Panduan Penulisan
Perspektif Dokter dan Perawat Terkait Kolaborasi Bersama Apoteker Dalam Penanganan Hipertensi di Puskesmas Wilayah Kabupaten Lombok Tengah
Sari
ABSTRACT
Puskesmas is a primary healthcare facility that carries out chronic disease management by the healthcare team such as hypertension. The role of pharmacists in team collaboration includes managerial and clinical pharmacy aspects. However, doctors and nurses are still not fully aware of the role of pharmacists, especially in clinical pharmacy. This study aims to determine the perspectives of doctors, and nurses on the collaborative management of hypertension in primary healthcare centers across Central Lombok Regency. The method used in this study was observational qualitative with a maximum variation sampling technique. Data saturation was achieved after interviewing 18 participants from April to June 2023. Participants were pharmacists, doctors, and nurses who were responsible for managing hypertension in selected primary healthcare centers. The four themes followed a conceptual framework related to team readiness to make collaboration, including cognitive, affective/relational, behavioral, and leadership aspects. In general doctors and nurses were not aware of the pharmacist’s role in clinical pharmacy, although the communication within the team is going well. Team collaboration has not run optimally because each team member performs his role individually and not as a team. To collaborate, supporting facilities and media are needed along with directions from the head of primary healthcare centers as the team leader. From the perspective of doctors and nurses, efforts are needed to prepare a team to involve pharmacists in collaborating in the management of hypertension.
Keywords: Perspective, Team Collaboration, Hypertension
ABSTRAK
Puskesmas merupakan fasilitas pelayanan kesehatan primer yang melaksanakan penanganan penyakit kronis salah satunya hipertensi dan membutuhkan tim perawatan kesehatan. Keterlibatan apoteker berperan dalam aspek manajerial dan farmasi klinik. Akan tetapi penelitian sebelumnya menunjukkan bahwa kolaborasi tidak berjalan optimal ketika dari perspektif tenaga kesehatan lain seperti dokter dan perawat kurang menyadari peran apoteker khususnya dalam melakukan aktivitas farmasi klinik. Menganalisis perspektif dokter dan perawat terkait keterlibatan apoteker berkolaborasi dalam penanganan hipertensi di puskemas wilayah Kabupaten Lombok Tengah. Observasional dan kualitatif dengan teknik maximum variation sampling. Data saturasi tercapai setelah wawancara kepada 18 informan pada bulan April-Juni 2023. Informan adalah dokter dan perawat yang bertanggungjawab dalam penanganan hipertensi di puskesmas. Empat tema sesuai dengan kerangka konseptual terkait kesiapan tim untuk berkolaborasi, meliputi: aspek kognitif, afektif/relasional, perilaku, dan kepemimpinan. Secara umum dokter dan perawat tidak mengetahui potensi apoteker dalam hal klinis walaupun komunikasi dalam tim berjalan baik. Kerjasama dalam tim sebatas melakukan perannya masing-masing dan berjalannya kolaborasi membutuhkan peran kepala puskesmas sebagai pemimpin tim. Dari perspektif dokter dan perawat dibutuhkan upaya mempersiapkan tim untuk melibatkan apoteker berkolaborasi dalam penanganan hipertensi.
Kata Kunci: Perspektif, Kolaborasi Tim, Hipertensi
Kata Kunci
Teks Lengkap:
Download ArtikelReferensi
Abdulkadir, W.S. (2017) ‘Collaboration of Physician, Pharmacist and Director Model toward the Improvement of Teamwork Effectiveness in Hospital’, Indonesian Journal of Clinical Pharmacy, 6(3), pp. 210–219. Available at: https://doi.org/10.15416/ijcp.2017.6.3.210.
Albassam, A. et al. (2020) ‘Perspectives of primary care physicians and pharmacists on interprofessional collaboration in Kuwait : A quantitative study’, pp. 1–17. Available at: https://doi.org/10.1371/journal.pone. 0236114.
Almahera. 2021. ‘Analisis mutu pelayanan kefarmasian di puskesmas kabupaten lombok tengah dan faktor - faktor yang mempengaruhi’, Thesis, Universitas Setia Budi. Surakarta.
Amin, S. and Mckeirnan, K.C. (2022) ‘Journal of the American Pharmacists Association The physician perspective on pharmacist-physician collaboration and trust’, Journal of the American Pharmacists Association, 62(4), pp. 1304–1312. Available at: https://doi.org/ 10.1016/j.japh.2022.02.014.
Ayu, G.A. and Syaripuddin, M. (2019) ‘Peranan Apoteker dalam Pelayanan Kefarmasian pada Penderita Hipertensi’, Jurnal Kedokteran dan Kesehatan, 15(1), p. 10. Available at: https://doi.org/10.24853/jkk.15.1.10-21.
Barreto, E.F. et al. (2022) ‘Development and Feasibility of a Multidisciplinary Approach to AKI Survivorship in Care Transitions: Research Letter’, Canadian Journal of Kidney Health and Disease, 9, pp. 1–5. Available at: https://doi.org/10.1177/20543581221081258.
Carter, B.L. et al. (2015) ‘Cluster-randomized trial of a physician/pharmacist collaborative model to improve blood pressure control’, Circulation: Cardiovascular Quality and Outcomes, 8(3), pp. 235–243. Available at: https://doi.org/10.1161/CIRCOUTCOMES.114.001283.
Chung, T.H. et al. (2020) ‘The evaluation of comprehensive medication management for chronic diseases in primary care clinics, a Texas delivery system reform incentive payment program’, BMC Health Services Research, 20(1), pp. 1–8. Available at: https://doi.org/10.1186/s12913-020-05537-3.
Dikes Lombok Tengah. (2021) ‘Data Jumlah Capaian SPM Pelayanan Penderita Hipertensi Berdasarkan Kinerja Puskesmas’, Dinas Kesehatan Kabupaten Lombok Tengah.
Fajarsari, Y. (2021). Hubungan Tingkat Pengetahuan Tentang Hipertensi Dengan Perilaku Pencegahan Terjadinya Hipertensi Pada Jemaah Haji Di Wilayah Kerja Puskesmas Kotagede I Yogyakarta (Doctoral dissertation, Poltekkes Kemenkes Yogyakarta).
Fernandez, C.H., Patel, T. and Lee, L. (2014) ‘An Interdisciplinary Memory Clinic: A Novel Practice Setting for Pharmacists in Primary Care’, Annals of Pharmacotherapy, 48(6), pp. 785–795. Available at: https://doi.org/10.1177/1060028014526857
Green, B.B. et al. (2014) ‘e-Care for Heart Wellness: A Feasibility Trial to Decrease Blood Pressure and Cardiovascular Risk’, Am J Prev Med, 46(4), pp. 368–377. Available at: https://doi.org/10.1016/j.amepre.2013. 11.009.e-Care.
Kementerian Kesehatan Republik Indonesia. (2019) ‘Peraturan Menteri Kesehatan
Republik Indonesia Nomor 43 Tahun 2019 Tentang Puskesmas’, Jakarta: Kementerian Kesehatan Republik Indonesia.
Kulchaitanaroaj, P. et al. (2017) ‘Cost-utility analysis of physician-pharmacist collaborative intervention for treating hypertension compared with usual care’, Journal of Hypertension, 35(1), pp. 178–187. Available at: https://doi.org/10.1097/HJH.0000000000001126.
Litke, J. et al. (2018) ‘Impact of the clinical pharmacy specialist in telehealth primary care’, American Journal of Health-System Pharmacy, 75(13), pp. 982–986. Available at: https://doi.org/10.2146/ajhp170633.
Nisak, F. (2016). Pengaruh Pengetahuan, Keterampilan, Konsep Diri dan Karakteristik Pribadi terhadap Kinerja Staf pada SMK N se Kota Pekalongan. Economic Education Analysis Journal, 5(3), 838-838.
Nursyamsi, I. (2012) 'Pengaruh kepemimpinan, pemberdayaan dan stres kerja terhadap komitmen organisasional serta dampaknya terhadap kinerja dosen', In Conference In Business, Accounting, And Management, , 405–23.
Pratiwi, A.I., Fudholi, A. and Satibi, S. (2021) ‘Analisis Faktor yang Mempengaruhi Implementasi Pelayanan Kefarmasian Puskesmas di Kota Semarang’, Majalah Farmaseutik, 17(1), p. 1. Available at: https://doi.org/ 10.22146/farmaseutik.v17i1.46980.
Presiden Republik Indonesia. (1960) ‘Undang-undang Republik Indonesia Nomor 9 tahun 1960 tentang pokok-pokok kesehatan’, Jakarta
Rachmawati, S., (2021) ‘Analisis pelaksanaan program pengelolaan penyakit kronis (PROLANIS) pada pasien hipertensi di Kabupaten Sampang. Thesis; Universitas Airlangga.
Rachmawati, E., (2018) 'Evaluasi peranan tenaga kefarmasian dalam pelayanan dan pengelolaan obat, BMHP, dan alkes program poned di Puskesmas Kota Semarang. Thesis; Universitas Gadjah Mada.
Robins, L.S. et al. (2014) ‘Barriers and Facilitators to Evidence-based Blood Pressure Control in Community Practice’, J Am Board Farm Med, 26(5), pp. 1–19. Available at: https://doi.org/10.3122/jabfm.2013.05. 130060.Barriers.
Santschi, V. et al. (2021) ‘Team-Based Care for Improving Hypertension Management: A Pragmatic Randomized Controlled Trial’, Frontiers in Cardiovascular Medicine, 8(October), pp. 1–10. Available at: https://doi.org/10.3389/fcvm.2021.760662.
Schrager. (2020) ‘Focus on Team-Based Care’, Wisconsin Medical Journal. Available at: https://doi.org/10.1056/NEJMp2006740.3.
Smith, S.M. et al. (2016) ‘Physician-Pharmacist Collaboration versus Usual Care for Treatment-Resistant Hypertension’, J Am Soc Hypertens, 10(4), pp. 307–317. Available at: https://doi.org/10.1016/j.jash.2016.01.010. Physician-Pharmacist.
Taylor, A.M. et al. (2018) ‘Integrating innovative telehealth solutions into an interprofessional team-delivered chronic care management pilot program’, Journal of Managed Care and Specialty Pharmacy, 24(8), pp. 813–818. Available at: https://doi.org/10.18553/jmcp.2018.24.8.813.
Telaumbanua, A. C., & Rahayu, Y. (2021). Penyuluhan dan edukasi tentang penyakit hipertensi. Jurnal Abdimas Saintika, 3(1), 119.
Utaminingrum, W., Pranitasari, R. and Kusuma, A.M. (2017) ‘Effect of Pharmacist Home Care on Adherence of Hypertensive Patients’, Indonesian Journal of Clinical Pharmacy, 6(4), pp. 240–246. Available at: https://doi.org/ 10.15416/ijcp.2017.6.4.240.
Viani, Ella, Yulia, R., and Herawati, F. (2021) ‘Persepsi tenaga kesehatan terhadap praktik kolaborasi interprofesional dalam terapi antibiotik pada bedah ortopedi,’ Jurnal Sains Farmasi & Klinis, 8(3), pp.296–302
Wibowo, M.I.N.A. et al. (2020) ‘Pengaruh Konseling dan Alat Bantu Pengingat Pengobatan terhadap Kepatuhan Minum Obat dan Outcome Klinik Pasien Diabetes Melitus dan Hipertensi (The Eff ect of Counseling and Treatment Reminder Tool to Adherence with Drug and Outcome Clinic Patients with D’, Jurnal Ilmu Kefarmasian Indonesia, 18(2), pp. 169–176. Available at:http://jifi.farmasi.univpancasila.ac.id/index.php/jifi/article/view/761.
Yusransyah et al. (2022) ‘Pengaruh Pelatihan Farmasi Klinik Terhadap Peningkatan Kompetensi Apoteker Di Puskesmas Provinsi Banten Di Era Pandemi Covid-19’, Jurnal Ilmiah Manuntung, 8(1), pp. 89–99. Available at: https://doi.org/10.51352/jim.v8i1.497.
Zielińska-Tomczak, Ł. et al. (2021) ‘Pharmacists’ perspectives on interprofessional collaboration with physicians in poland: A quantitative study’, International Journal of Environmental Research and Public Health, 18(18). Available at: https://doi.org/10.3390/ijerph18189686.
DOI: https://doi.org/10.33024/mnj.v6i7.11445
Refbacks
- Saat ini tidak ada refbacks.
Penerbit: Universitas Malahayati
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License
