Key result
Integrated progress notes facilitate discharge collaboration, though professional hierarchies and poor standardization limit impact.
Interprofessional collaboration in digitally supported discharge planning in Indonesia is shaped by complex individual, team, and organizational factors, requiring specific attention to digital literacy, standardized tools, and institutional support to be effective.
May support integrated notes for nursing discharge collaboration; hypothesis-generating and leaves barriers like hierarchies open for prospective study.
Background: Effective interprofessional collaboration (IPC) in patient discharge planning is essential for ensuring continuity of care, improving patient outcomes, and strengthening coordination among health care professionals. Nurses often serve as primary coordinators due to their continuous engagement in patient care. However, the implementation of IPC continues to face barriers at the individual, team, and organizational levels. Many hospitals have adopted digital tools, such as integrated patient progress notes (IPPNs), to facilitate information sharing. Nevertheless, the use of these tools to support IPC remains suboptimal and has been insufficiently explored, particularly within the Indonesian digital health context. Objective: This study aimed to explore how IPPNs support IPC during patient discharge planning, particularly from the nursing perspective. Methods: A qualitative phenomenological study was conducted at a hospital in Bukittinggi, West Sumatra. Data were collected through in-depth interviews and a focus group discussion involving 9 purposively selected health care professionals. Thematic analysis was used to identify key patterns related to IPC practices and communication dynamics involving the use of IPPNs. Results: The findings revealed 3 main themes: (1) individual understanding and motivation in IPC, encompassing motivation, role expectations, personality style, and professional strengths; (2) team dynamics, including leadership, management, communication, and social support; and (3) organizational support for IPC, comprising collaborative culture, institutional goals, organizational structures, and the organizational environment. Participants perceived IPC as essential yet inefficiently utilized for coordinating patient care across disciplines, with limitations in standardization, accessibility, and clarity of digital documentation hindering effective collaboration. Conclusions: This study demonstrated that IPC practices were shaped by individual, team, and organizational factors, with digital communication holding a potentially transformative role in facilitating collaboration. These findings contribute to existing knowledge by highlighting context-specific challenges in Indonesian digital health settings, including digital literacy, system usability, and institutional support, which influence IPC and discharge planning outcomes. Integrating digital optimization within IPC frameworks may represent a valuable strategy for advancing digital health practices.
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Delima et al. (2025) studied Interprofessional collaboration in patient discharge planning (n=9). Integrated patient progress notes (IPPNs) and interprofessional collaboration was evaluated on Experiences and perceptions of interprofessional collaboration using digital documentation. Integrated patient progress notes facilitated interprofessional collaboration during discharge planning, though implementation was hindered by professional hierarchies, unequal participation, and inconsistent organizational standardization.
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