Primary Care Nurse Practitioner Role Extending; "A Necessity In Indosesia Health Care System Dedy Purwito
Community Nursing Department, School of Nursing, Health Science Faculty, University Muhammadiyah of Purwokerto
Abstract
Extend the nursing roles are complex, based on rising demand of health care, pressure to constrain costs, poor access to services and medical human resource shortage. The nurse has been able to practice most freely where there is a shortage of medical practitioners. The clarity, role of nurse, strength in nursing focus, and support from PC management and physicians are required for prescriptive authority to be fully enacted.
Purpose; to explore the nature of PC in term of PC nurse practitioner (NP) role.
Using critical ethnographic, thirteen primary participants (PC staff), and twenty-three secondary participants (PC stakeholder) were selected considering the PC and health care services knowledgeable.
An open-ended interview, unstructured type of question from guided interviews were conducted to verify detailed information. Interview guidelines are based on the context of the nature of PC. Data were generated via taped interviews, participant observation, and photographs. Transcripts and field notes were analyzed qualitatively yielding categories, domains, cultural themes, and a descriptive matrix.
Three themes were identified; 1) meet the need for extend; 2) discomfort versus requirement and 3) capacity development. Role of PC NP should continue to be developed locally so that local consistency in practice is achieved. The practice development never really ends, it is a dynamic process, and change to practice are continuously evaluated and re-evaluated.
Keywords: Primary Care, Nurse Role, Nurse Practitioner
