PRAKTIK PERAWAT KELILING: STUDI KASUS TIGA PERAWAT DI KABUPATEN INDRAGIRI HULU PROVINSI RIAU



Zul Afril(1*), Mubasysyir Hasanbasri(2), Laksono Trisnantoro(3)

(1) 
(2) 
(3) 
(*) Corresponding Author

Abstract


Background: Professional service in isolated areas is very
limited because the policy on the placement of doctors tends
to put priority on urban areas. Nurses are health staff most
commonly available at isolated areas and utilized by the
community as medical staff in Indonesia for a long time. They
have been working on mobile basis from one village to another
because the community needs express and affordable
services. Legally, mobile nurses have infringed regulations
because they do not have permit for their practice and they
provide services beyond their expertise. Meanwhile, the
presence of mobile nurses greatly helps the government in
solving health problems in the community.
Objective:  The study aimed to describe health services
provided by mobile nurses at District of Indragiri Hulu.
Method: This case study was carried out in February – April
2008. Data were obtained through participative observation
and in depth interview. The researcher followed the nurses
observed with open agreement from respondents and studied
the activities they carried out in their work.
Result: The result of the study showed that types of services
provided by mobile services at District of Indragiri Hulu were
relatively complete, comprising service of care to medication.
The service was accessible and inexpensive and payment
method was flexible. These nurses were willing to provide
health services as demanded by patients. They provided mobile
service because health staff available in marginal areas was
nurses. This caused high demand for health service provided
by nurses; however this mobile service was not protected by
regulations because so fan there was no regulation which
concerned with practicing nurses at District of Indragiri Hulu.
The only regulation that protected them was issued by national
association of nurses. Absence of regulation on nurses caused
control to practice of mobile nurses could not be enacted. The
control was needed to protect the community and the service
of mobile nurses itself.
Conclusion: The study proved that unavailability of doctors
had put nurses in a central position as medication providers in
isolated areas. Besides, proactive approaches made by the
nurses had become major factor of acceptance to their
presence in the community. Considering their control role, it
was suggested that the government issued administrative and
professional act on nurses order that control to quality of
nurses could ensured.
Keywords: availability of health staff, mobile nurses, social
motivation, isolated areas

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