ABSTRACT
@#Introduction: The concept of interprofessional collaboration (IPC) is widely used in healthcare organizations, where patients are treated. However, there is no definite terminology that can explain the term IPC. The aim of this research is to understand nurses’ perception of IPC in Hospitals in the Maldives. Methods: A cross -sectional survey was conducted among 292 nurses from two hospitals followed by Focus Group Discussions with 5 nurses from each hospital. The instrument tool used for the survey was “conceptualization of interdisciplinary collaboration” by D’Amour which was adapted for this study with 9 items and an expert validated open ended questionnaire. Results: The findings from the study shows positive responses for IPC1-Disciplinary groups do exchange information 58.65% (n=171), IPC2- Share clinical decision making 60.3% (n=176), IPC3-Patient data are collectively reviewed 62.7% (n=183), IPC4- Supports each other in the multidisciplinary team 59.2% (n=173), IPC5 highest rate of positive response was for “IPC 6- conflict resolution which was 63.7% (n=186), IPC7- common care plan 63.0% (n=184), IPC8- Data collected at one point is shared with the team 57.5% (n=168) and the lowest was for “IPC 9- level of collaboration -56.8% (n=166) respectively. Conclusion: This study revealed that importance should be given to promoting a culture of interprofessional collaboration in the hospitals of Maldives. Therefore, there is a need to address this and implement IPC with respect to all professionals, by mitigating the hierarchical differences in the healthcare system. Thus, it is crucial to educate all HCPs with regard to sustaining IPC.
ABSTRACT
@#Introduction: Cardiovascular disease (CVD) is a group of disease which are related to the heart and its circulations. The main modifiable risk factors of the CVD disease are hypertension, hyperglycemia and obesity. This study aims to evaluate the knowledge, awareness and practice on cardiovascular disease risk factors among Gombak community in Kuala Lumpur. Methods: This was a cross-sectional study using self-administered questionnaire and anthropometric measurement among 388 subjects in Gombak District, Kuala Lumpur. Descriptive data analysis and multivariate binary logistic regression were carried to identify demographic and factors associated. Results: The prevalence of the risk factors was high among study subjects, including obesity (24.2%), hypertension (42.3%) and hyperglycemia (26.8%). More than half (64.4%) of the study subjects having at least one of the risk factor. The multivariate binary logistic model factor illustrated that compare to Malays, Chinese were 37% less likely to have obesity (CPR=0.67; 95% Cl: 0.26-1.69). Gombak district community are more likely to have the knowledge on the CVD risk factor but lack of awareness and poor in practicing the prevention action. The Indian ethnic group was less likely to be aware (APR: 0.33, Cl: 0.05-2.31) and others bumiputera ethnic group were less likely to prevent (APR: 0.58, CI: 0.20-1.65) the risk of CVD. The Chinese ethnic less likely to have the knowledge (APR: 0.88, Cl: 0.35-2.22). Conclusion: Gombak community was more likely to have the knowledge but less likely to be aware and lack of practice of prevention of the risk factors of CVD.