation carried out in a harmonious,
consistent and sustainable manner will have a positive impact on optimizing the
quality of care.
C. Characteristics
of Collaboration
This study provides an overview of the
Characteristics of Collaboration. Interprofessional IPC is carried out as
stated in KARS (2018) by
conducting interprofessional collaboration in this case PPA consisting of
(Doctors, nurses, nutritionists, pharmacists, physiotherapists) coordinating in
providing care, interprofessional collaboration is carried out in the context
of making joint decisions about problems patient health (Susilaningsih,
et.all, 2017) this is in line with the two sub-themes
obtained, namely:
1) Decision is the way a person or individual or group
takes a decision or action. The categories found in this sub-theme are autonomy
2) Professional autonomy is the right, authority and
obligation of a profession. The category found in this sub-theme is science.
Heip,
Van Hecke, Malfait, Van Biesen, and Eeckloo (2022) stated
that Interprofessional bedside rounds have a potential positive influence on
patient centering, quality of care, and team collaboration, and he also revealed
that there are perceived barriers to the implementation of IBR, namely time
constraints, lack of shared goals, varying responsibilities of different
providers, hierarchies, and coordination challenges. This is in line with the
results of interviews obtained by researchers regarding the characteristics of
collaboration in the form of decisions and professional autonomy where
decisions to be taken must be in accordance with the expertise of each
profession, namely in accordance with their knowledge by prioritizing patient
safety, where PPA is in accordance with the authority, and responsibilities are
owned. the obligation to provide the best care for the creation of patient
safety by intervening appropriately and correctly in accordance with existing
guidelines so that not only optimal patient safety is realized, the safety of
PPA will also be optimally realized. Sutoto
(2017) states that� MPP has
the role of combining several characteristics such as coordinator, financial
manager, problem solver, facilitator, counselor, planning manager, educator,
and advocacy through a combination of several activities that are formed to
support the goals and objectives of patient care programs and the application
of guiding principles. to the practical side of the program.
D. Patient
Safety Goals
This study provides an overview of patient safety
goals. Patient safety goals are an effort made in order to realize patient
safety. There is also an effort made by conducting interprofessional
collaboration where PPA is an interdisciplinary team consisting of doctors,
nutritionists, physiotherapists, pharmacists, nurses and others who provide
care to patients where PPA plays a role in facilitating the fulfillment of
patient care needs, optimizing the implementation service focuses on patients
through communication, coordination, education, advocacy, quality control and
patient care costs (KARS,
2018). The sub-theme of patient safety goals obtained from
interviews is professional autonomy. Professional autonomy is the rights,
authorities and obligations of a profession with categories found, among
others: education, the process of implementing activities, science. This is in
line with the role of the PPA. Cherry
and Jacob (2017) states
that by doing good and proper coordination, appropriate policies and procedures
can be developed to help explain how a job will be done and by establishing
position qualifications and clear job descriptions to determine who should do
the job and this. gives the meaning that each PPA has rights, authorities and
obligations in accordance with their knowledge. If a PPA knows their duties,
rights and obligations, patient safety and PPA security will be created in
harmony and sustainability so that the quality of care becomes more
quantitative and quality.
Burdick
et al. (2017) identified
three main categories in IBR, including the process of implementing IBR,
clinical information and the impact or value of patient-centered IBR that is
effective to apply. The results of the interview found that patient safety
goals will be achieved if there is a harmonious relationship between
Interdisciplinary and respecting professional autonomy by prioritizing science,
education in the process of implementing IBR activities. ,49% which means that
the quality of service is in accordance with the standard, so that the quality
of care becomes optimal.
E.
PPA safety in providing care
This study provides an overview of PPA security.
Safe staffing is the availability of a number of staff who work together
according to their level of expertise, available at all times to ensure that
patient care needs are met and that hazard-free working conditions of staff. Ana
(2019) identified
the main elements needed to achieve the right care staff, which enhances the
delivery of safe and quality health care. These principles include: Consumer
Healthcare, Interprofessional Teams, Workplace Culture, Practice Environment,
Evaluation. This is in line with the two sub-themes found from the interviews,
namely competence and professional autonomy as described below:
1) Competence is the authority (power) to determine or
decide something. The categories obtained in this sub-theme are in accordance
with existing procedures and collaborations.
2) Professional autonomy is the right, authority and
obligation of a profession. The category obtained in this sub-theme is
scientific.
KARS, 2018 states that PPA works as a team in
providing integrated care, where each performs an assessment based on
information collection, conducts analysis to create a care plan where the
Doctor in Charge of Service (DPJP) is the head of the care team that integrates
care including urgent needs for patients. inpatient. Zhao
et al. (2021) stated
that the collaboration between nurses and doctors as a whole showed a positive
attitude towards nurse-doctor collaboration in the implementation of IBR, with
no significant differences found between nurses and doctors, so from the sub
themes and categories that It was found that staff safety will be achieved
optimally both in quality and quantity if PPA works according to their
respective portions (duties and authorities) so that PPA security and patient
safety goals become optimal. This data is confirmed by PPA safety data in
providing care of 98.49% and patient safety target of 97.52% which means
achieving results according to national standards which means an improvement or
improvement in the quality of care.
F.
Professional autonomy
This research provides an overview of
Professional Autonomy. KARS
(2017) states that PPA is an interdisciplinary team consisting of doctors,
nutritionists, physiotherapists, pharmacists, nurses who provide care to
patients, play a role in facilitating the fulfillment of patient care needs,
optimizing the implementation of patient centered care, communication and
coordination, education and advocacy, quality control. and patient care costs.
This is in line with the sub-theme, namely competence. Competence is the
authority (power) to determine or decide something. The categories obtained in
this sub-theme share the experience and knowledge of Nela
et al. (2021) that PPJA competence has a relationship with aspects of knowledge, aspects
of skills, aspects of attitude, and aspects of clinical judgment with the
quality of patient handovers. Wolff
& Resnick (2012) states that experience is not something that is hidden in each
individual, but extends to space and time through ongoing social relationships
that affect the individual so that having experience means providing an
explanation of events including the results obtained from the implementation of
an activity.
Pursio,
Kankkunen, Sanner‐Stiehr, and Kvist (2021) states that the multidimensional nature of professional autonomy is very
important to create an attractive work environment. It is important to enable
nurses to participate in decision-making and develop nursing through shared
leadership to increase recruitment and retention of a skilled workforce. So
that professional autonomy in interprofessional collaboration in terms of
implementing IBR allows each interdisciplinary according to their knowledge to
share experiences so that a harmonious and complementary working relationship
will be created, this will have a positive impact on patient safety and PPA
security in providing care.
CONCLUSION
Based on the results of the analysis and discussion,
several conclusions can be drawn regarding the Interprofessional Bedside Round
(IBR) where nine themes were found from in-depth interviews which were primary
data and supported by secondary data from observations of patient safety goals
and PPA safety, including:
Description of PPA's experience with the implementation of
IBR, identifying the characteristics of collaboration with the
interdisciplinary collaboration carried out between PPA consisting of doctors,
nurses, pharmacists, physiotherapists, and nutritionists who provide integrated
care; identifying the timing of activities, namely the existence of a timetable
for the implementation of activities from pre-round, round and post-round:
identification of feelings of appreciation with feelings of pleasure felt by
PPA during IBR implementation.
Description of PPA's perception of interdisciplinary
collaboration, the identification of a desire with the expectation of PPA for
the implementation of interdisciplinary collaboration, in this case IBR;
identification of processes that are passed automatically by feeling
comfortable when collaboration is carried out; identification of science, in
this case there is a lack of confidence from PPA if in the implementation of
collaboration between PPA they are afraid of lack of knowledge preparation; the
identification of the quality of care, namely the presence of a caring attitude
from PPA towards patients with an attitude of more care, more care and more
safety; It was identified that there was an analysis of interprofessional
collaboration with the opinion of the PPA at the time of implementation where
there was a PPA who said the time provided was sufficient, and there was also
an opinion that said the time provided was still insufficient because each PPA
reviewed and analyzed each according to their knowledge and carried out joint
discussion.
Observational data on patient safety goals where
identified 97.52% of PPAs have provided care in accordance with patient safety
procedures
Data from PPA safety observations identified 98.49% PPA
had provided care according to procedures.
There are seven themes besides the two main themes, some
of the themes obtained include interprofessional collaboration, activity
systematics, collaboration characteristics, patient safety goals, PPA security,
professional autonomy and competence.
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EVALUATION RESULTS INTERPROFESSIONAL BEDSIDE ROUNDS ACTIVITIES INPATIENT
ROOM RSUD DR RUBINI MEMPAWAH