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Indonesia Country Office
Collaborative Practice in
Health care
Dr Salma Burton
WHO INDONESIA
5th International Nursing Conference
Faculty of Nursing Universitas Indonesia
Mercure Hotel, 17 September 2015
Indonesia Country Office
Introduction
Complexities of Health care System.
- NCD and chronic diseases
- The move toward Universal Health Coverage
- Proliferation of Consumerism
- Scientific and technological advances
- Improvement in socio-economic status
Indonesia Country Office
Introduction
- Curative, hospital-based and disease oriented
- Fragmented Health services
innovative, safe and efficient
strategy is needed to improve
patient safety, quality of care
Improved health
outcomes
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New strategy and new paradigm in
Health care
People-centered and Integrated
health Services
is a call for a fundamental paradigm shift in
the way health services are funded,
managed and delivered. This is urgently
needed to meet the challenges being faced
by health systems around the world
People-centered health Services
core values
Comprehensive
Equitable
Sustainable
Coordinated
Continuous
Holistic
Preventive
Empowering
Collaborative
Respectful
Co-producedEndowed with Right and responsibilities
Govern through shared accountability
Evidence-informed
Led by whole-system thinking
ethical
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Inter-professional Collaboration
When multiple health workers from different
professional backgrounds work together with
patients, families, careers, and communities
to deliver the highest quality of care (WHO,
2010)
Collaborative practice occurs when
healthcare providers work with people from
within their own profession, with other
professions and with patients and their
families
Indonesia Country Office
Benefit of interprofessional and collaborative
practice Increase patients safety
Access to and coordination of health-services
Effective and efficient Health Service :
- Personnel
- Resources
Health outcomes for people with chronic diseases
Enhance providers morale and reduce burn out within health
profession Mutual respect, shared knowledge and skills, role
and communication.
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Collaborative practice
can decrease: Total patient complications
Length of hospital stay
Tension and conflict among caregivers
Staff turnover
Hospital admissions
Clinical error rates
Mortality rates
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Enablers of Interprofessional Collaborative
Practice (WHO, 2010) Institutional support clear governance model, structured
protocols and shared operating procedures
Working culture support structured information system and
process, effective communication strategies, strong conflict
resolution policies and regular dialogue among team (clinical
governance)
Professional support Improved and open-minded for
interprofessional collaboration
Policy support curriculum in pre service ( IPE) and professional
regulation
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3 Core Competencies
Individual
professional
Competency
Collaboration Competency
(Interprofessional competency)
Universal Competency
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ICP Competency
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ICP Competency Domain 1: Value/Ethics
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ICP Competency Domain 2:
Roles/Responsibilities
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ICP Competency Domain 3:
Interprofessional communication
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ICP Competency Domain 4:
Teams and team work
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Ten Lesson in collaboration (Gardner, BD. 2005)
Know
thyself
Develop
constructive
conflict
resolution
skills
Learn to
value and
manage
diversity recognize
that
collaboration
is a Journey
use your
power to
create win-
win
situations
Indonesia Country Office
Ten Lesson in collaboration (Gardner, BD. 2005)
master inter-
professional
and process
skills
Appreciate
that
collaboration
can occur
spontaneously
Leverage
multidisciplin
ary forum to
increase
collaboration Remember
that
collaboration
is not required
for all
decision
Balance
autonomy
and unity in
collaborative
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Challenges in implementation of
Collaborative care services
Professional culture and stereotyping
Inconsistence use and different
understanding of different language
Unsupportive environment for
collaboration
Knowledge of the roles and scope of
other health professions
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Health and Education System
Improve
health
system
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Conclusion
Inter-professional collaborative practice is a beneficial
approach in health care services. It can facilitate a safe,
efficient and effective health care delivery.
Interdisciplinary collaboration as a practice norm is rare,
it needs commitment.
The health care professional as team members as well
as organization.
It should be started with Interprofessional education in
the pre-service stage.
Focus on the improvement of the enabler and minimize
the barriers for the implementation.
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T e r i m a K a s i h
