>> soalnya bisa di ambil di sini :) <<
Karena yang paling jelek nilainya adalah BSN 1 sesi 2, jadi tugasnya kerjakan lagi soal itu.
Jangan hanya jawaban saja tapi dengan penjelasannya untuk masing-masing soal.
jawaban di e-mail lagi ke bu dian (d_adiningsih@yahoo.com) paling lambat hari sabtu pukul 24.00 WIB.
Tugas individu, dilarang copy-paste, jawaban yang serupa tidak akan diberi nilai.
Contoh:
1. Pernyataan yang benar tentang proses inspirasi adalah :
a. Otot diafragma berelaksasi
b. Kubah diafragma akan naik
c. Jarak antara sternum dan tulang belakang makin luas
d. Tekanan dalam rongga toraks akan meningkat
e. Udara akan di dorong keluar
Jawaban: C
Pada proses inspirasi terjadi proses aktif, yang melibatkan penggunaan energi. Energi yang digunakan adalah upaya untuk membuat tekanan udara dalam paru menjadi lebih rendah dibandingkan dengan tekanan udara atmosfer.
Upaya tersebut dilakukan dengan beberapa cara yaitu:
1. mengkontraksikan otot m.diafragma sehingga bentuk menjadi cekung.
2. kontraksi m.interkostalis interna, jika perlu dibantu dengan kontraksi m.interkostalis eksterna, m.abdominalis, m.sternokleidosmatoideus.
.........dan selanjutnya (jangan lupa tulis buku referensi dan halamnnya)
Keperawatan UNPAD 2011
Faboulous Family
The Fabolous Family :D
Tuesday, 17 January 2012
Tuesday, 13 December 2011
Tugas BSN (paper bagi yg absennya < 80% )
Pertemuan ke....
1. metabolisme tubuh
2. fluida
3. biotermal
4. organela sel
5. genetika, replikasi DNA, biosintesis protein dalam sel
6. faktor yang memebgaruhi oksigenasi
7. keseimbangan energi
8. pengkajian dan diagnosis keperawatan respirasi
9. perubahan pada fungsi respirasi dan sirkulasi
10. metabolisme karbohidrat dan lemak
11. metabolisme protein, metabolisme nukleotida
12. Faktor yg mempengaruhi kebutuhan nutrisi, gangguan kebutuhan nutrisi
13. mutasi pd onkogenesis
14. siklus sel
15. Diet harian
16. pengkajian dan interupsi keperawatan pada diet harian.
catatan: pertemuan 9dan10 serta 13dan14 dijadikan 1 hari namun dianggap 2 pertemuan (bernilai 2 tanda tangan)
yang absen:
npm 7: pertemuan ke2, 13 dan 14
npm 16: pertemuan ke 8 dan 16
npm 23: pertemuan ke 13 dan 14
npm 41: pertemuan ke 8 dan 16
npm 45: pertemuan ke 13 dan 14
npm 68: pertemuan ke 13 dan 14
npm 81: pertemuan ke 8 dan 16
npm 86: pertemuan ke 6 dan 8
npm 95: pertemuan ke 13, 14 dan 15
npm 118: pertemuan ke 13, 14 dan 15
npm 126: pertemuan ke 13 dan 14
npm 134: pertemuan ke 13, 14 dan 15
npm 152: pertemuan ke 8 dan 16
npm 156: pertemuan ke 15 dan 16
1. metabolisme tubuh
2. fluida
3. biotermal
4. organela sel
5. genetika, replikasi DNA, biosintesis protein dalam sel
6. faktor yang memebgaruhi oksigenasi
7. keseimbangan energi
8. pengkajian dan diagnosis keperawatan respirasi
9. perubahan pada fungsi respirasi dan sirkulasi
10. metabolisme karbohidrat dan lemak
11. metabolisme protein, metabolisme nukleotida
12. Faktor yg mempengaruhi kebutuhan nutrisi, gangguan kebutuhan nutrisi
13. mutasi pd onkogenesis
14. siklus sel
15. Diet harian
16. pengkajian dan interupsi keperawatan pada diet harian.
catatan: pertemuan 9dan10 serta 13dan14 dijadikan 1 hari namun dianggap 2 pertemuan (bernilai 2 tanda tangan)
yang absen:
npm 7: pertemuan ke2, 13 dan 14
npm 16: pertemuan ke 8 dan 16
npm 23: pertemuan ke 13 dan 14
npm 41: pertemuan ke 8 dan 16
npm 45: pertemuan ke 13 dan 14
npm 68: pertemuan ke 13 dan 14
npm 81: pertemuan ke 8 dan 16
npm 86: pertemuan ke 6 dan 8
npm 95: pertemuan ke 13, 14 dan 15
npm 118: pertemuan ke 13, 14 dan 15
npm 126: pertemuan ke 13 dan 14
npm 134: pertemuan ke 13, 14 dan 15
npm 152: pertemuan ke 8 dan 16
npm 156: pertemuan ke 15 dan 16
Friday, 4 November 2011
Tugas BSN
teman... udah tau dan ngerti tentang tugas BSN yg dikasih kan? Bu Dian ngasih slide yang bisa menambah referensi untuk tugas tersebut. Maaf, baru memberitahu karena saya baru membuka e-mail. Slide tersebut bisa di unduh di sini, sini, dan di sini
silakan didownload masing-masing ya kawan. terima kasih dan tetap semangat!! :D
nb: bu Dian pesen, kalau kesulitan nyari referensi bisa pinjem ke beliau. Beliau ada di rshs hari Senin. Mungkin yg merasa rumahnya dekat mau meminjamkan untuk kita? hehehe
silakan didownload masing-masing ya kawan. terima kasih dan tetap semangat!! :D
nb: bu Dian pesen, kalau kesulitan nyari referensi bisa pinjem ke beliau. Beliau ada di rshs hari Senin. Mungkin yg merasa rumahnya dekat mau meminjamkan untuk kita? hehehe
Tugas Personality Development
temen fkep 2011...
ini penjelasan tugas personality development:
1. tugas analisis jurnal: masing-masing individu mencari jurnal yang berkaitan dengan personality development, judul bebas, kemudian di analisis.
cara menganalisis: kita beri kritikan dan saran pada setiap bagian-bagian yang ada di jurnalnya, pada umumnya di jurnal itu ada: abstrak, pendahuluan yang isinya latar belakang,tujuan penelitian, manfaat penelitian, metode penelitian, hasil dan pembahasan penelitian, nah yang itu semua kita analisis, beri komentar temen-temen, gmana mengenai yang diteliti tersebut. truss..terakhir temen2 kasih kelebihan dan kekurangannya. analisis jurnalnya diketik, tidak perlu di kasih kata pengantar, langsung aja analisisnya, misal: analisis jurnal management waktu, trus lngsung enter,trus abstrak. menurut saya abstrak yang dipaparkan peneliti ini...................
gitu aja..:), semoga ngerti ya..
2. tugas bikin blog: untuk blog dibikin di wordpress, weblog wajib memuat:
A.foto mahasiswa,logo unpad, logo fakultas keperawatan, foto dosen mata kuliah(foto ibunya menyusul).
B.alamat weblog wajib di link dengan website unpad atau fik (untuk prosedurnya menyusul, yg pnting bikin aja blognya dulu ya..:)).
C.penilaian meliputi: kemudahan mencari weblog melalui search engine, isi materi fokus, tampilan asesoris dan desain, referensi yang digunakan dan jumlahnya, foto dan gambar, originalitas, ketepatan waktu (maksudnya tepat waktu mengumpulkannya), dan identitas peserta (nama pnjang, nama panggilan, ttl, agama, kewarganegaraan,status, alamat rumah dan kost, nmr hp, email, fb, hobi, motto).
3. prosedur pengumpulan tugas: temen2.. untuk tugas jurnalnya di kirim ke alamat email: darulmuaqaamah.jannah@gmail.com, tolong dikirimkan dalam bentuk file dengan nama filenya NAMA dan NPM temen2 masing2, mengirimnya disertai jurnal asli dan untuk cover analisis jurnalnya: judul jurnal, logo unpad, nama dan NPM, fakultas keperawatan universitas padjadjaran 2011.
sekian penjelasannya, jika ada yang mau ditanyakan,sms aja ke:085376195787 (ipad).
temen2....tetap semangat yaa...:) mkasih atas perhatiannya, semoga bermanfaat..:)
ini penjelasan tugas personality development:
1. tugas analisis jurnal: masing-masing individu mencari jurnal yang berkaitan dengan personality development, judul bebas, kemudian di analisis.
cara menganalisis: kita beri kritikan dan saran pada setiap bagian-bagian yang ada di jurnalnya, pada umumnya di jurnal itu ada: abstrak, pendahuluan yang isinya latar belakang,tujuan penelitian, manfaat penelitian, metode penelitian, hasil dan pembahasan penelitian, nah yang itu semua kita analisis, beri komentar temen-temen, gmana mengenai yang diteliti tersebut. truss..terakhir temen2 kasih kelebihan dan kekurangannya. analisis jurnalnya diketik, tidak perlu di kasih kata pengantar, langsung aja analisisnya, misal: analisis jurnal management waktu, trus lngsung enter,trus abstrak. menurut saya abstrak yang dipaparkan peneliti ini...................
gitu aja..:), semoga ngerti ya..
2. tugas bikin blog: untuk blog dibikin di wordpress, weblog wajib memuat:
A.foto mahasiswa,logo unpad, logo fakultas keperawatan, foto dosen mata kuliah(foto ibunya menyusul).
B.alamat weblog wajib di link dengan website unpad atau fik (untuk prosedurnya menyusul, yg pnting bikin aja blognya dulu ya..:)).
C.penilaian meliputi: kemudahan mencari weblog melalui search engine, isi materi fokus, tampilan asesoris dan desain, referensi yang digunakan dan jumlahnya, foto dan gambar, originalitas, ketepatan waktu (maksudnya tepat waktu mengumpulkannya), dan identitas peserta (nama pnjang, nama panggilan, ttl, agama, kewarganegaraan,status, alamat rumah dan kost, nmr hp, email, fb, hobi, motto).
3. prosedur pengumpulan tugas: temen2.. untuk tugas jurnalnya di kirim ke alamat email: darulmuaqaamah.jannah@gmail.com, tolong dikirimkan dalam bentuk file dengan nama filenya NAMA dan NPM temen2 masing2, mengirimnya disertai jurnal asli dan untuk cover analisis jurnalnya: judul jurnal, logo unpad, nama dan NPM, fakultas keperawatan universitas padjadjaran 2011.
sekian penjelasannya, jika ada yang mau ditanyakan,sms aja ke:085376195787 (ipad).
temen2....tetap semangat yaa...:) mkasih atas perhatiannya, semoga bermanfaat..:)
Friday, 7 October 2011
BASIC CONCEPTS OF NURSING, NURSING CONCEPTS AND TRENDS
Nursing as an integral part of health services, in determining determines the quality of health services. Nursing personnel dominate the overall number of existing health personnel, in which nursing provides a unique contribution to the form of health care as an integral relative, sustained, coordinated and advocate. Nursing as a profession emphasizes the form of professional services in accordance with the standards by observing the rules of ethics and morals so that services provided can be accepted by the community well.
A. History of Nursing
Nursing as an occupation has existed since humans exist on this earth, nursing continues to evolve in accordance with the progress of technological civilization and culture. The concept of nursing through the ages continues to grow, here is the development of nursing in the world:
1. Mother instinct
The work of nursing has been around since man was created, there is nursing as an instinct (instinct). Every human being on this stage to use his mind to maintain reasonable health, less stimulus, caring for children, feeding children and the behavior of many other behaviors.
2. Animism
Humans at this stage have a belief that sickness is caused by the ghosts / spirits that exist in humans who have died or are living in humans or in nature (large rocks, trees, mountains, rivers, fire, etc.). To seek healing or care for a sick man then be expelled evil spirits, the shaman to seek the healing process by trying to seek knowledge about the spirit of something that affects the health of the sick. Once considered a capability, the shaman seeks to cast spells by using or medicines derived from nature.
3. Nursing disease caused by the anger of the gods
At this stage, humans already have a belief about the existence of gods, humans who are sick due to anger the gods. To help the healing of the sick performed the worship of the gods in the temple (the temple), thus it can be said that the temple is a place of health care.
4. Physician
Begin to develop possible since the ± 14 century BC, the period has been known for splinting techniques, general hygiene, and human anatomy.
5. Deaconess and Philanthropic
Evolving from ± 400 BC, the deaconess providing care services provided from house to house, their job is to help pastors provide services to the community and in this period is the forerunner of the development of public health nursing science. Philander is a group on retreat from the bustle of the world, where they constitute the core staff who provide services at the health center (RS) at the time.
6. The development of Islamic medicine
In the year 632 AD, the religion of Islam through the Prophet Muhammad SAW and his followers spread Islam to all corners of the world. In addition to spreading religious teachings, he also spread the knowledge about the behavior and treatment of disease (medicine).
7. Educated nurses (600 - 1583)
At this time of nursing education began to emerge, in which the program produces educated nurses. Nursing education begins at the Lion Hotel Dien and France which later developed into the largest hospital there. Initially educated nurses were selected from the followers of the religion in which their labor is conjunct the treatment of post-war activities of the cross. Nurses are well-known figure at the time (1182 - 1226) it was St. Fransiscas of Assisi Italy.
8. Professional Nurses (age 18-19)
Increasingly rapid developments in science this century, including medicine and nursing. Florence Nightingale (1820-1910) was an instrumental figure in the development of nursing science, he founded the modern nursing school in 1960 at St. Thomas in London. See the development of nursing in the world with his progress from the most classic stage up to the creation of a professional nursing staff and recognized by the international community can certainly be a reflection for the development of nursing in Indonesia.
Following developments in the world of nursing, nursing in Indonesia also continues to grow, while its development is as follows:
1. As well as the development of nursing in the world, in Indonesia in the first care services are still based on instinct, and then evolved into the flow of animism, and the wise men of religion.
2. Carers for the sick (POS / zieken oppasser)
Since the entry of Vereenigge Oost Indische Compagine in Indonesia began to set up hospitals, Binnen Hospital is the first hospital, founded in 1799, health workers serving the surgeons, nurses drawn from son. Nurse jobs at the time it was not generous or intellectual work, but that only a decent job done by the soldiers who served on the Company. Duties of nurses at the time it is cooking and cleaning (domestic work), controlled patient, keeping the patient in order not to run / patient psychiatric disorders.
3. Vocational nursing models (age 19)
Development of non-formal nursing education, education provided through vocational training model and combined with job training.
4. Curative nursing model (1920)
Comprehensive treatment services for the community performed by nurses as immunization / vaccination, and treatment of sexually transmitted diseases.
5. Semi-professional nursing
Demands the need for health services (nursing) is qualified by the public, making the nursing staff encouraged to increase their knowledge and skills in the field of nursing. Education-basic nursing education with a system of apprenticeship for 4 years for primary school graduates began to appear.
6. Preventive nursing
Government considers the need for hygiene and sanitation and education in prevention and outbreak control efforts, the government also realized that the only curative measures have minimal impact to the community and is only intended for those who are sick. In 1937 the school was established in Purwokerto hygiene orderlies, education is focused on the health care environment and is not a treatment.
7. Towards a professional nursing
Indonesia since independence (1945) real growth began with the establishment of nursing school nurse regulator (SPR) and midwife school in a large hospital which aims to support health services in hospitals. Education for those graduates that for junior plus education for 3 years, besides that it also established a school for teachers of nurses and midwives to become teachers in the SPR. The development of nursing organizations increasingly evident with the establishment of Indonesian National Nurses Association in 1974.
8. Professional nursing
Through a national workshop with the cooperation between MOEC nursing RI, MOH and the DPP PPNI, set definitions, tasks, functions and competence of professional nurses in Indonesia. Inspired by the results of the workshop was then founded the academy of nursing, then followed by the establishment PSIK FK-UI (1985) and later also established post-graduate program (1999).
B. Definition of Nursing
In 1983 a national workshop agreed the following definition of nursing, nursing is a professional service which is an integral part of health care based on knowledge and tips nursing, bio-psycho-shaped service of a comprehensive socio-spiritual, addressed to individuals, groups and communities both sick and healthy which includes the whole process of human life. Florence Nightingale (1895) defines nursing as follows: place the patient nature of nursing is the best condition for nature and its contents to act. Calilista Roy (1976) defines nursing is oriented to the scientific definition of nursing practice that has a bunch of know-how to provide services to clients.
From some of the definitions above can be concluded that the efforts to provide nursing services / care that is humanistic and professional, holistic and tips based on science, the standard of service to adhere to the code of ethics that underlie professional nurses independently or through collaborative effort.
C. Definition Nurses
Definition of nurses according to the law of Indonesia. No. 23 year 1992 on health care, nurses are those who have the ability and authority to act on his knowledge of nursing obtained through nursing education.
Tyalor C Lillis C Lemone (1989) defines a nurse is someone who plays a role in caring or nurturing, helping to protect a person because of illness, injury and aging process.
The definition of nurses by ICN (International Council of nursing) in 1965, a nurse is someone who has completed a nursing education are eligible as well as authorities in the country concerned to provide nursing services yan responsible for improving health, disease prevention and patient care hospital.
D. Nursing Trends
After 2000, the world's nations, especially Indonesia entered an era of globalization, in 2003 the era of the start of the ASEAN free market where a lot of professionals out there and get into the country. At the time it started happening a transition / shift patterns of community life where traditional patterns of community life turns into an advanced society. Circumstances that cause various effects on particular aspects of community life in the form of better health aspects urbanization problems, pollution, accidents, in addition to the increasing incidence of classic disease associated with infection, malnutrition, and lack of healthy housing for the residents. Shifting patterns in family values and life expectancy is increasing also pose health problems associated with the elderly as well as degenerative diseases.
In societies toward modern, there is increased opportunity to increase higher education, higher income and increased public awareness of the law and make society more critically. Conditions that affect the health service where people are critical and require quality services provided by health professionals. This situation implies that health workers, especially nursing can meet global standards in providing international health care / nursing, professional ability, intellectual ability and technique and sensitive to the social aspects of culture, has extensive knowledge and mastering science and technology development.
However, efforts to create a professional nurse in Indonesia is still not encouraging, many factors that could cause the low rate of professional nursing roles, including:
1. Delay in recognition of professional nursing body of knowledge. S1 nursing education in 1985 was first opened in the UI, whereas in western countries in 1869.
2. Delays in the development of professional nurse education.
3. Delay in nursing care system., (Standard, form of nursing practice, licensing)
Recognizing the role of the nursing profession is still low in the health world will negatively affect the quality of health services for the achievement of health goals "health for all by 2010", then the solution must be implemented is:
1. Development of nursing education.
Higher education system is crucial in the development of nursing care professionals, nursing technology development, professional development and continuing nursing education. Academy of Nursing is a nursing education that produces professional in the field of nursing care. Until now this level is still laid out in terms of teaching human resources, land practices and educational facilities and supporting infrastructure.
2. Strengthening the system of professional care services
Department of Health is currently preparing to registration, licensing and certification of nursing practice. Besides all of the application of professional nursing practice model in delivering nursing care must be done to ensure the satisfaction of consumer / client.
3. Completion of nursing organizations.
Nursing professional organizations require a rapid and dynamic change and the ability to accommodate each individual's interests to the interests of the organization and integrating it into a series of activities that can be felt. Restructuring the nursing organization is the right choice in order to create an independent professional organization and able to support its members through performance of quality assurance efforts and hope for the future a better and improved.
Nurse's commitment to provide quality nursing services either independently or through a path of collaboration with other health professionals is essential in the realization of professional nursing services. Values underlying professional nursing practice can be grouped into:
1. The value of intellectual
Practice intellectual value in nursing consists of
a. Body of Knowledge
b. Education specialization (continued)
c. Using knowledge in thinking critically and creatively.
2. Commitment to moral values
The nursing care given to the concept of altruistic, and pay attention to ethical codes of nursing. According to Beauchamp & Walters (1989) professional services to the community requires integrity, moral commitment and ethical responsibility.
Aspects which should be the foundation of moral behavior is a nurse:
a. Beneficence
always seek a decision made based on the desire to do the best and not detrimental to the client. (Johnstone, 1994)
b. Fair
Not discriminate clients based on religion, race, social culture, economic situation and so on, but treat clients as individuals who need assistance with the uniqueness.
c. Fidelity
Behaving caring (caring, compassion, feeling of wanting to help), always trying to keep his promises, give the proper expectations, moral commitment and attention to spiritual needs of clients.
3. Autonomy, control and accountability
Autonomy is the freedom and authority to act independently. The right of autonomy refers to self-control life, which means that nurses have control over their functions. Autonomy involves self-reliance, willingness to take risks and responsibility and accountability to his actions as a regulator and determinant itself as well as yourself.
Full regulation or directive has implications toward something or someone. For the nursing profession, there must be authority to control the practice, assign roles, functions and responsibilities of members of the profession.
Accountability means that nurses are responsible for any act done on the client.
A. History of Nursing
Nursing as an occupation has existed since humans exist on this earth, nursing continues to evolve in accordance with the progress of technological civilization and culture. The concept of nursing through the ages continues to grow, here is the development of nursing in the world:
1. Mother instinct
The work of nursing has been around since man was created, there is nursing as an instinct (instinct). Every human being on this stage to use his mind to maintain reasonable health, less stimulus, caring for children, feeding children and the behavior of many other behaviors.
2. Animism
Humans at this stage have a belief that sickness is caused by the ghosts / spirits that exist in humans who have died or are living in humans or in nature (large rocks, trees, mountains, rivers, fire, etc.). To seek healing or care for a sick man then be expelled evil spirits, the shaman to seek the healing process by trying to seek knowledge about the spirit of something that affects the health of the sick. Once considered a capability, the shaman seeks to cast spells by using or medicines derived from nature.
3. Nursing disease caused by the anger of the gods
At this stage, humans already have a belief about the existence of gods, humans who are sick due to anger the gods. To help the healing of the sick performed the worship of the gods in the temple (the temple), thus it can be said that the temple is a place of health care.
4. Physician
Begin to develop possible since the ± 14 century BC, the period has been known for splinting techniques, general hygiene, and human anatomy.
5. Deaconess and Philanthropic
Evolving from ± 400 BC, the deaconess providing care services provided from house to house, their job is to help pastors provide services to the community and in this period is the forerunner of the development of public health nursing science. Philander is a group on retreat from the bustle of the world, where they constitute the core staff who provide services at the health center (RS) at the time.
6. The development of Islamic medicine
In the year 632 AD, the religion of Islam through the Prophet Muhammad SAW and his followers spread Islam to all corners of the world. In addition to spreading religious teachings, he also spread the knowledge about the behavior and treatment of disease (medicine).
7. Educated nurses (600 - 1583)
At this time of nursing education began to emerge, in which the program produces educated nurses. Nursing education begins at the Lion Hotel Dien and France which later developed into the largest hospital there. Initially educated nurses were selected from the followers of the religion in which their labor is conjunct the treatment of post-war activities of the cross. Nurses are well-known figure at the time (1182 - 1226) it was St. Fransiscas of Assisi Italy.
8. Professional Nurses (age 18-19)
Increasingly rapid developments in science this century, including medicine and nursing. Florence Nightingale (1820-1910) was an instrumental figure in the development of nursing science, he founded the modern nursing school in 1960 at St. Thomas in London. See the development of nursing in the world with his progress from the most classic stage up to the creation of a professional nursing staff and recognized by the international community can certainly be a reflection for the development of nursing in Indonesia.
Following developments in the world of nursing, nursing in Indonesia also continues to grow, while its development is as follows:
1. As well as the development of nursing in the world, in Indonesia in the first care services are still based on instinct, and then evolved into the flow of animism, and the wise men of religion.
2. Carers for the sick (POS / zieken oppasser)
Since the entry of Vereenigge Oost Indische Compagine in Indonesia began to set up hospitals, Binnen Hospital is the first hospital, founded in 1799, health workers serving the surgeons, nurses drawn from son. Nurse jobs at the time it was not generous or intellectual work, but that only a decent job done by the soldiers who served on the Company. Duties of nurses at the time it is cooking and cleaning (domestic work), controlled patient, keeping the patient in order not to run / patient psychiatric disorders.
3. Vocational nursing models (age 19)
Development of non-formal nursing education, education provided through vocational training model and combined with job training.
4. Curative nursing model (1920)
Comprehensive treatment services for the community performed by nurses as immunization / vaccination, and treatment of sexually transmitted diseases.
5. Semi-professional nursing
Demands the need for health services (nursing) is qualified by the public, making the nursing staff encouraged to increase their knowledge and skills in the field of nursing. Education-basic nursing education with a system of apprenticeship for 4 years for primary school graduates began to appear.
6. Preventive nursing
Government considers the need for hygiene and sanitation and education in prevention and outbreak control efforts, the government also realized that the only curative measures have minimal impact to the community and is only intended for those who are sick. In 1937 the school was established in Purwokerto hygiene orderlies, education is focused on the health care environment and is not a treatment.
7. Towards a professional nursing
Indonesia since independence (1945) real growth began with the establishment of nursing school nurse regulator (SPR) and midwife school in a large hospital which aims to support health services in hospitals. Education for those graduates that for junior plus education for 3 years, besides that it also established a school for teachers of nurses and midwives to become teachers in the SPR. The development of nursing organizations increasingly evident with the establishment of Indonesian National Nurses Association in 1974.
8. Professional nursing
Through a national workshop with the cooperation between MOEC nursing RI, MOH and the DPP PPNI, set definitions, tasks, functions and competence of professional nurses in Indonesia. Inspired by the results of the workshop was then founded the academy of nursing, then followed by the establishment PSIK FK-UI (1985) and later also established post-graduate program (1999).
B. Definition of Nursing
In 1983 a national workshop agreed the following definition of nursing, nursing is a professional service which is an integral part of health care based on knowledge and tips nursing, bio-psycho-shaped service of a comprehensive socio-spiritual, addressed to individuals, groups and communities both sick and healthy which includes the whole process of human life. Florence Nightingale (1895) defines nursing as follows: place the patient nature of nursing is the best condition for nature and its contents to act. Calilista Roy (1976) defines nursing is oriented to the scientific definition of nursing practice that has a bunch of know-how to provide services to clients.
From some of the definitions above can be concluded that the efforts to provide nursing services / care that is humanistic and professional, holistic and tips based on science, the standard of service to adhere to the code of ethics that underlie professional nurses independently or through collaborative effort.
C. Definition Nurses
Definition of nurses according to the law of Indonesia. No. 23 year 1992 on health care, nurses are those who have the ability and authority to act on his knowledge of nursing obtained through nursing education.
Tyalor C Lillis C Lemone (1989) defines a nurse is someone who plays a role in caring or nurturing, helping to protect a person because of illness, injury and aging process.
The definition of nurses by ICN (International Council of nursing) in 1965, a nurse is someone who has completed a nursing education are eligible as well as authorities in the country concerned to provide nursing services yan responsible for improving health, disease prevention and patient care hospital.
D. Nursing Trends
After 2000, the world's nations, especially Indonesia entered an era of globalization, in 2003 the era of the start of the ASEAN free market where a lot of professionals out there and get into the country. At the time it started happening a transition / shift patterns of community life where traditional patterns of community life turns into an advanced society. Circumstances that cause various effects on particular aspects of community life in the form of better health aspects urbanization problems, pollution, accidents, in addition to the increasing incidence of classic disease associated with infection, malnutrition, and lack of healthy housing for the residents. Shifting patterns in family values and life expectancy is increasing also pose health problems associated with the elderly as well as degenerative diseases.
In societies toward modern, there is increased opportunity to increase higher education, higher income and increased public awareness of the law and make society more critically. Conditions that affect the health service where people are critical and require quality services provided by health professionals. This situation implies that health workers, especially nursing can meet global standards in providing international health care / nursing, professional ability, intellectual ability and technique and sensitive to the social aspects of culture, has extensive knowledge and mastering science and technology development.
However, efforts to create a professional nurse in Indonesia is still not encouraging, many factors that could cause the low rate of professional nursing roles, including:
1. Delay in recognition of professional nursing body of knowledge. S1 nursing education in 1985 was first opened in the UI, whereas in western countries in 1869.
2. Delays in the development of professional nurse education.
3. Delay in nursing care system., (Standard, form of nursing practice, licensing)
Recognizing the role of the nursing profession is still low in the health world will negatively affect the quality of health services for the achievement of health goals "health for all by 2010", then the solution must be implemented is:
1. Development of nursing education.
Higher education system is crucial in the development of nursing care professionals, nursing technology development, professional development and continuing nursing education. Academy of Nursing is a nursing education that produces professional in the field of nursing care. Until now this level is still laid out in terms of teaching human resources, land practices and educational facilities and supporting infrastructure.
2. Strengthening the system of professional care services
Department of Health is currently preparing to registration, licensing and certification of nursing practice. Besides all of the application of professional nursing practice model in delivering nursing care must be done to ensure the satisfaction of consumer / client.
3. Completion of nursing organizations.
Nursing professional organizations require a rapid and dynamic change and the ability to accommodate each individual's interests to the interests of the organization and integrating it into a series of activities that can be felt. Restructuring the nursing organization is the right choice in order to create an independent professional organization and able to support its members through performance of quality assurance efforts and hope for the future a better and improved.
Nurse's commitment to provide quality nursing services either independently or through a path of collaboration with other health professionals is essential in the realization of professional nursing services. Values underlying professional nursing practice can be grouped into:
1. The value of intellectual
Practice intellectual value in nursing consists of
a. Body of Knowledge
b. Education specialization (continued)
c. Using knowledge in thinking critically and creatively.
2. Commitment to moral values
The nursing care given to the concept of altruistic, and pay attention to ethical codes of nursing. According to Beauchamp & Walters (1989) professional services to the community requires integrity, moral commitment and ethical responsibility.
Aspects which should be the foundation of moral behavior is a nurse:
a. Beneficence
always seek a decision made based on the desire to do the best and not detrimental to the client. (Johnstone, 1994)
b. Fair
Not discriminate clients based on religion, race, social culture, economic situation and so on, but treat clients as individuals who need assistance with the uniqueness.
c. Fidelity
Behaving caring (caring, compassion, feeling of wanting to help), always trying to keep his promises, give the proper expectations, moral commitment and attention to spiritual needs of clients.
3. Autonomy, control and accountability
Autonomy is the freedom and authority to act independently. The right of autonomy refers to self-control life, which means that nurses have control over their functions. Autonomy involves self-reliance, willingness to take risks and responsibility and accountability to his actions as a regulator and determinant itself as well as yourself.
Full regulation or directive has implications toward something or someone. For the nursing profession, there must be authority to control the practice, assign roles, functions and responsibilities of members of the profession.
Accountability means that nurses are responsible for any act done on the client.
Nurses Caring Attitude
Quality of nursing care provided by nurses can be achieved when nurses can demonstrate an attitude of "caring" to the client. In providing care, nurses use the expertise, the words of a gentle, touch, provide hope, always stands beside the client, and the attitude of "caring" as a medium of carer (Curruth, Steele, Moffet, Rehmeyer, Cooper, & Burroughs, 1999) . The nurses can be asked to care for, but they can not be ordered to provide care by using the spirit of "caring".
Spirit of "caring" should be grown from within the nurses and nurses came from the deepest heart.Spritit "caring" is not only showing what is done perawata which is a physical act, but also reflects who he is. Therefore, each nurse can show you how that was when providing care to clients.
"Caring" is the knowledge of humanity, the core of nursing practice that is ethical and philosophical."Caring" is not merely behavior. "Caring" is a way that has meaning and motivate action (Marriner-Tomey, 1994). "Caring" is also defined as an action that aims to provide physical care and emotional look while increasing safety and the safety of the client (Carruth et al, 1999).
This attitude is given by honesty, trust, and goodwill. Behavior of "caring" to help clients enhance the positive changes in physical, psychological, spiritual, and social. Believed to be "caring" for clients and work together with clients from different environments is the essence of nursing.
Watson emphasized the attitude of "caring" should be reflected ten curative factors namely:
- The establishment of the humanistic and altruistic value system. Nurses develop a sense of satisfaction for being able to give something to the client. In addition, nurses also showed Traffic ourselves by providing health education to the client.
- Provide confidence - hope by facilitating and improving the holistic nursing care. In addition, nurses improve client behavior in seeking health pertolngan.
- Growing sensitifan against self and others. Nurses learn to appreciate the sensitivities and feelings to the client, so that he himself may become more sensitive, pure, and be fair to others.
- To develop a trusting relationship. Nurses provide information honestly, and show empathy with the feeling that what is experienced by the client.
- Promote and accept the expression of positive and negative feelings the client. The nurse gave her time to listen to all complaints and feelings of the client.
- The use of systematic methods for decision making penyalesaian problem. Nurses use the nursing process as a method of thinking and approach to client care.
- Improved interpersonal learning and teaching, providing care independently, setting personal needs, and provide opportunities for personal growth of clients.
- Creating an environment of physical, mental, sociocultural, and spiritual support. Nurses need to recognize the environment affects the internal and external clients on the health condition of client's illness.
- Give guidance in satisfying the needs manisiawi.Nurses need to recognize the need for comprehensive self and client. Meeting the needs of the most basic need to accomplished before switching to the next level.
- Allow a pressure that is fenomologis for self growth and maturity of the client's life can be achieved.Sometimes clients need someone faced with the experience / thoughts that are profokatif. The goal is to enhance a deeper understanding about themselves.
Spirit of "caring" should be grown from within the nurses and nurses came from the deepest heart.Spritit "caring" is not only showing what is done perawata which is a physical act, but also reflects who he is. Therefore, each nurse can show you how that was when providing care to clients.
"Caring" is the knowledge of humanity, the core of nursing practice that is ethical and philosophical."Caring" is not merely behavior. "Caring" is a way that has meaning and motivate action (Marriner-Tomey, 1994). "Caring" is also defined as an action that aims to provide physical care and emotional look while increasing safety and the safety of the client (Carruth et al, 1999).
This attitude is given by honesty, trust, and goodwill. Behavior of "caring" to help clients enhance the positive changes in physical, psychological, spiritual, and social. Believed to be "caring" for clients and work together with clients from different environments is the essence of nursing.
Watson emphasized the attitude of "caring" should be reflected ten curative factors namely:
- The establishment of the humanistic and altruistic value system. Nurses develop a sense of satisfaction for being able to give something to the client. In addition, nurses also showed Traffic ourselves by providing health education to the client.
- Provide confidence - hope by facilitating and improving the holistic nursing care. In addition, nurses improve client behavior in seeking health pertolngan.
- Growing sensitifan against self and others. Nurses learn to appreciate the sensitivities and feelings to the client, so that he himself may become more sensitive, pure, and be fair to others.
- To develop a trusting relationship. Nurses provide information honestly, and show empathy with the feeling that what is experienced by the client.
- Promote and accept the expression of positive and negative feelings the client. The nurse gave her time to listen to all complaints and feelings of the client.
- The use of systematic methods for decision making penyalesaian problem. Nurses use the nursing process as a method of thinking and approach to client care.
- Improved interpersonal learning and teaching, providing care independently, setting personal needs, and provide opportunities for personal growth of clients.
- Creating an environment of physical, mental, sociocultural, and spiritual support. Nurses need to recognize the environment affects the internal and external clients on the health condition of client's illness.
- Give guidance in satisfying the needs manisiawi.Nurses need to recognize the need for comprehensive self and client. Meeting the needs of the most basic need to accomplished before switching to the next level.
- Allow a pressure that is fenomologis for self growth and maturity of the client's life can be achieved.Sometimes clients need someone faced with the experience / thoughts that are profokatif. The goal is to enhance a deeper understanding about themselves.
Future Nurses Abroad Very Good
Needs of Professional Nurses (Registered Nurse) in the World 2020. Nurse manpower needs in developed countries such as America, Canada, Europe, Australia, Japan and the Middle East jumped dramatically since 1980. It is estimated that energy demand in the U.S. in 1980 about 200,000 nurses, and this demand will soar to 500,000 nurse Ditahun 2020 to support the needs of health care in America. For all developed countries over the need for nurses is estimated to reach 1 million nurses by 2020 (Atienza, 2004).
Two main causes of the increasing need for nurses is the aging population of developed countries, first because of the increasing age of the health care needs will also increase, which means increasing needs of Nurses. Second, the declining supply of nurses developed countries because the developed countries younger generation prefers to wrestle the world of business, IT or communications and are not interested to become a nurse again. Other causes of the increasing need for nursing personnel is a natural disaster / riots that occurred in several places in the world, such as the bombing at the World Trade Center bombing in Saudi Arabia, Tsunami, Katrina, and all the riots / of this disaster will increase the need for nursing personnel .
Nursing needs are met by nurses from developing countries who have nursing personnel in accordance with world standards. Three main sources are from the world of nursing tenaqga Phillippine, India and China. Indonesia as the country with the world's fourth largest population, the nursing staff should be able to export in accordance with the needs of the world above.
Why can not we send the nursing staff with world standards above? Nurse Indonesia has so far not able to compete with Philippine nurses and India, because of English as a medium of communication in the country of destination. English is measured by the value of Test IELTS (International English Language Testing System) with Overall value is 6.5. IELTS test consists of four components: a. Hearing (30 minutes), b) Reading (60 minutes), c) Writing (60 minutes), and d) Speaking (15 minutes). In Indonesia IELTS tests are conducted in IDP Education Australia on the road Kuningan Jakarta, and the British Council in Jakarta.
The second factor is the International Nursing Certification. Nurses standards in the world is a graduate of the University who holds a Bachelor of Science in Nursing (BSN), and has a Certification RN (Registered Nurse). Nurse RN from India, Malaysia will be recognized certification by the Commonwealth negara2 because standard nursing education has been made equal with international standards. Likewise Phillippine nurse, so they pass their BSN RN took in Philippine Certification that is recognized by the international community. English is not a problem for them, for their daily use English as their second language.
Indonesia has just developed a Bachelor of Nursing program since 5 years ago, and in its education programs separate the Graduate Nursing Education Program (4 years) where graduates hold SKP (Bachelor of Nursing). After graduating from the SKP take Professions Nursing Education Program (1.5 years) who graduate degree nurses. The problem, degree SKP and nurses are only applicable in Indonesia, and is not recognized internationally.
To measure the competence of nurses are graduates of different countries, the United States make the Competency Standards of Nursing by NCLEX-RN Exam (National Council License Examination - Registered Nurse). This exam is for Asia is still done in Hong Kong. This test is to measure the competence of nurses whether they have the knowledge and skills to work at the Hospital in Developed Countries.
In order for our Nurses are able to pass the IELTS with a value of 6.5 and pass the NCLEX-RN exam, we must do several things:
a) Upgrading of professional nurse education standards to conform with International Nurses,
b) Upgrading of clinical skills training nurses to be able to work at International Hospital, and
c) Sending nurses to the Developed Countries in need.
Two main causes of the increasing need for nurses is the aging population of developed countries, first because of the increasing age of the health care needs will also increase, which means increasing needs of Nurses. Second, the declining supply of nurses developed countries because the developed countries younger generation prefers to wrestle the world of business, IT or communications and are not interested to become a nurse again. Other causes of the increasing need for nursing personnel is a natural disaster / riots that occurred in several places in the world, such as the bombing at the World Trade Center bombing in Saudi Arabia, Tsunami, Katrina, and all the riots / of this disaster will increase the need for nursing personnel .
Nursing needs are met by nurses from developing countries who have nursing personnel in accordance with world standards. Three main sources are from the world of nursing tenaqga Phillippine, India and China. Indonesia as the country with the world's fourth largest population, the nursing staff should be able to export in accordance with the needs of the world above.
Why can not we send the nursing staff with world standards above? Nurse Indonesia has so far not able to compete with Philippine nurses and India, because of English as a medium of communication in the country of destination. English is measured by the value of Test IELTS (International English Language Testing System) with Overall value is 6.5. IELTS test consists of four components: a. Hearing (30 minutes), b) Reading (60 minutes), c) Writing (60 minutes), and d) Speaking (15 minutes). In Indonesia IELTS tests are conducted in IDP Education Australia on the road Kuningan Jakarta, and the British Council in Jakarta.
The second factor is the International Nursing Certification. Nurses standards in the world is a graduate of the University who holds a Bachelor of Science in Nursing (BSN), and has a Certification RN (Registered Nurse). Nurse RN from India, Malaysia will be recognized certification by the Commonwealth negara2 because standard nursing education has been made equal with international standards. Likewise Phillippine nurse, so they pass their BSN RN took in Philippine Certification that is recognized by the international community. English is not a problem for them, for their daily use English as their second language.
Indonesia has just developed a Bachelor of Nursing program since 5 years ago, and in its education programs separate the Graduate Nursing Education Program (4 years) where graduates hold SKP (Bachelor of Nursing). After graduating from the SKP take Professions Nursing Education Program (1.5 years) who graduate degree nurses. The problem, degree SKP and nurses are only applicable in Indonesia, and is not recognized internationally.
To measure the competence of nurses are graduates of different countries, the United States make the Competency Standards of Nursing by NCLEX-RN Exam (National Council License Examination - Registered Nurse). This exam is for Asia is still done in Hong Kong. This test is to measure the competence of nurses whether they have the knowledge and skills to work at the Hospital in Developed Countries.
In order for our Nurses are able to pass the IELTS with a value of 6.5 and pass the NCLEX-RN exam, we must do several things:
a) Upgrading of professional nurse education standards to conform with International Nurses,
b) Upgrading of clinical skills training nurses to be able to work at International Hospital, and
c) Sending nurses to the Developed Countries in need.
Subscribe to:
Comments (Atom)