Skip to main content Skip to main navigation menu Skip to site footer
Jurnal Keperawatan Indonesia
Articles
VIEWS: 369
10.7454/jki.v28i2.1148
Submitted: 2023-07-21
Published: 2025-07-31

The Strategies and Interventions for Interprofessional Collaboration to Improving Patient Safety in Hospitals: A Systematic Review

Faculty of Nursing, Universitas Indonesia, Depok 16424, Indonesia
Faculty of Nursing, Universitas Indonesia, Depok 16424, Indonesia
Faculty of Nursing, Universitas Indonesia, Depok 16424, Indonesia
Faculty of Public Health, Universitas Indonesia, Depok 16424, Indonesia
hospitals interprofessional collaboration patient safety

Abstract

Interprofessional collaboration strategies and interventions are carried out to improve patient safety in hospitals. This study aimed to analyze the strategies and interventions used in interprofessional collaboration to improve patient safety. Interprofessional collaboration strategies and interventions were searched using five English-language databases, eligible studies were extracted, and the risk of bias was independently evaluated by two authors. The literature search yielded a total of 10,729 registered papers. We conducted an analysis on 3,793 health professionals. The following articles were included: 1) articles that described an intervention interprofessional collaboration to improve patient safety; 2) those focused on interprofessional collaboration in hospitals; and 3) the research sample included of health care professionals (doctors, nurses, nutritionists, and pharmacists). Interventions that combine lectures, skills practice, and discussions are carried out using an online format and case study practice. The strategies and interventions identified inductively were categorized into four items: 1) team acceptance and readiness for interprofessional collaboration; 2) acting as a team and not as individuals; 3) developing protocols or guidelines for health professionals; and 4) integrating elements of interprofessional collaboration by health professionals in providing health services. The principles of interprofessional collaboration include the need to prioritize structures, processes, and tools that enable interprofessional collaboration to be established in hospitals. Interprofessional collaboration strategies and interventions in hospitals are effective in being able to make changes to improve patient safety and the quality of service.

Keywords: hospitals, interprofessional collaboration, patient safety

 

Abstrak

Strategi dan Intervensi Kolaborasi Interprofesional untuk Meningkatkan Keselamatan Pasien di Rumah Sakit: Suatu Tinjauan Sistematis. Strategi dan intervensi kolaborasi antarprofesional dilakukan untuk meningkatkan keselamatan pasien di rumah sakit. Penelitian ini bertujuan untuk menganalisis strategi dan intervensi yang digunakan dalam kolaborasi interprofesional untuk meningkatkan keselamatan pasien. Strategi dan intervensi kolaborasi interprofesional dicari menggunakan lima basis data berbahasa Inggris, studi yang memenuhi syarat diekstraksi, dan risiko bias dievaluasi oleh dua penulis secara independen. Pencarian literatur menghasilkan total 10.729 makalah yang telah terdaftar. Kami melakukan analisis pada 3.793 profesional kesehatan. Artikel disertakan jika: 1) menggambarkan kolaborasi interprofesional intervensi untuk meningkatkan keselamatan pasien; 2) berfokus pada kolaborasi antarprofesional di rumah sakit; 3) sampel penelitian termasuk profesional perawatan kesehatan (dokter, perawat, ahli gizi, apoteker). Intervensi yang menggabungkan perkuliahan, praktik keterampilan, dan diskusi dilakukan dengan menggunakan format online dan praktik studi kasus. Strategi dan intervensi yang diidentifikasi secara induktif dikategorikan menjadi empat item: 1) penerimaan tim dan kesiapan untuk kolaborasi antarprofesional; 2) bertindak sebagai tim dan bukan sebagai individu; 3) mengembangkan protokol atau pedoman untuk profesional kesehatan; dan 4) mengintegrasikan elemen-elemen kolaborasi antarprofesional oleh profesional kesehatan dalam memberikan layanan kesehatan. Prinsip-prinsip kolaborasi antarprofesional perlu memprioritaskan struktur, proses, dan alat yang memungkinkan kolaborasi interprofesional terjalin di rumah sakit. Strategi kolaborasi dan intervensi interprofesional di rumah sakit efektif dalam dapat melakukan perubahan untuk meningkatkan keselamatan pasien untuk kualitas layanan yang lebih baik.

Kata Kunci: keselamatan pasien, kolaborasi interprofesional, rumah sakit

References

  1. Alshammari, H.F., & Dayrit, R.D.J. (2017). Conflict and conflict resolution among the medical and nursing personnel of selected hospitals in Hail City. IOSR Journal of Nursing and Health Science, 6 (3), 45–60. doi: 10.9790/1959-0603014560.
  2. Ansa, B.E., Zechariah, S., Gates, A.M., Johnson, S.W., Heboyan, V., & De Leo, G. (2020). Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare, 8 (3), 323. doi: 10.3390/healthcare8030323.
  3. Ballangrud, R., Husebø, S.E., Aase, K., Aaberg, O.R., Vifladt, A., Berg, G.V., & Hall-lord, M.L. (2017). “Teamwork in hospitals”: A quasi-experimental study protocol applying a human factors approach. BMC Nursing, 16, 34. doi: 10.1186/s12912-017-0229-z.
  4. Bochatay, N. (2019). Discussing teamwork in health care: From interprofessional collaboration to coordination and cooperation. Health Information and Libraries Journal, 36, 367–371. doi: 10.1111/hir.12282.
  5. Brock, T., Vu,T., Kadirvelu, A., Lee, C.Y., & Kent, F. (2020). Implementing a collaborative medicine and pharmacy educational activity in two countries. Medical Education Online, 25 (1), 1780697. doi: 10.1080/10872981.2020.1780697.
  6. Busari, J.O., Moll, F.M., & Duits, A.J. (2017). Understanding the impact of interprofessional collaboration on the quality of care: A case report from a small-scale resource limited health care environment. Journal of Multidisciplinary Healthcare, 10, 227–234. doi: 10.2147/JMDH.S140042.
  7. Chetty, S., Bangalee, V., & Brysiewicz, P. (2020). Interprofessional collaborative learning in the workplace: A qualitative study at a non-governmental organisation in Durban, South Africa. BMC Medical Education, 20 (1), 346. doi: 10.1186/s12909-020-02264-5.
  8. Cullati, S., Bochatay, N., Maître, F., Laroche, T., Muller-Juge, V., Blondon, K.S., Junod Perron, N., Bajwa, N.M., Viet Vu, N., Kim, S., Savoldelli, G.L., Hudelson, P., Chopard, P., & Nendaz, M.R. (2019). When team conflicts threaten quality of care: A study of health care professionals’ experiences and perceptions. Mayo Clinic Proceedings: Innovations, Quality and Outcomes, 3 (1), 43–51. doi: 10.1016/j.mayocpiqo.2018.11.003.
  9. Daud, A. (2020). Sistem pelaporan insiden keselamatan pasien. Retrieved from: https://persi.or.id/wp-content/uploads/2020/08/materi_drarjaty_ereport_web060820.pdf
  10. Dinius, J., Philipp, R., Ernstmann, N., Heier, L., Göritz, A.S., Pfisterer-Heise,S., Hammerschmidt, J., Bergelt, C., Hammer, A., & Körner, M. (2020). Inter-professional teamwork and its association with patient safety in German hospitals-A cross sectional study. PLoS ONE, 15 (5), e0233766. doi: 10.1371/journal.pone.0233766.
  11. Fathya, N.A. Effendy, C., & Prabandari, Y.S. (2021). Implementation of interprofessional collaboration practices in type B teaching general hospital: A mixed methods study. Jurnal Pendidikan Kedokteran Indonesia, 10 (2), 162–176. doi: 10.22146/jpki.60093.
  12. Goldman, J., Kitto, S., & Reeves, S. (2018). Examining the implementation of collaborative competencies in a critical care setting: Key challenges for enacting competency-based education. Journal of Interprofessional Care, 32 (4), 407–415. doi: 10.1080/13561820.2017.1401987.
  13. Hartgerink, J.M., Cramm, J.M., Bakker, T.J., van Eijsden, A.M., Mackenbach, J.P., & Nieboer, A.P. (2014). The importance of multidisciplinary teamwork and team climate for relational coordination among teams delivering care to older patients. Journal of Advanced Nursing, 70 (4), 791–799. doi: 10.1111/jan.12233.
  14. Hepp, S.L., Suter, E., Jackson, K., Deutschlander, S., Makwarimba, E., Jennings, J., & Birmingham, L. (2015). Using an interprofessional competency framework to examine collaborative practice. Journal of Interprofessional Care, 29 (2), 131–137. doi: 10.3109/13561820.2014.955910.
  15. Hlongwa, P., & Rispel, L.C. (2021). Interprofessional collaboration among health professionals in cleft lip and palate treatment and care in the public health sector of South Africa. Human Resources for Health, 19 (1), 25. doi: 10.1186/s12960-021-00566-3.
  16. Hu, Y., & Broome, M. (2019). Interprofessional collaborative team development in China: A grounded theory study. Journal of Nursing Management, 27 (6), 1075–1083. doi: 10.1111/jonm.12775.
  17. Hustoft, M., Biringer, E., Gjesdal, S., Aβmus, J., & Hetlevik, Ø. (2018). Relational coordination in interprofessional teams and its effect on patient-reported benefit and continuity of care: A prospective cohort study from rehabilitation centres in Western Norway. BMC Health Services Research, 18 (1), 719. doi: 10.1186/s12913-018-3536-5.
  18. Iedema, R., Greenhalgh, T., Russell, J., Alexander, J., Amer-sharif, K., Gardner, P., Juniper, M., Lawton, R., Mahajan, R.P., McGuire, P., Roberts, C., Robson, W., Timmons, S., & Wilkinson, L. (2019). Spoken communication and patient safety: A new direction for healthcare communication policy, research, education and practice. BMJ Open Quality, 8 (3), e0007421. doi: 10.1136/bmjoq-2019-000742.
  19. Kartika, I.R. (2019). Deskripsi penerapan patient safety pada pasien di bangsal bedah [Description of the application of patient safety on patients in surgical wards]. Human Care Journal, 4 (2), 86–94. doi: 10.32883/hcj.v4i2.455.
  20. Kurniasih, Y., Sari, K.R., Santosa, A. (2019). Interprofesional collaboration meningkatkan pelaksanaan sasaran keselamatan pasien [Interprofessional collaboration to improve the implementation of patient safety goals]. Journal Helath of Studies, 3 (2), 113–120. doi: 10.31101/jhes.883.
  21. Lin, H.J., Ko, Y.L., Liu, C.F., Chen, C.J., & Lin, J.J. (2020). Developing and evaluating a one-stop patient-centered interprofessional collaboration platform in Taiwan. Healthcare, 8 (3), 241. doi: 10.3390/healthcare8030241.
  22. Lindqvist, S. (2015). Interprofessional communication and its challenges. In J. Brown, L.M. Noble, A. Papageorgiou & J. Kidd (Eds.), Clinical communication in medicine (pp. 157–167). John Wiley and Sons, Ltd. doi: 10.1002/9781118728130.ch25.
  23. Ma, C., Park, S.H., & Shang, J. (2018). Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: A cross-sectional study. International Journal of Nursing Studies, 85, 1–6. doi: 10.1016/j.ijnurstu.2018.05.001.
  24. Manojlovich M., Kerr M., Davies B., Squires J., Mallick R., & Rodger G.L. (2014). Achieving a climate for patient safety by focusing on relationships. International Journal for Quality in Health Care, 26 (6), 579–584. doi: 10.1093/intqhc/mzu068.
  25. Mclaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. Healthcare Management Forum, 35 (2), 112–117. doi: 10.1177/08404704211063584.
  26. Morales-Huamán, H.I., Medina-Valderrama, C.J., Valencia-Arias, A., Vasquez-Coronado, M.H., Valencia, J., & Delgado-Caramutti, J. (2023). Organizational culture and teamwork: A bibliometric perspective on public and private organizations. Sustainability, 15 (18), 13966. doi: 10.3390/su151813966.
  27. Mulidan, M., Suza, D.E., & Arruum, D. (2019). The influence of reinforcing nurse-doctor inter-professional collaboration on patient safety target at RSUP H. Adam Malik, Medan. Journal of Nursing and Health Science, 8 (5), 43–49. doi: 10.9790/1959-0805084349.
  28. Rizkia, D.G., Girsang, A.J., Kusumapradja, R., Hilmy, M.R., Pamungkas, R.A., & Dewi, S. (2022). The effect of interprofessional collaboration and transformational leadership on patient safety with work motivation as intervening variables. RISET: Jurnal Aplikasi Ekonomi Akuntansi dan Bisnis, 4 (2), 039–053. doi: 10.37641/riset.v4i2.156.
  29. Roller-Wirnsberger, R., Lindner, S., Liew, A., O'Caoimh, R., Koula, M.L., Moody, D., Espinosa, J.M., van Durme, T., Dimitrov, P., Benjak, T., Nicolaidou, E., Hammar, T., Vanhecke, E., Junius-Walker, U., Csizmadia, P., Galluzzo, L., Macijauskienė, J., Salem, M., Rietman, L., & Rodriguez-Mañas, L. (2020). European collaborative and interprofessional capability framework for prevention and management of frailty- A consensus process supported by the Joint Action for Frailty Prevention (ADVANTAGE) and the European Geriatric Medicine Society (EuGMS). Aging Clinical and Experimental Research, 32 (4), 561–570. doi: 10.1007/s40520-019-01455-5.
  30. Sillero, A.S., & Buil, N. (2021). Enhancing interprofessional collaboration in perioperative setting from the qualitative perspectives of physicians and nurses. International Journal of Environmental Research and Public Health, 18 (20), 10775. doi: 10.3390/ ijerph182010775.
  31. Silva, L.C., Caldas, C.P., Fassarella, C.S., Souza, P.S. (2021). Efeito da cultura organizacional para a segurança do paciente em ambiente hospitalar: Revisão sistemática [Effect of the organizational culture for patient safety in the hospital setting: A systematic review]. Aquichan, 21 (2), e2123. doi: 10.5294/aqui.2021.21.2.3.
  32. Sniffen, K., Briggs, E., Hinyard, L., & Breitbach, A.P. (2019). Interprofessional role clarity, case-based learning, and perceptions of group effectiveness among athletic training and physical therapy students in a shared professional course. Internet Journal of Allied Health Sciences and Practice, 17 (4), 6. doi: 10.46743/1540-580X/2019.1847.
  33. Soko, T.N., Jere, D.L., & Wilson, L.L. (2021). Healthcare workers’ perceptions on collaborative capacity at a Referral Hospital in Malawi. Health SA Gesondheid, 26, 1561. doi: 10.4102/hsag.v26i0.1561.
  34. World Health Organization (WHO). (2020). Health worker safety: A priority for patient safety. Retrieved from: https://cdn.who.int/media/docs/default-source/world-patient-safety-day/health-worker-safety-charter-wpsd-17-september-2020-3-1.pdf?sfvrsn=2cb6752d_2
  35. World Health Organization (WHO). (2021). Global patient safety action plan 2021-2030: Toward eliminating avoidable harm in helath care. Retrieved from: https://iris.who.int/bitstream/handle/10665/343477/9789240032705-eng.pdf?sequence=1
  36. Zajac, S., Woods, A., Tannenbaum, S., Salas, E., & Holladay, C.L. (2021). Overcoming challenges to teamwork in healthcare: A team effectiveness framework and evidence-based guidance. Frontiers in Communication, 6, 606445. doi: 10.3389/fcomm.2021.606445.

How to Cite

Keumalasari, K., Yetti, K., Novieastari, E., & Martha, E. (2025). The Strategies and Interventions for Interprofessional Collaboration to Improving Patient Safety in Hospitals: A Systematic Review. Jurnal Keperawatan Indonesia, 28(2), 141–156. https://doi.org/10.7454/jki.v28i2.1148