Afril, Zul
Jurnal Manajemen Pelayanan Kesehatan

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PRAKTIK PERAWAT KELILING: STUDI KASUS TIGA PERAWAT DI KABUPATEN INDRAGIRI HULU PROVINSI RIAU Afril, Zul; Hasanbasri, Mubasysyir; Trisnantoro, Laksono
Jurnal Manajemen Pelayanan Kesehatan Vol 12, No 04 (2009)
Publisher : Jurnal Manajemen Pelayanan Kesehatan

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Abstract

Background: Professional service in isolated areas is verylimited because the policy on the placement of doctors tendsto put priority on urban areas. Nurses are health staff mostcommonly available at isolated areas and utilized by thecommunity as medical staff in Indonesia for a long time. Theyhave been working on mobile basis from one village to anotherbecause the community needs express and affordableservices. Legally, mobile nurses have infringed regulationsbecause they do not have permit for their practice and theyprovide services beyond their expertise. Meanwhile, thepresence of mobile nurses greatly helps the government insolving health problems in the community.Objective:  The study aimed to describe health servicesprovided by mobile nurses at District of Indragiri Hulu.Method: This case study was carried out in February – April2008. Data were obtained through participative observationand in depth interview. The researcher followed the nursesobserved with open agreement from respondents and studiedthe activities they carried out in their work.Result: The result of the study showed that types of servicesprovided by mobile services at District of Indragiri Hulu wererelatively complete, comprising service of care to medication.The service was accessible and inexpensive and paymentmethod was flexible. These nurses were willing to providehealth services as demanded by patients. They provided mobileservice because health staff available in marginal areas wasnurses. This caused high demand for health service providedby nurses; however this mobile service was not protected byregulations because so fan there was no regulation whichconcerned with practicing nurses at District of Indragiri Hulu.The only regulation that protected them was issued by nationalassociation of nurses. Absence of regulation on nurses causedcontrol to practice of mobile nurses could not be enacted. Thecontrol was needed to protect the community and the serviceof mobile nurses itself.Conclusion: The study proved that unavailability of doctorshad put nurses in a central position as medication providers inisolated areas. Besides, proactive approaches made by thenurses had become major factor of acceptance to theirpresence in the community. Considering their control role, itwas suggested that the government issued administrative andprofessional act on nurses order that control to quality ofnurses could ensured.Keywords: availability of health staff, mobile nurses, socialmotivation, isolated areas