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Kamus (http://www.indotranslate.com/translate-id-en.php) (http://www.inbahasa.com/main/index.php) 1.Why nursing scope of practice ey concern!!!! ".What nursing regulation and scope of practice!!! #.

What issues surrounding scope of nursing in $anada!!! %nswer number "& 'ndonesia ()) *ra ti Keperawatan Keperawatan sebagai ilmu pendatang baru dalam ancah per embangan ilmu pengetahuan dan tehnologi bagi bangsa 'ndonesia masih memerlu an per+uangan pan+ang +i a mengingin an esetaraan dengan ilmu-ilmu lain. Karena itu pembenahan dan pengembangan harus senantiasa dila sana an& bai ilmu& etrampilan& eti a dan hu um. ,alah satu yang men+adi garapan se aligus mengi uti perubahan tuntutan masyara at terhadap pelayanan perawatan adalah perannya dalam pelayanan esehatan. *er embangan sampai ira- ira -.. /& dengan menguatnya peran agama dalam ehidupan manusia& menggeser peran ibu oleh para biarawati dari alangan gere+a. Karya tulis tentang peran perawat dan pendidi an perawat di 'ndonesia pun sangat sedi it. 0emi ian halnya tulisan tentang peran& fungsi dan tugas perawat hanya sedi it literatur dan menyata an bahwa peran fungsi dan tugas *erawat tida lepas dari ebutuhan a an pelayanan yang diemban do ter. *erawat telah 1mempro lamir an diri1 sebagai profesi se+a berlangsungnya 2o a arya 3asional Keperawatan th 145#617& /elalui Kep./en es.(' 3o.1"#4//en es./,K/8'/"..1& *asal 19 telah ditetap an area wewenang *erawat& namun dalam pra te dilapangan belum efe tif. %wal dimulainya pendidi an *erawat di 'ndonesia dengan ursus yang pertama untu mendidi mantri cacar& tahun 155-. ,elan+utnya pendidi an /antri :uru (awat pendidi an dasar ,0 ditambah " tahun pendidi an perawatan. *er embangan beri utnya *engatur (awat / *erawat Kesehatan. *endidi an perawat ini dimulai se itar tahun 149- dengan ditambah # tahun pendidi an perawatan. *enyelenggaraannya sudah dipilah berdasar an ebutuhan a an bidang pelayanan& misalnya perawatan penya it mata& pelayanan ebidanan& perawatan umum. *endidi an tinggi eperawatan di 'ndonesia dimulai dengan didiri annya % ademi *erawat ;ahun 14<#& di (, ,t $arolus :a arta. 0an baru tahun 1459 pendidi an ting at uni=ersitas yang pertama di )' dan saat ini sudah menyelenggara an pendidi an profesi 3ers dan *endidi an ,trata dua serta spesialis. 1. ;untutan perubahan >ampir dua dasa warsa *erawat 'ndonesia meng ampanye an perubahan paradigma& berupaya men+adi mitra se+a+ar do ter. ,alah satu endala adalah ategori pendidi an perawat yang berane a ragam& ?....lulusan :uru Kesehatan& *en+enang Kesehatan& *engatur (awat& *erawat Kesehatan& @idan dan ,ar+ana /uda 'lmu *erawatan serta lulusan program /aster dari pendidi an di luar negeri. Komposisi dari tenaga eperawatan tersebut terdiri dari atas ( urang lebih) 4-A tenaga eperawatan ting at a ademis.16"7 %wal perubahan ditandai dengan hasil 2o a arya 3asional Keperawatan ' tahun 145#. 0alam pertemuan itu disepa ati bahwa eperawatan adalah pelayanan profesional dan didefinisi an sebagai bagian integral dari pelayanan esehatan yang diberi an epada masyara at& eluarga& elompo husus& indi=idu& dan sebagainya& pada setiap ting at& sepan+ang si lus ehidupan pasien. Kalau tadinya hanya membantu pela sanaan tugas do ter& men+adi bagian dari upaya mencapai tu+uan asuhan medis& ini mere a mengingin an pelayanan perawatan mandiri sebagai upaya mencapai tu+uan asuhan perawatan. 6#7 ,tandar pra ti

eperawatan adalah e spe tasi minimal dalam memberi an asuhan perawatan yang aman& efe tif dan etis& se aligus omitmen profesi dalam melindungi masyara at terhadap pra te yang dila u an oleh anggota profesi.6-7 *rofesi *erawat berfo us pada lien/pasien (client oriented)& mengedepan an epentingan lien dan lebih bertanggung+awab dalam pelayanan perawatan. @u an hanya per+uangan untu mempertahan an e sistensi& ha -ha dan epentingan elompo perawat. ;untutan perubahan paradigma ini tentu mengubah sebagian besar bentu hubungan perawat dengan mana+emen organisasi tempat er+a (rumah sa it& pus esmas)& do ter& serta pasien. :i a pra ti perawatan dilihat sebagai pra ti profesi& ma a harus ada otoritas atau ewenangan. %da e+elasan batasan& siapa mela u an apa. ,ebagai profesi& *erawat harus mampu mengambil eputusan secara mandiri didu ung oleh pengetahuan dan pengalaman di bidang perawatan. 3amun demi ian& tida ada satu pun masalah esehatan yang hanya diatasi dengan salah satu disiplin ilmu& arenanya er+a sama dengan pelbagai profesi lain tetap sangat penting. *emberian ewenangan untu memutus an bentu perawatan bagi pasien maupun pembagian tanggung +awab dengan do ter atau tugas-tugas olaboratif dalam mela u an tinda an& membuah an onse uensi hu um. ". (ealitas *elayanan *erawatan. @erdasar an hasil a+ian 0ep es B )'& dapat disimpul an bahwa pe er+aan *erawat& masih belum pas dengan tuntutan emandirian profesi& sebab masih tinggi prosentasenya mela sana an egiatan yang tida men+adi wewenangnya& misalnya& diagnosis penya it (bu an diagnose eperawatan) se itar 4"&<AC membuat resep obat 4#&1AC mela u an tugas administrasi antara lain sebagai bendahara.697 Kesalahan *erawat yang memung in an bisa ter+adi adalah pada tinda an dalam tugas-tugas mandiri dan atau tugas-tugas tugas olaboratif serta tugas-tugas yang merupa an pelimpahan wewenang& seperti salah memberi obat& salah baca label& salah pasien& atau yang fatal salah transfusi. 0engan esalahan tersebut *erawat a an berhadapan dengan beberapa bentu san si hu um. 0ari hu um pidana& hu um perdata& hu um perburuhan (ber aitan dengan tempat er+a)& hu um edo teran sampai masalah eti a dan disiplin profesi. *erlu ada e+elasan mengenai tanggung +awab hu um dari perawat& do ter maupun rumah sa it. /engingat enyataan tersebut *engurus *usat **3'& menga+u an usulan epada 0*( melalui 0epartemen Kesehatan tentang ()) *ra ti *erawat. ,esuai )) 3o.1. ;ahun "..-& proses *embuatan *eraturan *erundang-undangan& *asal 1& dimulai dari perencanaan& persiapan& te ni penyususunan& pembahasan& pengesahan& pengundangan dan penyebaraluasan. Kemudian etentuan *asal - *eraturan *residen 3o. <5 th "..9& onsep materi rancangan undang-undang yang disusun harus selaras dengan falsafah negara *ancasila& ))0 3egara (epubli 'ndonesia th 14-9& undang undang lain dan ebi+a an yang ter ait dengan materi yang a an diatur dalam rancangan undang undang tersebut. )ntu dapat mendis ripsi an ()) yang dia+u an tersebut& peneliti mengang at +udul penelitian ;elaah ()) *ra ti *erawat 0alam *erspe tif *asal 9 )) (' 3o. 1. ;ahun "..-& tentang *embentu an *eraturan *erundang )ndangan. 617 *ersatuan *erawat 3asional 'ndonesia ( **3' )& 145#& 2o a arya 3asional Keperawatan& :a arta& hal. 1.<. 6"7 /aria ' Wid+a+a dalam ,oer+ono ,oe anto& >er utanto& 145D& *engantar >u um Kesehatan& *enerbit Kanisius& Eogya arta& hal. 1.". 6#7 :ulianus % e& ".."& /alpra te dalam eperawatan& *enerbit FG$& :a arta& hal 9. 6-7 *ersatuan *erawat 3asional 'ndonesia& ,tandar *ra te Keperawatan *erawat *rofesional& 1444. hal ". 697 *ersatuan *erawat 3asional 'ndonesia ( **3' )& ;ahun "..<& ,tandar *rofesi Keperawatan& hal. -

H;ranslateI 0raft *ractice 3ursing 3ursing as a science of the new entrants in the arena of de=elopment of science and technology for the 'ndonesian nation still needs a long struggle if they want eJuality with the other sciences. ;herefore& impro=ement and de=elopment should always be& a good nowledge& s ills& ethics and law. Kne of the claim and to follow changes in public demand for treatment ser=ices is its role in the health ser=ice. 0e=elopment until about -.. %0& by strengthening the role of religion in human life& shifting the role of the mother by the nuns from the church. *aper on the role of nurses and nurse education in 'ndonesia is =ery little. ,imilarly writing about the role& functions and tas s of nurses and only a little literature states that the role and function of nurse tas s can not be separated from the need for ser=ices carried doctor. ;he nurse has been LproclaimedL as a profession since the duration of 3ursing th 3ational Wor shop 145# 617& ;hrough Kep./en es.(' 3o.1"#4//en es./,K/8'/"..1& %rticle 19 has been assigned authority area nurse& but in practice the field not yet effecti=e. ,tart of nurse education in 'ndonesia with the first course to train paramedics smallpox& in 155-. Murther Kutpatient 'nterpreter /antri education elementary education elementary education plus " years of treatment. ,ubseJuent de=elopment of *atient /anager / 3urse >ealth. ;his nurse education began around 149- with # years of education plus treatment. Kperate is sorted based on the need for the ser=ices sector& such as eye disease treatment& midwifery ser=ices& general maintenance. >igher nursing education in 'ndonesia began with the establishment of the %cademy of 3urses in 14<#& at ,t. $arolus >ospital in :a arta. 3ew year 1459 and the education le=el of the first uni=ersity in the )' and is currently conducting professional education and education ,trata 3ers two and specialists. 1. 0emands for changes in nearly two decades campaigned 3urse paradigm shift in 'ndonesia& see ing to become eJual partners doctor. Kne obstacle is the category of nurse education is di=erse& a graduate of /essiah L.... >ealth& *en+enang >ealth& ,elf $are& >ealth 3urses& /idwi=es and $are @achelor of ,cience and /asterNs graduates of education programs abroad. ;he composition of the nursing staff consists of the (approximately) 4-A of the nursing academic le=el. L6"7 Mirst mar ed by the change in the 3ational Wor shop on 3ursing ' in 145#. 'n the meeting it was agreed that nursing is a professional ser=ices and is defined as an integral part of health ser=ices pro=ided to communities& families& special groups& indi=iduals& and so on& at e=ery le=el& throughout the life cycle of the patient. 'f it was only helping the implementation of physician tas s& become part of the effort to reach the goal of medical care& now they want a self-care ser=ices as an effort to achie=e farm maintenance. 6#7 ,tandard nursing practice is the minimum expectations in pro=iding care treatment that is safe& effecti=e and ethical& and professional commitment in protecting the public against the practices underta en by members of the profession. 6-7 *rofessional 3urses focus on the client / patient (client oriented)& forward clientNs interests and more responsible in care ser=ices. 3ot only the struggle for existence& rights and interests of nurses. ;his demands a paradigm shift would change the ma+ority of nurses form relationships with the management of wor organiOations (hospitals& health centers)& physicians& and patients. 'f the practice is seen as the practice of nursing profession& there should be authority or authorities. ;here are clear limitations& who did what. %s a profession& nurses must be able to ta e decisions

independently supported by the nowledge and experience in the field of nursing. >owe=er& no single health problem that is only addressed by one discipline& therefore cooperation with =arious other professions remains =ery important. Granting authority to decide the form of treatment for both patients and the di=ision of responsibilities with the doctor or collaborati=e tas s in action& led to legal conseJuences. ". (eality ;reatment ,er=ices. @ased on the findings of the study /K> B )'& it can be concluded that the wor of nurses& still not fit with the demands of professional independence& because the high percentage who do not carry out acti=ities to its authority& for example& diagnosis of disease (not a nursing diagnosis) of about 4".<AC ma e prescription drugs 4#.1AC perform administrati=e tas s such as the treasurer. 697 Frror enabling nurses can happen is to act in independent tas s or duties of collaborati=e tas s and duties that are authoriOed& such as the one gi=ing the drug & read the label wrong& wrong patient& or a fatal one transfusion. With the error 3urses will be faced with some form of legal sanction. Kf criminal law& ci=il law& labor law (related to the wor place)& medical law and ethics to the problem of professional discipline. ;here needs to be clarity about the legal responsibilities of nurses& doctors and hospitals. Gi=en this reality **3' $entral @oard& to propose to the *arliament through the /inistry of >ealth about the draft *ractice 3urse. %ccording to 2aw 3o.1. of "..-& the process of ma ing legislation& %rticle 1& starting from planning& preparation& techniJue penyususunan& discussion& appro=al& promulgation and penyebaraluasan. ;hen the pro=isions of %rticle *residential (egulation 3o. -. <5 th "..9& the concept of material bill should be drafted in accordance with the state philosophy of *ancasila& the $onstitution of the (epublic of 'ndonesia th 14-9& other laws and policies related to the material to be regulated in the bill. ;o be describing the proposed bill& the researchers pic ed up the title of the @ill (e=iew *ractices research nurse in the *erspecti=e of %rticle 9 of 2aw 3o. 1. 'n "..-& on Fstablishment (egulations (egulations 'n=ite. 617 3ational 3urses %ssociation of 'ndonesia (**3')& 145#& the 3ational 3ursing Wor shop& :a arta& pp. 1.<. 6"7 /ary ' Wid+a+a in ,oer+ono ,oe anto& >er utanto& 145D& 'ntroduction to >ealth 2aw& *ublisher 0oubleday& Eogya arta& pp. 1.". 6#7 :ulian %KF& ".."& in a nursing malpractice& *ublisher FG$& :a arta& p. 9. 6-7 'ndonesian 3ational 3urses %ssociation& 3ursing *ractice ,tandards of *rofessional 3urses& 1444. p. ". 697 ;he 3ational 3urses %ssociation of 'ndonesia (**3')& Eear "..<& ,tandard 3ursing *rofession& pp. 'n new Pealand
More than a decade ago at the first international conference, key issues were identified that would need to be addressed by countries expanding and developing the nurse practitioner (NP) role. The issues were scope of practice, education, titling, credentialing, legal status, and regulation. Today, utual recognition for advanced practice as a echanis to facilitate global ove ent can be added to the list. ! keynote panel representing the "nited #tates, $anada, !ustralia, New %ealand, The Netherlands, #weden, #outh !frica, and the "nited &ingdo set the stage for the conference by describing the developing roles in their respective countries. New Zealand: !cross the Tas an #ea, New %ealand has taken a different approach. 'rances (ughes )N, M!,*+, $hief !dvisor, Nursing Ministry of (ealth, discussed progress fro the policy perspective. To address increased access to care, provide affordable care, and use the expertise of nurses to reduce ine-ualities and benefit the public, the New %ealand Ministry of (ealth developed a

strategy to incorporate the use of NPs at the policy level. This began before the develop ent of educational progra s. Nurses in New %ealand have been practicing in rural and re ote sites and are often the sole providers of healthcare at these sites. The docu ent describing this strategy is available on the New %ealand Ministry of (ealth.s /eb site.*0, New %ealand and !ustralia have agree ents that support nurse recognition fro country to country. This will present a challenge if the scope and standards vary arkedly fro state to state and country to country. *1, !nswer nu ber 2 indonesia Perawat 3ndonesia Teranca Men4adi Ta u di Negeri #endiri

#enin, 55 Mei 6778 9 52:2+ /3; <!&!)T!, &=MP!#.co > 3ndonesia bakal keban4iran tenaga perawat dari luar negeri. Perawat 3ndonesia akan en4adi ta u di negeri sendiri, sedangkan perawat yang ada di luar negeri ada ke ungkinanan akan dideportasi. .(al tersebut ter4adi karena ada kesepakan utual recognition arrange ent (M)!) dan 3ndonesia belu e punyai "" keperawatan yang engatur siste keperawatan di 3ndonesia,. kata &etua " u Persatuan Perawat Nasional 3ndonesia (PPN3) Prof !chir ?ani # (a id, MN, @N, #c saat di4u pai sebelu pu pa pers (ari &ebangkitan Perawat 3ndonesia di <akarta, #enin (55AB). Cebih lan4ut ia engatakan bahwa M)! itu telah ditandatangani oleh 57 negara !#D!N. 3sinya adalah pengaturan pengakuan ti bal balik negaraEnegara !#D!N untuk keperawatan. @engan disepakatinya M)! aka per 5 <anuari 6778, perawat luar negeri akan bebas datang dan beker4a di 3ndonesia. "ntuk itulah, kata !chir, PPN3 endesak supaya )"" &eperawatan segera disahkan. .&arena di dala "" tersebut en4a in didirikannya badan independen siste &onsil &eperawatan 3ndonesia,. katanya. &onsil tersebut, ta bahnya, yang akan engangkat kualitas dan ko petensi perawat 3ndonesia sehingga bisa dise4a4arkan dengan negara lain. Menurutnya, dari 57 negara !#D!N, 3ndonesia bersa a Caos dan Fietna belu e punyai "" &eperawatan dan &onsil &eperawatan 3ndependen. Tiga fungsi uta a ;adan 3ndependen #iste &onsil &eperawatan 3ndonesia, sebagai ana dikatakan !chir adalah, perta a engatur registrasi dan u4i ko petensi. &edua, engatur siste lisensi dan siste registrasi. &etiga, engatur siste sertifikasi. .3ni se ua belu ada di 3ndonesia,. ungkapnya. .@engan de ikian, perawat kita akan bisa bersaing dengan perawat asing dan diakui di luar negeri,. tuturnya. Mengingat begitu penting dan endesak "" &eperawatan tersebut aka ))" yang saat ini asuk dala progra legislasi nasional (proglegnas) 6778 urutan keE6+ segera disahkan. .3ni tidak bisa ditawar. (arus disahkan tahun ini. &a i akan terus advokasi dan edukasi @P),. kata !chir.

Menurut kabar yang beredar, saat ini perawat asing dari 'ilipina sudah beker4a di ru ah sakit ?ogyakarta dengan ga4i dollar.

GtranslateH 3ndonesian nurses threatened at the #tate Iuest ;eing !lone Monday, May 55, 6778 9 52:2+ /3; <!&!)T!, &=MP!#.co E 3ndonesia will be flooded with nurses fro abroad. 3ndonesian nurses will be guests in their own country, while the nurse is in there ke ungkinanan abroad will be deported. JThis happens because there kesepakan utual recognition arrange ent (M)!) and 3ndonesia does not have a law that regulates nursing nursing syste in 3ndonesia,J said $hair an Ieneral of 3ndonesian National Nurses !ssociation (PPN3) Prof. end ?ani # (a id, MN, @N, #c as seen before a press pu pa Nurse )esurrection @ay of 3ndonesia in <akarta, Monday (55 A B). 'urther ore he said that the M)! has been signed by 57 countries !#D!N. 3t is a utual recognition arrange ent !#D!N countries to nursing. M)! agreed with it as of <anuary 5, 6778, overseas nurses will be free to co e and work in 3ndonesia. 'or this reason, the end, PPN3 Nursing urging that the bill passed i ediately. J'or in the !ct to ensure the establish ent of an independent agency syste of Nursing $ouncil of 3ndonesia,J he said. $ouncil that, he added, which will raise the -uality and co petence of nurses so that 3ndonesia can be e-uated with other countries. !ccording to hi , fro the 57 !#D!N countries, 3ndonesia and Caos and Fietna have not yet Nursing !ct and the Nursing $ouncil of 3ndependent. The three ain functions of the 3ndependent !gency #yste for Nursing $ouncil of 3ndonesia, as the end is, first set the registration and co petency test. #econd, arrange licensing syste and registration syste . Third, set up certification syste s. JThis is all not yet in 3ndonesia,J he said. JThus, our nurses will be able to co pete with foreign nurses and recogniKed abroad,J he said. Iiven such an i portant and urgent that the Nursing !ct ))" currently included in national legislation progra (proglegnas) in 6778 ranked 6+th soon passed. JThis is not negotiable. Must be approved this year. /e will continue to advocate and educate the (ouse,J the end. !ccording to reports in circulation, the current foreign nurses fro the Philippines are working in a hospital ?ogyakarta with dollar salaries. 3n new %ealand

Nurse Practitioners in New Zealand


www.moh.govt.nz/nursepractitioner The Nurse Practitioner is a highly educated and experienced health professional working to i prove health and to reduce ine-ualities in health. (e or she is a key co ponent of the health and disability workforce of the future, one who has the potential to i prove health status and to reduce the national burden of chronic disease. Nurse Practitioners can assist in realising the N% @isability #trategyLs vision of a nonEdisabling society. Ireat progress has been ade over the last five years in the education, training and professional develop ent of the Nurse Practitioner. 3n response to the identified need to sti ulate the sector to recognise the potential of the Nurse Practitioner workforce, the Nurse Practitioner D ploy ent and @evelop ent /orking Party was established by the Minister of (ealth in <une 677B and was disestablished on co pletion of its tasks in @ece ber 677+.

@istrict (ealth ;oards New %ealand has taken on the responsibility of pro oting the Nurse Practitioner role, which @istrict (ealth ;oards will foster in relevant ways across the country.