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. 2019 Mar 14:12:191-204.
doi: 10.2147/JMDH.S196873. eCollection 2019.

Interprofessional communication in a socio-hierarchical culture: development of the TRI-O guide

Mora Claramita  1 , Rilani Riskiyana  1 , Astrid Pratidina Susilo  2 , Emy Huriyati  3 , Mae S H Wahyuningsih  4 , John J Norcini  5
Affiliations

Interprofessional communication in a socio-hierarchical culture: development of the TRI-O guide

Mora Claramita et al. J Multidiscip Healthc. .

Abstract

Objectives: Interprofessional education (IPE) and collaborative practice are essential for patient safety. Effective teamwork starting with partnership-based communications should be introduced early in the educational process. Many societies in the world hold socio-hierarchical culture with a wide power distance, which makes collaboration among health professionals challenging. Since an appropriate communication framework for this context is not yet available, this study filled that gap by developing a guide for interprofessional communication, which is best suited to the socio-hierarchical and socio-cultural contexts.

Materials and methods: The draft of the guide was constructed based on previous studies of communication in health care in a socio-hierarchical context, referred to international IPE literature, and refined by focus group discussions among various health professionals. Nominal group technique, also comments from national and international experts of communication skills in health care, was used to validate the guide. A pilot study with a pre-posttest design was conducted with 53 first- and 107 fourth-year undergraduate medical, nursing, and health nutrition students.

Results: We developed the "TRI-O" guide of interprofessional communication skills, emphasizing "open for collaboration, open for information, open for discussion", and found that the application of the guide during training was feasible and positively influenced students' perceptions.

Conclusion: The findings suggest that the TRI-O guide is beneficial to help students initiate partnership-based communication and mutual collaboration among health professionals in the socio-hierarchical and socio-cultural context.

Keywords: constructive feedback; cross-cultural communication; interprofessional communication; interprofessional education; role-play; wide power distance.

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Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Procedures of this study. Abbreviations: AI, appreciative inquiry; FGDs, focus group discussions; IPE, interprofessional education; NGT, nominal group technique; TRI-O, open for collaboration, open for information, open for discussion.
Figure 2
Figure 2
Illustration of the use of the IPE TRI-O communication guide in the study. Abbreviations: IPE, interprofessional education; TRI-O, open for collaboration, open for information, open for discussion.
See this image and copyright information in PMC

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