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BMC Health Services Research

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Open Access 01-12-2024 | Research

Does power distance in healthcare teams linked to patient satisfaction? A multilevel study of interprofessional care teams in a referral hospital in Indonesia

Authors: Susi Afrianti Rahayu, Sunu Widianto, Irma Ruslina Defi, Rizky Abdulah

Published in: BMC Health Services Research | Issue 1/2024

Abstract

Background

Interprofessional care teams collaborate to provide care to patients in hospitals to ensure their full recovery. To provide quality patient care, healthcare workers must have a comprehensive understanding of each other’s roles and collaborate effectively. Good interpersonal skills are also essential for maintaining cooperative and collaborative relationships, listening, and respecting other team member’s values and positions. Therefore, this study aimed to investigate the effect of power distance in interprofessional care on patients’ satisfaction.

Method

A quantitative study was conducted in a hospital by using a questionnaire instrument to collect information from patients and members of the interprofessional care team. The respondents included 10 geriatric, 19 palliative, 36 cancer, 8 burn, and 18 medical intermediate care (MIC) teams. Subsequently, a hierarchical regression analysis was conducted to examine whether interprofessional care could significantly predict the relationship between team power distance and patient satisfaction.

Results

The measurement of the effect of power distance in interprofessional care among doctors, nurses, pharmacists, and nutritionists on patient satisfaction revealed nonsignificant results. However, the final analysis indicated negative coefficients with regard to power distance for nutritionists (-0.033098), nurses (-0.064912), and pharmacists (-0.006056). These findings indicated that the power distance associated with these professions was linked with decreased patient satisfaction.

Conclusions

The results suggested that power distance within an interprofessional care team can reduce patient satisfaction.

Li J, Wang P, Kong X, Liang H, Zhang X, Shi L. Patient satisfaction between primary care providers and hospitals: a cross-sectional survey in Jilin province, China. Int J Qual Health Care. 2016;28(3):346–54.CrossRefPubMed

Thomas Kippenbrock ED, Emory J, Lee PDP, Odell EDE. DNP, Bill Buron, PhD, Breanna Morrison, PhD. A national survey of nurse practitioners’ patient satisfaction outcomes. Nurs Outlook. 2019, 1–6.

Victor Cao LD, Tan F, Horn D, Bland P, Giri K, Maken N, Cho L, Scott VA, Dinh D, Hidalgo H. Bryant Nguyen. Patient-centered structured interdisciplinary Bedside rounds in the medical ICU. Society of Critical Care Medicine and Wolters Kluwer Health; 2017.

Rieck AM. Exploring the nature of power distance on general practitioner and community pharmacist relations in a chronic Disease management context. J Interprof Care. 2014;28(5):440–6.CrossRefPubMed

Durán-Brizuela R, Brenes-Leiva G, Solís-Salazar M, Torres-Carballo F. Effects of Power Distance Diversity within workgroups on Work Role Performance and Organizational Citizenship Behavior. Revista Tecnología en Marcha. 2017;30(5):35.CrossRef

Dwertmann DJG, Nishii LH, van Knippenberg D. Disentangling the Fairness & discrimination and synergy perspectives on Diversity Climate: moving the Field Forward. J Manage. 2016;42(5):1136–68.

Sitepu TIY. Effective Communication in Interprofessional Collaboration Relationships for Patient Safety. 2019.

Hewitt G, Sims S, Greenwood N, Jones F, Ross F, Harris R. Interprofessional teamwork in Stroke care: is it visible or important to patients and carers? J Interprof Care. 2015;29(4):331–9.CrossRefPubMed

Marlene Karam I, Brault T, Van Durme. Jean Macq, comparing interprofessional and interorganizational collaboration in healthcare: a systematic review of the qualitative research. National Library of Medicine; 2017.

10.

Kirkman B, Chen G, Farh JL, Chen Z, Lowe K. Individual Power Distance Orientation and Follower Reactions to transformational leaders: a Cross-Level, cross-cultural examination. Acad Manag J. 2009;52:744–64.CrossRef

11.

Wan S, Teichman PG, Latif D, Boyd J, Gupta R. Healthcare provider perceptions of the role of interprofessional care in access to and outcomes of primary care in an underserved area. J Interprof Care. 2018;32(2):220–3.CrossRefPubMed

12.

Kim CE, Shin JS, Lee J, Lee YJ, Kim M, riong, Choi A, et al. Quality of medical service, patient satisfaction and loyalty with a focus on interpersonal-based medical service encounters and treatment effectiveness: a cross-sectional multicenter study of complementary and alternative medicine (CAM) hospitals. BMC Complement Altern Med. 2017;17(1):1–12.CrossRef

13.

Hair JF, et al. Multivariate Data Analysis. New Jersey: PrenticeHall, Inc; 1998.

14.

Schafer T, Schwarz MA. The meaningfulness of Effect sizes in Psychological Research: differences between sub-disciplines and the impact of potential biases. National Library of Medicine; 2019.

15.

Löffler C, Koudmani C, Böhmer F, Paschka SD, Höck J, Drewelow E, et al. Perceptions of interprofessional collaboration of general practitioners and community pharmacists - a qualitative study. BMC Health Serv Res. 2017;17(1):1–7.CrossRef

16.

Fatalina F, Sunartini, Widyandana MS. Interprofessional relationship between nurses and other professions in realizing Patient Safety. Jurnal Pendidikan Kedokteran Indonesia. 2015;4(1):1.

17.

Wüstmann AF, Haase-Strey C, Kubiak T, Ritter CA. Cooperation between community pharmacists and general practitioners in eastern Germany: attitudes and needs. Int J Clin Pharm. 2013;35(4):584–92.CrossRefPubMed

18.

Skochelak SE, Stack SJ. Creating the medical schools of the future. Acad Med. 2017;92(1):16–9.CrossRefPubMed

19.

Van Schaik SM, O’Brien BC, Almeida SA, Adler SR. Perceptions of interprofessional teamwork in low-acuity settings: a qualitative analysis. Med Educ. 2014;48(6):583–92.CrossRefPubMed

20.

Lestari E, Stalmeijer RE, Widyandana D, Scherpbier A. Understanding attitude of health care professional teachers toward interprofessional health care collaboration and education in a southeast Asian country. J Multidiscip Healthc. 2018;11:557–71.CrossRefPubMedPubMedCentral

21.

Ministry of Health. Based on Hospital Accreditation standards KMK 1128. Decree of the Minister of Health. 2022;1–342.

22.

Bollen A, Harrison R, Aslani P, van Haastregt JCM. Factors influencing interprofessional collaboration between community pharmacists and general practitioners—A systematic review. Health Soc Care Community. 2019;27(4):e189–212.CrossRefPubMed

23.

Xyrichis A, Reeves S, Zwarenstein M. Examining the nature of interprofessional practice: an initial framework validation and creation of the InterProfessional Activity classification Tool (InterPACT). J Interprof Care. 2018;32(4):416–25.CrossRefPubMed

24.

Appelbaum NP, Lockeman KS, Orr S, Huff TA, Hogan J, Queen BA, et al. Perceived influence of power distance, psychological safety, and team cohesion on team effectiveness. J Interprof Care. 2019;0(0):1–7.

25.

Lutfiyya MN, Brandt BF, Cerra F. Reflections From the Intersection of Health Professions Education and Clinical Practice: The State of the Science of Interprofessional Education and Collaborative Practice. 2016;91(6):766–71.

26.

Claramita M, Riskiyana R, Susilo AP, Huriyati E, Wahyuningsih MSH, Norcini JJ. Interprofessional communication in a socio-hierarchical culture: development of the TRI-O guide. J Multidiscip Healthc. 2019;12:191–204.CrossRefPubMedPubMedCentral

27.

Bruyneel L, Lesaffre E, Meuleman B, Sermeus W. Power Distance and Physician–Nurse Collegial relations across 14 European countries: National Culture is not merely a nuisance factor in International Comparative Research. J Nurs Scholarsh. 2019;51(6):708–16.CrossRefPubMed

28.

Yang R, Pepper GA, Wang H, Liu T, Wu D, Jiang Y. The mediating role of power distance and face-saving on nurses’ fear of medication error reporting: a cross-sectional survey. Int J Nurs Stud. 2020;105:103494.CrossRefPubMed

29.

Rutledge DN, Retrosi T, Ostrowski G. Barriers to medication error reporting among hospital nurses. J Clin Nurs. 2018;27(9–10):1941–9.CrossRefPubMed

30.

Sidani S, Fox M. Patient-centered care: clarification of its specific elements to facilitate interprofessional care. J Interprof Care. 2014;28(2):134–41.CrossRefPubMed

31.

Kitson A, Marshall A, Bassett K, Zeitz K. What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. J Adv Nurs. 2013;69(1):4–15.CrossRefPubMed

32.

Bradley F, Ashcroft DM, Crossley N. Negotiating inter-professional interaction: playing the general practitioner-pharmacist game. 2018;40(3):426–44.

33.

Weissenborn M, Haefeli WE. Interprofessional communication between community pharmacists and general practitioners: a qualitative study. Int J Clin Pharm. 2017.

34.

Van Dongen JJJ, Lenzen SA, Van Bokhoven MA, Daniëls R, Van Der Weijden T, Beurskens A. Interprofessional collaboration regarding patients’ care plans in primary care: a focus group study into influential factors. BMC Fam Pract. 2016;17(1):1–10.

35.

Newbould J, Burt J, Bower P, Blakeman T, Kennedy A, Rogers A et al. Experiences of care planning in England: interviews with patients with long term conditions. BMC Fam Pract. 2012;13.

36.

Walraven B, Ponjee G, Heideman W, Çarkit FK. Medication reviews in hospitalized patients: a qualitative study on perceptions of primary and secondary care providers on interprofessional collaboration. BMC Health Serv Res. 2020;20(1):1–10.CrossRef

37.

Bryon E, Gastmans C, de Casterlé BD. Nurse-physician communication concerning artificial nutrition or hydration (ANH) in patients with Dementia: a qualitative study. J Clin Nurs. 2012;21(19–20):2975–84.CrossRefPubMed

38.

Rahayu SA, Widianto S, Defi IR, Abdulah R. Role of pharmacists in the Interprofessional Care Team for patients with chronic Diseases. 2021;1701–10.

39.

Van Horn L, Lenders CM, Pratt CA, Beech B, Carney PA, Dietz W, et al. Advancing Nutrition Education, Training, and Research for Medical Students, residents, fellows, attending Physicians, and other clinicians: Building competencies and Interdisciplinary Coordination. Adv Nutr. 2019;10(6):1181S–200.CrossRef

40.

Vo R, Smith M, Patton N. Power, autonomy and interprofessional practice in dietitian clinical decision making: an interpretive study in acute hospitals. J Hum Nutr Dietetics. 2022;35(1):124–33.CrossRef

41.

Gucciardi E, Espin S, Morganti A, Dorado L. Exploring interprofessional collaboration during the integration of diabetes teams into primary care Service organization, utilization, and delivery of care. BMC Fam Pract [Internet]. 2016;17(1):1–14. https://doi.org/10.1186/s12875-016-0407-1.

42.

Espinoza P, Peduzzi M, Agreli HF, Sutherland MA. Interprofessional team member’s satisfaction: a mixed methods study of a Chilean hospital. Hum Resour Health. 2018;16(1):1–12.CrossRef

43.

Song H, Ryan M, Tendulkar S, Fisher J, Martin J, Peters AS, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. Health Care Manage Rev. 2017;42(1):28–41.CrossRefPubMed

44.

Davidson AR, Kelly J, Ball L, Morgan M, Reidlinger DP. What do patients experience? Interprofessional collaborative practice for chronic conditions in primary care: an integrative review. BMC Prim Care. 2022;23(1):1–12.CrossRef

45.

Busari JO, Moll FM, Duits AJ. Understanding the impact of interprofessional collaboration on the quality of care: a case report from a small-scale resource limited health care environment. J Multidiscip Healthc. 2017;10:227–34.CrossRefPubMedPubMedCentral

46.

Casanova J, Day K, Dorpat D, Hendricks B, Theis L, Wiesman S. Nurse-physician work relations and role expectations. J Nurs Adm. 2007;37(2):68–70.CrossRefPubMed

47.

Hailu FB, Worku Kassahun C, Woldie Kerie M. Perceived nurse - physician communication in patient care and associated factors in public hospitals of Jimma Zone, South West Ethiopia: Cross sectional study. PLoS ONE. 2016;11(9):1–21.CrossRef

48.

Lutfiyya MN, Chang LF, McGrath C, Dana C, Lipsky MS. The state of the science of interprofessional collaborative practice: a scoping review of the patient health-related outcomes based literature published between 2010 and 2018. PLoS ONE. 2019;14(6).

49.

McLaney E, Morassaei S, Hughes L, Davies R, Campbell M, Di Prospero L. A framework for interprofessional team collaboration in a hospital setting: advancing team competencies and behaviours. Healthc Manage Forum. 2022;35(2):112–7.CrossRefPubMedPubMedCentral

50.

Divya Krishnakumar R, Caskey AM, Hughes. Examining the influence of power distance on psychological safety within healthcare teams. 2021. International Symposium on Human Factors and Ergonomics in Health Care194.

Title: Does power distance in healthcare teams linked to patient satisfaction? A multilevel study of interprofessional care teams in a referral hospital in Indonesia
Authors: Susi Afrianti Rahayu
Sunu Widianto
Irma Ruslina Defi
Rizky Abdulah
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-023-10534-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Does power distance in healthcare teams linked to patient satisfaction? A multilevel study of interprofessional care teams in a referral hospital in Indonesia

Abstract

Background

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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