F Sri Susilaningsih
Background . Implementation of care path which is essentially an interdiscipline approach of patient care require cohesiveness among health care practitioners in excersizing their role and function. Care path was developed to bridge the role overlap and synergize the medical and nursing intervention in patient care so that patient’s need of care were delivered safely,integrated and continuously. The purpose of the study was to identify whether physicians and nurses work cohessively in the implementation of care path; and is there any significant relationship between cohesiveness in the implementation of care path and incidence related to issues of patient safety in the interdisciplinary model of patient care of a teaching hospital.
Methodology. Descriptive correlational design was used to identify any significant relationship between the cohesiveness in care path implementation and the observed incidence related to issues of patient safety during patient care activities. Cohessiveness of care path implementation was measure through identification of mean score of expert culture and collective culture; the observed incidence related to indicator of patient safety was identified during the process of patient care. 39 phycisians and 31 nurses participated in this study, Spearman’r was implemented at 0.05 level of significant.
Result & Discussion. Cohessiveness among physicians and nurses in the implementation of care path supported by the findings of the study where mean score of collective culture (87.69) greater than expert culture (77.61) at p 0.000. The finding also identify 301 observed incidence related to 17 indicators out of 30 indicators of patient safety. Spearman’r on mean score of expert culture and patient safety was 0.173 ( p > 0.05); Spearman’r on mean score of collective culture and patient safety was 0.327* significant at 0.05.
Conclusion. There is a significant relationship between Cohessiveness in the implementation of care path and patient safety in interdisciplinary model of patient care.
Keywords: cohesiveness,care path,collective culture,patient safety