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ANALISIS YURIDIS TINDAKAN INVASIF OLEH PERAWAT PADA PRAKTIK KEPERAWATAN MANDIRI ARIS PRIO AGUS SANTOSO; Musta'in Musta'in; Endrat Kartiko Utomo; Aknes Galih Sumirat
Jurnal Delima Harapan Vol 9 No 1 (2022)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v9i1.149

Abstract

Pasal 1 Permenkes No. 290/Menkes/Per/III/2008 menyebutkan bahwa tindakan invasif adalah suatu tindakan medis yang diakui sebagai kewenangan dari dokter. Fakta di lapangan masih terdapat perawat yang melakukan tindakan invasif tanpa adanya pengawasan dari dokter, padahal kewenangan melaksanakan tindakan medis hanya diperoleh apabila ada pelimpahan wewenang dari dokter. Di sinilah terjadi terjadinya tumpang tindih mengenai tugas dan wewenang perawat yang melakukan tindakan invasif pada praktik keperawatan mandiri. Perumusan masalah dalam penelitian ini adalah mengetahui kewenangan dan perlindungan hukum bagi perawat yang melakukan tindakan invasif pada praktik mandiri. Metode penelitian ini menggunakan pendekatan yuridis normatif-sosiologis dengan pengumpulan data primer dan sekunder. Data primer diperoleh dari kajian kepustakaan dan juga perundang-undangan atau statuta aproach, dan data sekunder diperoleh dengan teknik purposive sampling. Tipe desain dalam penelitian ini adalah Descriptive Design. Data yang diperoleh selanjutnya dianalisis secara kualitatif. Hasil penelitian menunjukan bahwa perawat yang telah memiliki ijazah profesi, SIPP dan juga sertifikat kompetensi memiliki kewenangan melakukan tindakan invasif. Kewenangan yang lahir merupakan keadaan overmacht sehingga menimbulkan kewenangan atributif dari hukum perikatan. Kewenangan tersebut diperbolehkan selama dilakukan sesuai dengan Standar. Perlindungan hukum diberikan kepada perawat secara preventif yakni dengan melakukan pembinaan dan pengawasan oleh dinas kesehatan dan juga organisasi profesi PPNI meskipun belum ada Peraturan Daerah yang mengatur tentang tindakan tersebut.
The Effect of Diet Hypertension on the Event of Hypertension in the Elderly Musta'in Musta'in; Carlos Filipe da Costa Nunes; Tri Yuniarti; Lestari Eko Darwati
Proceedings of the International Conference on Nursing and Health Sciences Vol 3 No 1 (2022): January-June 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v3i1.1135

Abstract

Hypertension diet is one way to treat hypertension without serious effects, because of its natural control method. It's just that many people consider a hypertension diet to be troublesome and unpleasant (Purwati, 1997). Hypertension is a condition where the systolic blood pressure exceeds 140 mmHg and diastolic exceeds 90 mmHg, the normal number of blood pressure is systolic pressure 120 mmHg and diastolic 80 mmHg occurs at the age < 60 years. In the elderly population, hypertension is defined as a systolic pressure of 160 mmHg and a diastolic pressure of 90 mmHg. Currently, the mortality rate due to hypertension in Indonesia is very high. The prevalence rate of hypertension in Indonesia based on riskesdas (basic health research) 2018 reached 34.1 percent of the population. Hypertension is divided into 2, namely essential hypertension and secondary hypertension. The cause of hypertension in the elderly is due to changes in the valve; the heart valves thicken and become stiff, the heart's ability to pump blood decreases by 1% every year after the age of 20, so contractions and volume also decrease. Clinical manifestations of hypertensive patients include: Complaining of headache, dizziness, weakness, fatigue, restlessness, nausea and vomiting, epistaxis, decreased consciousness. Supporting examinations for hypertension include: laboratory examination, CT Scan, ECG, IUP, and chest photo. The purpose of this study was to determine the effect of dietary hypertension on the incidence of hypertension in the elderly in Manang Village, Grogol District, Sukoharjo Regency. This study used a cross-sectional study design. The sample of this study amounted to 30 elderly people. The instrument of this study used a questionnaire and measurement of hypertension using a sphygmomanometer and a stethoscope. The analytical method used is Person Chisquare. with a p value of 0.001 p < 0.05, with a Prevalence Ratio (PR) of 8.250. there is a significant effect between diet hypertension and The incidence of hypertension in the elderly in Manang Village, Grogol District, Sukoharjo Regency. where a good hypertension diet increased 8,250 times the bad hypertension diet compared to hypertension.