The 4th International Conference on Nursing

Author :

(1), (2) Ahmad Hasyim Wibisono; (2) Ayu Nanda Lestari

Affiliation :

(1) School of Nursing, Universitas Brawijaya, Malang, Indonesia; (2) Pedis Care Center, Malang, Indonesia

Abstract :

Introduction Chronic wounds carry significant problem to patients and healthcare facilities. Chronic wound requires comprehensive approach in order to achieve optimal healing outcomes. It demands for a multi-disciplinary and well organized collaborations of competent healthcare professionals (HCP), along with adequate support of health management and administration sector. In the context of chronic wound management, BPJS coverage has been proven to be insufficient to provide an adequate, evidence based, and latest technology wound care modalities. This paper provides a description of inter professional collaboration in chronic wound management in private setting Methods This was a case study which focused on uniqueness characteristic of the observed phenomenon Results The majority of wound care used conventional method and was physician-centered with very limited contribution of other professional’s expertise. To address this issue, certified wound care nurses then collaborated with physicians to initiate a private wound centre. The centre was able to provide a better multi-disciplinary collaboration in which each HCP has equal portion to apply their expertise and coordinates to each other. Physicians had the role as the team leader who performed general assessment, setting patient goals, prescribe medications and diagnostic tests. Nurses had the primary role for wound management, patient education and lifestyle modification, and schedule patient for any further medical intervention. The involved physicians included general practitioner, internist, diabetologist, and dermatologist. The results of this multi-disciplinary care had achieved successful healing rate for all wounds combined was 84,28%, and specific for DFUs the successful healing rate was 88, 34%. Also it was worth noticing that the wound management demonstrated a cost effective care. Conclusions Interprofessional collaboration is essential in providing adequate care for patients with chronic wounds. Despite the limitation of its application in public healthcare setting, its efficacy has been proven when it was implemented in the private setting.

Keywords :

Interprofessional Collaboration Model; Chronic Wound Management; Private Setting