Implementation of IPE in health education curriculum: Challenges and strategies

Prischilia Modesta Sueng Son; Ari Indra Susanti; Hadi Susiarno

doi:10.17509/jik.v21i3.72596

Abstract

Interprofessional Education (IPE) is when two or more professions learn together to realize effective collaboration and improve healthcare outcomes. This scoping review aimed to identify challenges, explore strategies used to overcome challenges and assess the impact of IPE implementation on the health education curriculum. The scoping review had a framework consisting of five steps: identifying questions, identifying relevant articles, selecting articles, mapping data, compiling, summarizing, and reporting results and discussion: findings were organized by relevant themes and sub-themes. From the multiple methods used, ten articles were generated. They showed the main challenges in IPE development and implementation: lack of consistency and standards, limited resources and institutional support, cultural differences, and traditional hierarchies. Strategies to overcome these challenges include faculty training and development, policy stakeholder support, systematic curriculum integration, development/innovation, and case-based and simulation approaches. The positive impact of IPE improved knowledge, skills, and attitudes among students and healthcare professionals, promoting better teamwork and collaboration. Developing and implementing IPE in health education curricula requires a multifaceted approach that addresses challenges through strategic solutions.

Abstrak

Interprofessional Education (IPE) adalah situasi di mana dua atau lebih profesi belajar bersama untuk mewujudkan kolaborasi yang efektif dan meningkatkan hasil perawatan kesehatan.Tujuan scoping review ini mengidentifikasi tantangan dan mengeksplorasi strategi yang digunakan untuk mengatasi tantangan serta menilai dampak dari implementasi IPE dalam kurikulum pendidikan Kesehatan. Tinjauan cakupan dengan kerangka kerja yang terdiri dari lima langkah: mengidentifikasi pertanyaan, mengidentifikasi artikel yang relevan, memilih artikel, memetakan data, menyusun, merangkum, dan melaporkan hasil dan diskusi: temuan diorganisasikan berdasarkan tema dan sub-tema yang relevan. Dari metode beberapa metode yang digunakan, 10 artikel dihasilkan dan menunjukkan tantangan utama dalam pengembangan dan implementasi IPE, yaitu kurangnya konsistensi dan standar, keterbatasan sumber daya dan dukungan institusional, serta perbedaan budaya dan hierarki tradisional. Strategi yang digunakan untuk mengatasi tantangan tersebut meliputi pelatihan dan pengembangan tenaga pengajar, dukungan pemangku kebijakan, integrasi kurikulum yang sistematis, pengembangan/inovasi, serta pendekatan berbasis kasus dan simulasi. Dampak positif dari IPE meningkatkan pengetahuan, keterampilan, dan sikap di antara para siswa dan profesional kesehatan, mendorong kerja sama tim dan kolaborasi yang lebih baik. Kesimpulan: Pengembangan dan implementasi IPE dalam kurikulum pendidikan kesehatan memerlukan pendekatan multifaset yang menjawab tantangan melalui solusi strategis.

Kata Kunci: interprofessional education (IPE), kurikulum kesehatan; pendidikan kesehatan

Keywords:

interprofessional education (IPE) health curriculum health education

References

Ahmady, S., Mirmoghtadaie, Z., & Rasouli, D. (2020). Challenges to the implementation of interprofessional education in health profession education in Iran. Advances in Medical Education and Practice, 11(1), 227-236.

Aladwani, M. A., Hindi, A. M., Wakefield, A. B., Willis, S. C., & Hall, J. (2024). Exploring UK undergraduate healthcare students’ perspectives on how to effectively design IPE: A qualitative study. Journal of Taibah University Medical Sciences, 19(2), 304-312.

Al-Driwesh, M., Alyousif, S. M. M., & Alharbi, N. (2022). Undergraduate-level teaching and learning approaches for interprofessional education in the health professions: a systematic review. BMC Medical Education, 22(1), 1-14.

Allouch, S., Ali, R. M., Al-Wattary, N., Nomikos, M., & Abu-Hijleh, M. F. (2024). Tools for measuring curriculum integration in health professions’ education: a systematic review. BMC Medical Education, 24(1), 1-16.

AL-Momani, M. O., & Rababa, E. M. (2022). The reality of professional education teachers in Jordan's use of modern learning strategies. Inovasi Kurikulum, 19(2), 277-286.

Andini, G. T. (2019). Manajemen pengembangan kurikulum. Jurnal Isema Islamic Educational Management, 3(2), 42-52.

Aye, S. S., & Rillera, M. R. (2022). Readiness for inter-professional education at health sciences: A study of educational technology perspectives. World Journal on Educational Technology, 14(1), 93-102.

Azzam, M., Ranieri, J., & Puvirajah, A. (2022). Interprofessional education in prelicensure health and social care professions education: a systematic review. Health Interprofessional Practice and Education, 4(3), 2186.

Bogossian, F., New, K., George, K., Barr, N., Dodd, N., Hamilton, A., Nash, G., Masters, N., Pelly, F. E., Reid, C., Shakhovskoy, R., & Taylor, J. R. (2022). The implementation of interprofessional education: A scoping review. Advances in Health Sciences Education, 28(1), 243-277.

Bornman, J. (2023). Leadership development strategies in interprofessional healthcare collaboration: a rapid review. Journal of Healthcare Leadership, Volume 15(1), 175-192.

Cheng, I., Powers, K., Mange, D., Palmer, B., Chen, F., Perkins, B., & Patterson, S. (2020). Interprofessional education through healthcare hotspotting: Understanding social determinants of health and mastering complex care through teamwork. Journal of Interprofessional Education and Practice, 20(1), 1-7.

Choi, M.-K., & An, C.-S. (2023). The Effectiveness of Inter-Professional Education (IPE) program for major students: focusing on the analysis of 5 health professions major students. Hanguk Singyeong Geunyuk Jaehwal Hakoeji, 13(1), 50-61.

Cui, X., Cui, X., Liu, J., Cheng, M., & Zhang, X. (2022). Research on virtual simulation experiment teaching system of integrated medicine based on IPE concept. Proceedings of the 2022 International Conference on County Economic Development, Rural Revitalization and Social Sciences (ICCRS), 650(1), 5-9.

D’Costa, M. P., Jahan, F., & Al Shidi, A. (2022). Health professions students’ attitude, perception, and readiness toward interprofessional education and practice in Oman. Journal of Taibah University Medical Sciences, 17(2), 248-255.

Delawala, F., Heymans, Y., & Christmals, C. Dela. (2023). Development and implementation of Interprofessional Education: Global perspectives. Research Square, 1(1), 1-12.

Dyess, A. L., Brown, J. S., Brown, N. D., Flautt, K. M., & Barnes, L. J. (2019). Impact of interprofessional education on students of the health professions: A systematic review. Journal of Educational Evaluation for Health Professions, 16(1), 1-6.

El-Awaisi, A., Joseph, S., El Hajj, M. S., & Diack, L. (2019). Pharmacy academics’ perspectives toward interprofessional Education prior to its implementation in Qatar: A qualitative study. BMC Medical Education, 19(1), 1-15.

Erica, B., Chiara, A., Silvia, C., Carmela, R., Eleonora, G., Barisone, M., Luigi, I. P., Paolo, M., Flavia, P., Daniela, S., Maria, G. C., Patrizia, Z., Alberto, D. M., & Massimiliano, P. (2022). The impact of an interprofessional simulation-based education intervention in healthy ageing: A quasi-experimental study. Clinical Simulation in Nursing, 64(1), 1-9.

Gautama, M. S. N. (2023). collaboration between interprofessional education (IPE) and interprofessional collaborative practice (IPCP) in health education: a narrative review. Journal of Holistic Nursing Science, 10(2), 73-81.

Ghani, A. (2023). Paradigma diferensiasi dalam implementasi kurikulum merdeka: Konteks pembelajaran pendidikan agama islam di sekolah dan madrasah. El-Hikmah Jurnal Kajian dan Penelitian Pendidikan Islam, 17(2), 169-179.

Gunaldo, T. P., Owens, J., Andrieu, S. C., Mercante, D. E., Schiavo, J. H., & Zorek, J. A. (2021). Assessing dental student perceptions after engaging in a longitudinal interprofessional education curriculum: A preliminary study. European Journal of Dental Education, 25(3), 614-620.

Hastuti, R. P., Aliyanto, W., Oktaria, D., & Fithri, Y. (2020). Interprofessional education: A study of curriculum development and implementation in learning process in applied bachelor study program in health polytechnic of Tanjungkarang. Kne Social Sciences, 4(14) 851-862.

Hodgkins, S. R., Marian, K. M., Shrader, S., Averett, E., Crowl, A., Kalender-Rich, J. L., Laverentz, D. M., Shaw, P., Schell, K., & Johnston, K. (2020). A case of anaphylaxis: IPE simulation as a tool to enhance communication and collaboration. Journal of Interprofessional Education and Practice, 18(1), 1-7.

Intening, V. R., Permina, Y., & Setyanto, Y. E. (2022). Online Interprofessional Education (IPE) evaluation for healthcare students as Interprofessional Collaboration (IPC) optimization. JHeS (Journal of Health Studies), 6(1), 15-27.

Katuuk, M., Masengi, A. S. R., & Supit, O. E. (2023). persepsi dan kesiapan diri mahasiswa fakultas kedokteran terhadap implementasi interprofessional education di Universitas Sam Ratulangi Manado. Jurnal Ilmiah Keperawatan Imelda, 9(1), 55-61.

Khalafi, A., Sarmeydani, N. S., & Akhoondzadeh, R. (2023). Simulation-based interprofessional education (IPE) for enhanced attitude and teamwork of anesthesiology residents and nurse anesthesia students in Iran. Journal of Advances in Medical Education and Professionalism, 11(2), 105-112.

Krystallidou, D., Kersbergen, M. J., Groot, E. de, Fluit, C. R., Kuijer-Siebelink, W., Mertens, F., Oosterbaan-Lodder, S. C. M., Scherpbier, N., Versluis, M., & Pype, P. (2024). Interprofessional education for healthcare professionals. A BEME realist review of what works, why, for whom and in what circumstances in undergraduate health sciences education: BEME Guide No. 83. Medical Teacher,1(1), 1-18.

Liaw, S. Y., Ooi, S. L., Mildon, R., Ang, E. N. K., Lau, T. C., & Chua, W. L. (2022). Translation of an evidence-based virtual reality simulation-based interprofessional education into health education curriculums: An implementation science method. Nurse Education Today, 110(1), 1-7.

Lieneck, C., Wang, T., Gibbs, D., Russian, C. J., Ramamonjiarivelo, Z., & Ari, A. (2022). Interprofessional education and research in the health professions: A systematic review and supplementary topic modeling. Education Sciences, 12(12), 850-869.

Lubis, A. F. (2020). Manajemen kurikulum berbasis Kerangka Kualifikasi Nasional Indonesia (KKNI) di perguruan tinggi Islam. Al-Tanzim Jurnal Manajemen Pendidikan Islam, 4(2), 28-40.

Makeen, H. A., Meraya, A. M., Alqahtani, S. S., Hendi, A., Menachery, S. J., Alam, N., Banji, D., Banji, O. J. F., Sadili, A. E. Y., Hadi Daghriri, S., & Ali Alameer, E. (2023). Exploring the awareness, attitude, and inclination of healthcare students towards interprofessional education: A cross-sectional study in Saudi Arabia. Saudi Pharmaceutical Journal, 31(10), 1-10.

Malhotra, A., Brady, D., Kreys, E., Silva, J., Feng, X., & Yang, C. F. (2020). Development, implementation, and assessment of a Comprehensive, Integrated, and Multimodal Interprofessional Education (CIM-IPE) program. Journal of Interprofessional Education and Practice, 21(1), 1-12.

Mulkan, L. M. (2024). Analisis implementasi kurikulum: Faktor tantangan dan solusi strategis di lingkungan pendidikan. Primer Jurnal Ilmiah Multidisiplin, 2(2), 112-120.

O’Leary, N., Salmon, N., & Clifford, A. M. (2020). ‘It benefits patient care’: The value of practice-based IPE in healthcare curriculums. BMC Medical Education, 20(1), 1-11.

Osborne, V., Rosenbloom, S., & Glenn, C. H. (2022). Being at EASE: Student perceptions of interprofessional practice following an experiential interprofessional application for sensitive patient encounters. Nursing Education Perspectives, 43(6), 82-84.

Perera, A. D. P., & Jayasinghe, H. (2023). Perceptions towards inter-Professional Education (IPE) among pre-registration health professional students in Sri Lanka. Asian Journal of Education and Social Studies, 48(1), 11-20

Park, Y.-H., Kim, J.-Y., Kwon, J.-O., & Cho, M.-S. (2023). Study on the effect of health collage students’ interprofessional education (IPE) program. Journal of the Korean Society for Elderly Friendly Health Policy, 15(2), 157-169.

Petri, C. R., & Anandaiah, A. (2022). The case for interprofessional teaching in graduate medical education. Ats Scholar, 3(1), 20-26.

Phanudulkitti, C., Mattison, D., Bavireddy, V., Smith, L. J., & Melissa Gross, M. (2024). The impact of course design features, gender, and academic level on student attitudes towards “Introduction to IPE” course: Mixed-methods analysis. International Journal of Health Professions, 11(1), 28-37.

Rodger, D., Admani, A., & Thomas, M. (2024). What is a scoping review? Evidence-Based Nursing, 0(0), 1-2.

Rosyiddin, A. A. Z., Fiqih, A., Hadiapurwa, A., Nugraha, H., & Komara, D. A. (2023). The effect of interactive PowerPoint media design on student learning interests. Edcomtech: Jurnal Kajian Teknologi Pendidikan, 8(1), 12-24.

Shakhman, L. M., Omari, O. Al, Arulappan, J., & Wynaden, D. (2020). Interprofessional education and collaboration: Strategies for implementation. Oman Medical Journal, 35(4), 514-519.

Sidani, S. (2023). Interprofessional education in diabetes care—findings from an integrated review. Diabetology, 4(3), 356-375.

Silva, J. (2024). Changes of interprofessional education in athletic training: A 5-year follow-up study. Journal of Education and Learning, 13(4), 1-10.

Sulistyowati, E. (2019). Interprofessional Education (IPE) dalam kurikulum pendidikan kesehatan sebagai strategi peningkatan kualitas pelayanan maternitas. Jurnal Kebidanan, 8(2), 123-131.

Thonthowi, M. I. (2024). Pengembangan kurikulum berbasis pendidikan karakter. Jurnal Pendidikan Indonesia, 5(1), 18-26.

Utami, C., & Jahar, A. S. (2021). Tinjauan scoping review dan studi kasus. Radial, 9(2), 152-172.

Utami, V. V. F. R., Satibi, S., Kristina, S. A., & Prabandari, Y. S. (2022). Persepsi mahasiswa farmasi, keperawatan, kesehatan masyarakat, gizi dan pendidikan jasmani terhadap Interprofessional Education (IPE). Jfionline, 14(1), 32-40.

Williams, M. L., Camel, S., Ocker, L. B., Zinn, K. E., Grahovec, N. E., & Frazier, H. (2020). Student perceptions of interprofessional valuing after a tabletop interprofessional education simulation. Athletic Training Education Journal, 15(1), 41-48.

Zechariah, S., Ansa, B. E., Johnson, S., Gates, A. M., & Leo, G. D. (2019). Interprofessional education and collaboration in healthcare: An exploratory study of the perspectives of medical students in the united states. Healthcare, 7(4), 1-11.