Implementation of interprofessional collaboration practice for pregnancy with heart diseases referral services in Semarang

Implementation of interprofessional collaboration practice in integrated care pathway formulation for pregnancy with heart diseases referral services in Semarang

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN82300061

Enrollment

112

Registered

2019-02-05

Start date

2018-09-01

Completion date

Unknown

Last updated

2025-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pregnancy with heart disease Circulatory System Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium

Interventions

This study design is participatory action research, consisting of 4 stages: Diagnostic stage, this stage aims to assess the barriers and supporting factor of interprofessional collaboration practice

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Health professionals: Physicians, obstetricians, cardiologists, midwives, and nurses who work with pregnancy with heart diseases at Sultan Agung Islamic Hospital and its maternal referral network. Patients: Pregnant women with heart diseases who have been examined in the Sultan Agung Islamic Hospital and its referral network.

Exclusion criteria

Exclusion criteria: N/A

Design outcomes

Primary

Measure	Time frame
The fittest Integrated care pathway in maternal referral system: Integrated care pathway related to pregnancy with heart diseases will be generated from this 4 cyclic stage of participatory action research. The fist draft is generated from the second stage and will be improved along with the third and fourth stage base on the findings.	—

Secondary

Measure	Time frame
1. The description of the maternal referral system in Semarang will be obtained from a focus group discussion among midwives and nurses, in-depth interviews with physicians, obstetricians, cardiologists, and medical record reviews in 2017 and 2018. 2. Knowledge of health workers about the IPCP that will be assessed from participants of stages 2 and stage 3 using the IPCP quiz. 3. The attitude of health workers to the IPCP that will be assessed from participants of stages 2 and stage 3 uses IPAS. 4. Health workers' perceptions of the IPCP that will be assessed from participants of stages 2 and stage 3 using PINCOM-Q. 5. Acceptability, appropriateness, adoption and feasibility of participant with IPCP implementation will be obtained from in-depth interviews with health professionals who have used the IPCP to pregnancy with heart diseases case management. 5.1. Acceptability: This variable shows the level of health professional acceptance (cardiologists, obstetrician, general practitioners, midwives and nurses) to the interprofessional collaboration practices in the integrated care pathway development and implementation related to pregnancy with heart diseases. The variable consist of comfort, credibility and the health profession's views about the benefits from interprofessional collaboration practice. 5.2. Appropriateness is the compatibility of interprofessional collaboration practices with maternal referral services for pregnancy with heart diseases in referral network in Semarang. 5.3. Adoption is the use or intention to try the interprofessional collaboration practice in maternal referral services related to pregnant women with heart diseases in Semarang. 5.4. Feasibility is the ability of interprofessional collaboration practice in maternal referral services related to pregnancy with heart diseases in Semarang, including inhibiting and supporting factors of interprofessional collaboration implementation. 6. Fidelity of ICP implementation on maternal referral syst	—

Measure

Time frame

1. The description of the maternal referral system in Semarang will be obtained from a focus group discussion among midwives and nurses, in-depth interviews with physicians, obstetricians, cardiologists, and medical record reviews in 2017 and 2018. 2. Knowledge of health workers about the IPCP that will be assessed from participants of stages 2 and stage 3 using the IPCP quiz. 3. The attitude of health workers to the IPCP that will be assessed from participants of stages 2 and stage 3 uses IPAS. 4. Health workers' perceptions of the IPCP that will be assessed from participants of stages 2 and stage 3 using PINCOM-Q. 5. Acceptability, appropriateness, adoption and feasibility of participant with IPCP implementation will be obtained from in-depth interviews with health professionals who have used the IPCP to pregnancy with heart diseases case management. 5.1. Acceptability: This variable shows the level of health professional acceptance (cardiologists, obstetrician, general practitioners, midwives and nurses) to the interprofessional collaboration practices in the integrated care pathway development and implementation related to pregnancy with heart diseases. The variable consist of comfort, credibility and the health profession's views about the benefits from interprofessional collaboration practice. 5.2. Appropriateness is the compatibility of interprofessional collaboration practices with maternal referral services for pregnancy with heart diseases in referral network in Semarang. 5.3. Adoption is the use or intention to try the interprofessional collaboration practice in maternal referral services related to pregnant women with heart diseases in Semarang. 5.4. Feasibility is the ability of interprofessional collaboration practice in maternal referral services related to pregnancy with heart diseases in Semarang, including inhibiting and supporting factors of interprofessional collaboration implementation. 6. Fidelity of ICP implementation on maternal referral syst

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Countries

Indonesia

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 25, 2026