Complex health care needs in developing countries are stimulating development and implementation of interprofessional education (IPE). To better understand IPE, it is necessary to develop and evaluate an educational program that focuses on interprofessional learning (IPL) in Indonesia. However, no instrument in the Indonesian language has been developed to measure attitudes toward IPL. The aim of this study is to describe the process of a cross-cultural adaptation of the Readiness for Interprofessional Learning Scale (RIPLS) in an Indonesian version including determining its reliability and validity. The study was conducted among students enrolled in medical, nursing, pharmacy and public health courses at the State Islamic University, Jakarta, Indonesia, in 2012. The completed responses to RIPLS were collected from 755 students. The psychometric properties were analyzed by both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). EFA on 18-items revealed three factors accounting for 59.9% of the total variance. CFA resulted in a three-factor model over 16 items with satisfactory reliability (alpha coefficients 40.7), construct validity and acceptable indices of goodness of fit. We conclude that this Indonesian version of RIPLS with a three-factor model over 16 items is a valid tool to measure students' attitudes toward IPL.
Background: The COVID-19 pandemic in Indonesia has impacted patients with non-communicable diseases such as Diabetes Mellitus (DM). The impacts include health services, treatment management, and patients' health-seeking behavior. This study aims to determine the DM patients' health-seeking behavior in the Salem sub-district, Brebes district, Central Java.Methods: This research was a qualitative descriptive study conducted cross-sectionally using a survey. The purposive sampling technique was employed to obtain the data with a total sample of 106 respondents.Results: Most DM patients still visited health facilities during the pandemic (73%). Some efforts to control DM were regularly taking medication (27.7%) and maintaining a healthy diet (34%). However, most respondents stated that they have uncontrolled blood glucose levels (54.7%). During the pandemic, respondents communicated with health workers (75.5%), via telephone (64.2%), and through messaging applications (45.3%). In addition, they search information, especially when they felt symptoms (90.6%), and tried to find information about complications due to the coronavirus (68.9%) with the source from health workers (94.3%). Most respondents had good access (99.1%).Conclusion: The COVID-19 pandemic has resulted changes in DM patients' health-seeking behavior through all aspects. This study shows that most respondents visited health facilities, made efforts to control DM by taking the medication regularly and maintaining a healthy diet, and had high adherence to medication. In addition, respondents had an easy access to health information and communicate with health workers via telephone and messaging applications. The majority of respondents sought information about diabetes and its relationship with COVID-19 during the pandemic.
Abstracts-Teamwork and collaborative practice are necessary tools in handling health problems and the importance of interprofessional teamwork is becoming increasingly recognized. The process of team development is a series of multilevel, overlapping responsibilities, which are intertwined with each other, and disruption of team development process will lead to conflict. This study analyzed the pattern of intragroup conflict and group process in an interprofessional team. The study was conducted at the State Islamic University (UIN), Jakarta, Indonesia from February to October 2012 and involved 62 students (77.5% of total sample) from four disciplines (medicine, nursing, pharmacist and public health). They engaged in an interprofessional learning for community-based health care (COMIC program). Following their participation in this program, a positive result was achieved of improved group process (factors of trust, mutual respect, and open discussion) with significant statistical impact on the improvement of intragroup conflict (conflict of relationship, task and process) over time. This research produced a unique pattern of intragroup conflict and group process for each discipline.
Clerkship on primary care and family medicine is multi-elemental and very challenging in amidst the COVID-19 pandemic. Some medical students have postponed their graduation because the clerkship at the health center cannot be carried out in a pandemic situation. This article aims to describe the community medicine clerkship (CMC) module and how the implementation amidst the COVID-19 pandemic. This module was delivered by online and offline activities from 10th August to 13th September 2020. A total of forty students, twelve faculty mentors, and fifteen PHC preceptors from ten PHCs in Tangerang District, Indonesia were involved. Students could carry out activities and fulfill assignments given in the midst of a pandemic with a re-designing of the CMC module. One-sample t-tests were run to determine whether scores of students participating in CMC module during the COVID-19 pandemic differed from normal and showed that individual and group scores were significantly different from normal. The findings of the study clearly indicate that all clinical clerkship modules must be redesigned to suit the current conditions. Modifications and variations of various learning methods, guidance techniques, monitoring and coordination are factors that should be considered in its implementing.
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