Protection Of Nurses Research Articles

EXPERIENCES OF NURSES EXPERIENCING VIOLENCE IN THE EMERGENCY ROOM: A QUALITATIVE STUDY

Background: The phenomenon of violence against nurses is even higher. Still, the results of the study are 80% of nurses who experience violence do not report the incident, nurses take compensatory actions such as sick leave, fear, and lack of support from hospital administration
 Objectives: Researchers explored the experience of nurses and the need for more effective protection for emergency unit nurses, this is very important to understand the experiences of nurses who experience violence in the emergency unit.
 Methods: The qualitative approach that will be used is transcendent phenomenology (descriptive phenomenology). The population in this study were all emergency unit nurses at the Pontianak City government-owned hospital. Total 15 participants. The criteria for the participants were emergency unit nurses, nurses with experience of acts of violence by others, age > 20 years, and willingness to become participants. The sampling technique used is purposive sampling. Researchers conducted interviews based on the guidelines that had been prepared. The ethical principles were applied on this study. The stages of data analysis in this study are based on the stages of Colaizzi
 Results: The results of this study describe the phenomenon of the experience of nurses who experience violence in the Emergency Unit. The five themes include (1) The working period of nurses who experience violence in the Emergency Unit; (2) Causes of nurses experiencing violent behavior in the emergency department; (3) Forms of violent behavior towards nurses in the emergency department; (4) The attitude of nurses who experience violence in the emergency unit; and (5) Protection of nurses in the emergency department
 Conclusion: It is believed that nurses who experience violence do not disclose it to management because there is a lack of management support and unclear reporting guidelines. The suggestions are that the management of and prevention of violence against nurses in Indonesia therefore requires management support, documented policies, clear reporting procedures, security systems in hospitals, and clear legal protection by leadership and Indonesian National Nurses Association.

Psychosociálne riziká v povolaní sestra: naratívny literárny prehľad

Objective: To interpret empirical findings about psychosocial risks in the nursing profession and to present new trends based on the analysis of literary sources that can be implemented in nursing. Methodology: Methodology: We analyzed literary sources focused on psychosocial risks in the context of nursing, the profession of a nurse, published in the years 2010-2022 mainly by the European Agency for Safety and Health at Work Results: Several studies have shown that nurses are included in the 2nd or 3rd category of risk of psychological stress, which negatively affects their health and increases the prevalence of mental disorders-depression, burnout syndrome, and stress-related disorders. The estimated economic impact in the EU for mental health is €240 billion per year. Trends in the world of work focus on work engagement, work resources, positive psychological capital, the increasing number of migrant workers, the aging of the population and also workers, the implementation of wellness audits in organizations. Conclusion: The prevention of psychosocial risk factors and the protection of nurses’ mental health are reasons on which management’s attention needs to be focused.

Legal Protection for Nurses in Pharmaceutical Services Where there are No Pharmaceutical Staffs at the Community Health Center

Puskesmas is a first-level healthcare service facility that organizes health efforts prioritized promotive andpreventive actions. In executing its health efforts, puskesmas must take actions according to standards,including in pharmaceutical services. It will be different when the pharmacy service is provided by nursesinstead of provided by pharmacy staffs. Following the prevailing law in Indonesia today, nurses’ authority incarrying out their pharmacy duties in practice is only limited. To provide assurance and legal protection fornurses in performing pharmaceutical services in health centres where there are no pharmacists/pharmaceuticaltechnical staff, laws and regulations related to nursing protection have an essential function. It also protectsnurses to avoid criminalization of nurses by law enforcement officials.

SARS-CoV-2 safety guidelines for frontline nurses.

Protection of nurses in healthcare facilities from SARS-CoV-2 infection is essential for maintaining an adequate nursing force. Foundational guidelines consistently utilized, will protect the nursing staff from infection. This article provides guidelines that, when followed by frontline nursing staff, can reasonably be expected to reduce acute infection, associated morbidity, and mortality.

Analysis of the Need for Nurse Competency Training at Ahmad Yani Islamic Hospital Surabaya

<p><em></em><strong><em>Abstrack</em></strong></p><p><strong><em>Introduction</em></strong><em>: Minimum service standards field of administration and management about employee training require at least 20 hours per year. The aims of this study was to analyze the training needs of nurses at the Ahmad Yani Islamic hospital in Surabaya. In addition, this study explain the organizational analysis, conduct operational analysis, explain individual analysis nurse staff and prioritize nurse training needs in Ahmad Yani Islamic Hospital Surabaya. <strong>Method</strong>: This research is a observational description. The number of respondents about 55 nurses participating the study. <strong>Results</strong>: Based on the aspect of quantity of work, the workload of nurses is classified as high by 49.1%. Most have applied a high quantity of work aspects as much as 78.1%. In the aspect of quality of work, most nurses have performed high tasks. <strong>Conclusion</strong>: Analysis of organizations related to organizational climate at Ahmad Yani Islamic hospital in general was described by nurses in good condition. There are a number of things that need to be considered, namely guaranteed nurse self development through Training, work protection for nurses, nurse remuneration needs to be improved. Operational analysis related to the general competence of nurses in the nurse law is quite capable and most nurses have already taken action. Operational analysis relating to the priority of nurses' training needs is a main priority.</em></p><p> Keywords: <em>Operational Analysis; Individual Analysis; Nurse Training Priority.</em></p>

A bibliometric analysis of COVID-19 research published in nursing journals

Purpose: This bibliometric study investigated the current state of documents on coronavirus disease 2019 (COVID-19) published in nursing journals. The analysis focused on the description of most productive journals, institutions, and countries, as well as the characteristics of the documents.Methods: The publications analyzed in this study were retrieved from the Web of Science database with search keywords. The searches used to establish the study dataset were last updated on July 10, 2020. The inclusion criteria were relevant English-language publications in journals published in the Science Citation Index Expanded or Social Science Citation Index. Content analysis of original articles and reviews was done.Results: An analysis of 125 publications on COVID-19 from 48 journals showed that the most productive journal and country were the Journal of Clinical Nursing (n = 18) and the USA (n = 53), respectively. Original articles (n = 27, 21.6%) and review papers (n = 4, 3.2%) accounted for 24.8% of the articles, and the highest number of papers were found in early access (published ahead of print) (n = 51, 40.8%) and Q1 journals (n = 73, 58.4%). The content analysis found 10 data-based original articles or reviews, which dealt with the topics of nurse training (n = 2), nurses’ psychosocial status (n = 2), nursing research methodology (n = 1), nursing guidelines (n = 4), and protection for nurses (n = 1).Conclusion: This study presents the current situation of nursing research on COVID-19 based on an analysis of publications in nursing journals and provides meaningful information to nursing researchers and editorial board members. The number of data-based original articles on nursing related to COVID-19 remains low.

Juridical Analysis of Nurse Authority in Granting of Red Label Drugs in The Mandiri Nursing Practice

Article 30 paragraph (1) of Law No. 38/2014 letter j explains that nurses are authorized to administer drug administration to clients, but the facts on the field nurses are actually arrested by Police for providing pharmaceutical preparations for clients. This shows that there has been an imbalance between regulations and facts on the ground. The problem in this study is how the nurse's authority in the service of giving red label medicines in the practice of independent nursing and how the legal protection of nurses in the practice of independent nursing This research method uses a normative juridical approach, with secondary data collection, to prove whether it is true that nurses are prohibited from giving red label drugs. The data obtained were analyzed qualitatively. Based on the results of the study found that nurses have the authority to administer all drugs including red labeled drugs except drugs that contain narcotics and psychotronics. Nurses can provide these drugs both in terms of limitations and not. In that case, nurses obtain preventive legal protection by carrying out their obligations as nurses and fulfilling the rights of patients and not committing unlawful acts.

Progress in occupational injury and protection of nurses against anti-cancer drug

This paper summarized the injury mechanism and protection status of anticancer drug exposure to nurses in recent years from the aspects of reproductive toxicity, genetic damage, environmental monitoring, and occupational protection compliance of nurses, aiming to provide guidance for anticancer drug protection and guarantee for nurses' occupational safety. Key words: Anti-cancer drugs; Reproductive toxicity; Cytotoxicity; Comet test; Protective equipment

Legal Protection for Nurses in Non Civil Servants in Health Centers in Langgudu Sub-District Bima Regency After the Enactment of Law Number 38 the Year 2014 Concerning Nursing

Local Government Clinic in Langgudu Subdistrict, Bima Regency, is one of the Government institutions that employ health and non-health workers. One of the health workers themselves is nurses. Nurses who practiced at the clinic have recruited both nurses who have the status of civil servants, impermanent officers, and voluntary nurses. The voluntary nurses who were recruited and appointed by the head of the clinic. On the other hand, the recruitment in the local government should comply with the legislation of the state civil apparatus. As the recruitment is not by the legislation of the state civil apparatus, it will have an impact on the legal protection for the nurses in a local government clinic. This research was done at a clinic in Langgudu subdistrict of Bima Regency using sociology juridical research method. The specification of the research was descriptive analytic using primary and secondary data. Data collection techniques used in the research was face to face interview, question draft distribution, and interview by phone. The Information or resource of this research was the head of the health official, heads of clinics in Langgudu subdistrict and the chairman of Indonesian National Nurses Organization of Bima Regency. Then, The respondents were the nurses who work at the clinic in Langgudu Subdistrict, either nurse who have the status of civil servant, local honorary workers or the voluntary nurses. The research result found that the regulation of employee appointment to work in a government institution was set in regent’s regulation number 15A about appointment guideline, placement, Dismissal, and honorary workers discipline of local government. In the regulation, the person who has authority in appointing the employees is the regent as the builder of the officers. In implementing of the regulation the head of the Clinic appointsnurse workers by himself to employ at the clinic. Thus, such things have already broken authority as leader of the institution in the sphere of local government as it is not by the rules of the Regent of Bima. Therefore, such appointments an obstacle in giving protection for voluntary Nurses because the process of appointment is not appropriate and breaking authority. As a head of clinics is not given authority and should not recruit or appoint the workers to employ at government institutions. The appointment of the workers shows that understanding of heads of clinics about management of the worker appointment at the clinics still lack, in addition to the absence of legislation regulations managing the volunteers so that it is an obstacle in providing legal protection for voluntary nurses who work in a clinic.

Juridical Analysis of Delegation of Authority Medical Treatment (Verdict Case Study NO.1165/PID.B/2010/PN.SDA, NO.1166/PID.B/2010/PN.SDA, NO.1167/PID.B/ 2010/PN. SDA.)

Since September 2014, The House of Representatives passed a new Nurses Act, Act Nr.38 of 2014. Nurses Act is considered legal protection for nurses in Indonesia and defines their scope of practice . The Act was developed and passed with the specific aim to improve professional quality and the quality of nursing care. Nurses are legally permitted to prescribe limited medical treatment based on physicians' delegation or mandated orders. All of these actions will be regulated by codes from the Ministry of Health, which will be derived from the new Nurses Act and with consideration of the nurse's competencies to perform such specific medical interventions. This study to examine the extent to which the doctor as general practitioner delegated medical treatment to the nurses and to analyze procedure towards authority delegation from doctor to nurses. As usual, both doctor and nurses were reluctant to have minor clinical treatment delegated and a majority did not think that nurses should carry out delegated diagnostic procedures. Doctors and nurses who had completed their training were more likely to favor delegation since this decade so that delegation may become more common, for example in favor of delegating injections, dressings and stitch removal and immunizations. There is no clear definition of the scope of practice for the nurse in the field, in contrary delegation among those with unfavorable views often appeared formidable. Nurses need reeducating before such a system could. It is dangerous to have someone who'sundertrained. The delegation of medical treatment should consider patient safety and comfort. This research applied the normative juridical method with legal clinical research (prescriptive normative) based on library approach, and case approach consisted of secondary data that gathered by rules, regulations, and verdict case number 1165/Pid.B/2010/PN.SDA, 1166/Pid.B/2010/PN.SDA and 1167/Pid.B/2010/PN.SDA and interviews with a law firm and legal consultant who handled the case verdict about delegation of authority medical treatment from a doctor to nurse. The result of the study showed there are limitation procedures of regulation to perform medical treatments based on physicians' delegation or mandated orders. Therefore health policymaker should make regulations of the scope of medical treatment procedure based on responsibility and authority delegation from doctor to nurse.

LEGAL PROTECTION FOR NURSES IN PROVIDING HEALTH SERVICES IN HOSPITALS

Legal protection of nurses in carrying out their profession to provide health services in hospitals, is a very basic thing to maximize the duties of nurses in serving clients / communities. The legal protection has been regulated in various laws and regulations, namely the Health Law, Hospital Law, Health Worker Law, Nursing Law and Minister of Health of the Republic of Indonesia Regulation Number 4 Year 2018 concerning Patient Obligations and Hospital Obligations. However, this legislation only regulates the legal protection of nurses in civil cases, where the actions of nurses are considered detrimental to the client, in criminal cases there is no clear Government policy regarding legal protection for nurses, especially for nurses who have not been proven guilty but have been put in custody because it is suspected of making a mistake or negligence in nursing practice. Keywords : health services, hospitals, legal protection, nurses. DOI : 10.7176/JLPG/83-18 Publication date :March 31 st 2019

Effects of indirect facilitation on functional diversity, dominance and niche differentiation in tropical alpine communities

AbstractQuestionPositive interactions between plants have well‐known effects on community species richness and biomass via micro‐environment improvements. However, the effects of indirect facilitation performed by a nurse on an associated plant community, occurring e.g., through protection against grazing, have not attracted much attention in the literature so far, in particular regarding the functional traits of the associated plant communities. Because characteristics of trait distributions can reveal selective pressures at play, they offer valuable information for the study of grazing pressure. Here, we tested the extent to which indirect facilitation affects the amount of distinct trait combinations (H1), trait dominance (H2) and niche differentiation between species (H3) of associated plant communities living under nurse plants.LocationTropical alpine peatlands, Cordillera Real, Bolivia.MethodsWe set up a grazing exclusion experiment over two dominant nurse cushion species: one providing indirect facilitation under grazing pressure and the other not. We measured three functional traits in the associated communities, which are known to vary depending on the grazing level: LDMC, leaf thickness and maximum height. We assessed the amount of distinct trait combinations by computing the volume of the phenotypic space (H1). The variation in trait dominance was quantified with kurtosis and skewness of the trait distributions (H2). The variation in niche differentiation was evaluated using mean intra‐population trait variance relative to intra‐community trait variance (H3).ResultsWe did not find a significant effect of grazing and indirect facilitation on the volume of the phenotypic space (H1). However, our study revealed a significant effect of indirect facilitation on dominance in the associated communities by maintaining the evenness of the trait distributions (maximum height and leaf thickness) in grazed compared to ungrazed plots (H2), and on niche differentiation by maintaining trait overlaps (LDMC and maximum height) between species in grazed compared to ungrazed contexts (H3).ConclusionOur results suggest that indirect facilitation promotes the co‐existence of contrasting functional strategies (H2) and species niches (H3) in associated plant communities subject to grazing. These results reflect the buffering effect of indirect facilitation on the grazing selective pressures exerted on associated plant communities living under the protection of nurses.

Nurse’s Expectations after the Enactment of Nursing Law No. 38 of 2014 Concerning Independent Nursing Practices in Yogyakarta Special Region Province

This study aims to identify nurses’ expectations after the enactment of Nursing Law Number 38 of 2014 concerning independent nursing practice in Yogyakarta Special Region Province. This research is a mixed methods research, in which basic data in the form of nurses’ level of understanding about Nursing Law were taken using quantitative approach, followed by collecting qualitative data in order to identify nurses’ expectations in conducting independent nursing practice. The sample of quantitative data were 282 nurses in 5 Regional General Hospital in the province, while qualitative data were taken from 10 respondents using Focus Group Discussion (FGD) method, the data were analyzed in three stages, which are data reduction, data presentation, and conclusion. The quantitative data were
 collected using a questionnaire from November 2015-January 2016 and analyzed using frequency table. In terms of quantitative data, nurses’ understanding about Nursing Law was mostly fair, or 69.1%. In terms of qualitative data, the nurses’ expectations of Nursing Law Number 38 of 2014 are covered in 8 themes, namely recognition of nurse profession, provision of collegial regulation, type of nursing competence test, application standard for Nurse Practise License/Surat Izin Praktik Perawat (SIPP), derivatives of Nursing Law, better system, addition of competency test materials, and better protection for nurses. The nurses expect the clarity of job description of independent nursing practice, uniformity of standard operating procedure to facilitate the process of applying independent nursing practice, more protected condition in carrying out independent nursing practice and recognition by other professions.

Better protection for nursing: reporting poor practice

The government has responded to criticism about a legal loophole in the protection of those who report poor practice in the interest of the public. The gap in protection, which limited any liability for the detrimental treatment of whistleblowers to their employers and excluded detriment caused by co-workers, threatened to derail plans for the introduction of a duty of candour on healthcare providers as recommended by the Francis Report. In this article, the author describes how changes to the law set out in the Enterprise and Regulatory Reform Act 2013 will improve protection for nurses who report poor practice and explains the role of Public Concern at Work in providing advice and support to nurses who wish to report poor practice.

Duty of candour requires better protection for nurses

The report of the Mid Staffordshire NHS Foundation Trust public inquiry has a statutory duty of candor at its heart and the requirement for openness and transparency running through most of its 290 recommendations. While many will consider such a legal duty essential if a repeat of the Mid Staffordshire scandal is to be avoided, the duty is unlikely to be effective unless nurses can discharge their obligations without fear of recrimination. This article argues that current protection for nurses who report poor practice is inadequate and must be improved if the openness and transparency recommended is to become a reality in the NHS.

Development of a Web-based Diagnostic Evaluation Program for Prevention of Nurse Malpractice Liability

Purpose: This study was done to develop a web-based diagnostic evaluation program for nurses to prevent malpractice liability. Methods: A comprehensive review of the literature and 9 specialist interviews were used to search for learning goals and content for protection for nurses from malpractice. Data on needs for learning goals were collected from 56 hospital nurses who agreed to complete a self-report questionnaire. The diagnostic program was evaluated between September 2008 and August 2009 by 35 new hospital nurses using an application of the web-based program evaluation tools by Chung (2000). Results: A comprehensive review of the literature and interviews were used to search for learning goals and content. The evaluation program was composed of the 73 questions for diagnostic evaluation under 23 learning goals and 6 grand learning goals which included the principles of law, patient's rights, legal responsibility, patient's safety, regulation on nursing practice and patient's rights protection. Evaluation of the program showed that the mean for program evaluation was 3.43 (SD=.37). Conclusion: This diagnostic evaluation program could be an efficient method for teachers and learners to improve nurses' behavior in protecting the patient's rights and preventing malpractice claims.

Investigation of consciousness of occupational protection among emergency nurses

Objective To investigate the status and consciousness of occupational protection of nurses in emergency department, so as to provide the basis for protection and improve the clinical behavior o: emergency nurses. Methods A total of 109 emergency nurses working in two third-class first-grade hospitals of Beijing were investigated using self-designed questionnaires. Results Consciousness of occupational protectiof of emergency nurses was (84.9 ±7.6), those over 80 points of them was 84 (77.1 % ). Compared with senior nurses and nurses, the score of supervisor nurses was higher ( P 0. 05 ). The score in those with longer working years inemergency care was higher than the shorter ones (P 0. 05 ). Conclusions Emergency nurses have a higher consciousness of occupational protection, however, there are still some weakness. So we should attach the importance the nurses in a high technical title, strengthen the exchange of work experiences among emergency nurses, and arranging training for other departments' nurses to the Emergency Department, to raise their own quality and protection consciousness. Key words: Emergency nurses; Occupational protection; Consciousness; Investigation

Investigation of current situation of vocational protection of nurses in emergency department

目的 了解急诊科护士的职业防护意识,职业防护知识掌握情况.方法 采用便利抽样方法,对三级甲等医院急诊科的96例护士应用自行设计的急诊科护士职业防护调查问卷进行职业防护知识和意识的调查,对相关资料数据应用SPSS 11.5软件进行统计学分析.结果 急诊科护士在职业防护知识方面掌握较好,职业防护意识总体较强.不同职称、学历、有无子女状况及工作年限的急诊护士在职业防护知识方面和职业防护意识方面差异无统计学意义(P>0.05).结论 应进一步加强系统的职业安全教育,认真落实医院感染管理工作制度,建立和健全护理人员职业防护的保障制度,合理分配护理人力资源,是维护护理人员的职业安全的根本保证。

Influence of health education on cognition and behavior of occupational protection for nurses in op-eration room

Objective To explore the influence of health education on the cognition and behavior of oc-cupational protection for nurses in operation room. Methods 85 nurses in operation rooms from 2 compre-hensive hospitals were selected with random clustering methods, baseline surveys and health education about the cognition and behavior of occupational protection were carded out in them. Results The awareness rate of occupational protection knowledge after health education was higher than that before it. The behavior of occupa-tional protection was better than that of before health education. Conclusions Health education can advance cognition and ability of occupational protection, then can prevent occupational risks effectively. Key words: Operating room; Nurse; Health education; Occupational prevention

Burden of blowing the whistle is lightened

The article discusses the legal protection for nurses who report poor practice. The qualifications for protected disclosures identified by the Public Interest Disclosure Act in Great Britain are listed. They require that disclosures be made in good faith and that the whistleblower comply with procedures set up by the employer.