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Evaluasi Pelaksanaan Kebijakan Registrasi dan Praktek Perawat

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Nothing has been done with regard to the legalization of practicing nurses, their professional authority was never questioned, and there is no legal protection, since nursing was adnowledged as a profession in the Government Health Policy Report in 1984. Private nursing practice was considered illegal, eventhough such practices continue. Consequently, laws have been broken, ethical issues arisen and administrative procedures by-passed or ignored by some nurses. Ministry of health Decree N. 1239/2001 provides the long awaited legal permit, authority and legal coverage, and it requires nurses to comply. Method. This was a qualitative descriptive research using evaluation study design and was conducted involving 120 nures at several Puskesmas under Dinas Kesehatan Sidoarjo. The study was aimed at verifying the implementation of registration policy relating to private nursing practice, i.e. in fulfillment of the designated right, obligations, meeting the requirements regarding facilities. These aspects were regarded as the output, while the outcomes to be observed include understanding of health related laws and extent of professional responsibility. The study made use of Questionnares, depth interview method, and surveys using check lists Focused Group Discussion and exit interview were carried out to complete the gathered ata. Results. Data analyses showed that fulfillment (81.33%), obligation fulfillment (70.96%), nurse’s failure to obtain SIK and SIPP; minimum physical facility requirement (87.50%), although practicing nurses also provided antibiotic to their patients (output). The level of legal understanding was low (42.40%); understanding the detail of their obligations (64.17%). Both variables ( output and outcome) appeared rather low due to lack of access to information and lack of coordination across organizations (outcome). The summarizing figure for successfulness was 69.17%. Conclusion. Regulation sets up limit goverming nurse rights. Without SIK and SIPP nurses tend to abuse the professional jurisdiction. Administration of antibiotic to patients was a violation of professional authority and can be prosecuted on the basis of professional code of ethics (wanprestasi). The poor under standing of health related regulations and understanding the boundaries of their professional authority wre attributable to coordination factor, communication, information across organizations, and the existence of confidentiality construction between doctors and nurses regarding patients.

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Detail Information

Series Title

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Call Number

Jurnal Penelitian Politeknik Kesehatan: 7(2): 1131

Publisher

Surabaya : Politeknik Kesehatan Surabaya., 2009

Collation

7p.

Language

ISBN/ISSN

1693-3753

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Content Type

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Media Type

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Edition

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Subject(s)

nursing
HEALTH POLICY
PROGRAM EVALUATION

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