Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Raya Bandung Sumedang Km. 21, Hegarmanah, Jatinangor, Kabupaten Sumedang, 45363, Jawa Barat, Indonesia.
Doctoral Program of Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, Indonesia.
BMC Womens Health. 2022 Jun 13;22(1):227. doi: 10.1186/s12905-022-01818-7.
Interprofessional collaboration has an important role in health care for breast cancer patients who are undergoing treatment at the hospital. Interprofessional collaboration has been reported to provide significant benefits for patients. However, qualitative research on interprofessional collaboration in the breast cancer department is rarely done, therefore, a study was conducted to determine the perception of health practitioners about interprofessional collaboration in the breast care unit at a referral centre hospital in West Java, Indonesia.
A qualitative study was carried out using in-depth interviews and focus group discussions (FGDs) with 15 healthcare personnel using total sampling. Participants were chosen among healthcare professionals who treat and in charge for outpatient breast cancer, but were not resident physicians. The FGD approach was used for nurses and pharmacists, and interviews were used for oncologists. The audio recordings of all interviews and FGDs were transcribed verbatim and evaluated using thematic analysis.
The findings were categorized into two categories to obtain health care workers' perspectives on interprofessional collaboration: (1) impediment factors: personality, lack of leadership, seniority, healthcare workers with double positions, the need for a clinical meeting, hospital bureaucracy, national health insurance implementation, issues with patients, hospital infrastructure, and evaluation and synchronisation; (2) existing supportive elements: effective cooperation, effective communication, clear job description, interpersonal relationships, Standard Operational Procedure (SOP) for cancer therapy, legality for inter-discipline cancer team, professional responsibility, integrated clinical pathway, patient centred care, and comprehensive health services.
Interprofessional collaboration was seen positively by the respondents. However, there are several hurdles that must be overcome to apply interprofessional collaboration works effectively. The findings of this study can be used to build interprofessional collaborations targeted at enhancing quality health care in breast cancer units.
在医院接受治疗的乳腺癌患者的医疗保健中，跨专业协作具有重要作用。跨专业协作已被报道为患者提供了重要的益处。然而，针对乳腺癌部门跨专业协作的定性研究很少，因此，在印度尼西亚西爪哇的一家转诊中心医院进行了一项研究，以确定卫生保健从业者对乳腺癌护理单元中跨专业协作的看法。
使用深度访谈和焦点小组讨论（FGD）对 15 名医疗保健人员进行了定性研究，采用总体抽样。选择参与门诊乳腺癌治疗和负责的医疗保健专业人员作为参与者，但不包括住院医师。FGD 方法用于护士和药剂师，访谈用于肿瘤学家。所有访谈和 FGD 的音频记录均逐字转录，并使用主题分析进行评估。
研究结果分为两类，以获得卫生保健工作者对跨专业协作的看法：（1）障碍因素：个性、缺乏领导力、资历、兼职医护人员、临床会议需求、医院官僚主义、国家医疗保险实施、患者问题、医院基础设施以及评估和同步；（2）现有支持因素：有效合作、有效沟通、明确的工作描述、人际关系、癌症治疗标准操作规程 (SOP)、跨学科癌症团队的合法性、专业责任、综合临床路径、以患者为中心的护理和综合卫生服务。
受访者对跨专业协作持积极态度。然而，要有效地应用跨专业协作，还需要克服一些障碍。本研究的结果可用于建立跨专业协作，旨在提高乳腺癌病房的医疗质量。
