ENGLISH IN NURSING

The Different Of Nursing Between Canada and Indonesia

Groups XI : Rosa Devita S.S. Rafika Nurmalasari Astrilia Diah Kartikasari Lisca Candra Lurita Nurul Hikmatul Qowi Hemilda Firdiana Yustifa (130915009) (130915010) (130915011) (130915012) (130915013) (130915014)

Prama Dharma Rangga B.A. (130915043) Gandris Priambodo Triadi Rekso P. (130915070) (130915102)

NURSING FACULTY AIRLANGGA UNIVERSITY 2009

1. Why is nursing scope of practice a key concern? Because nurse must involved basic needs of human, so for involve that basic needs of human nurse have many role, there are nurse as coordinator, collabolator, care giver, educator, counselor, interpersonal process, change agent, consultan, and nurse as patient advocate. There are many example of nursing scope: a. give caring to individual, family, and community for solve health problem. b. give caring in the health instrumental. c. give a curing with instruction from doctor 2. What is nursing regulation and scope of practice? a. Indonesia Indonesia have many regulation about nursing practice. There are UU No. 23 Th 1992 about health, PP No. 32 Th 1996 About healthty worker and KepMenKes No. 1239 Th 2001 about registrasi and nursing practice. There are licence of nursing such as SIP, SIK and SIPP. b. Canada Since there are three different types of nursing in Canada a scope of practice statement becomes important in differentiating the roles and responsibilities of the various types of nursing practice. In Canada nursing laws regulate the profession in the public interest so nursing programs must be approved by the nursing regulatory body before their graduates are eligible to write the Canadian Registered Nurse Exam or the Canadian Registered Practical Nurse Exam.

As a requirement for recognition or approval by the regulatory nursing organizations, nursing education programs must prove that their program prepares graduates to practice within the defined nursing scope of practice. Here is an example of the scope of practice description for the three different types of nursing in the province of British Columbia. This is taken from the specific regulation for each type of nursing under the Health Professions Act in BC. Registered Registered Nurse Psychiatric Nurse

Licensed

Practical

Nurse

(currently under review)

A registrant may provide such nursing services as are The registered nurse may practice "nursing". It the registered consistent with his or her training.

defines specific "restricted activities" registrant that may the perform

psychiatric nurse may practice

The regulation also sets certain limits and conditions on nursing practice such that the LPN practices under supervision of a registered nurse or the direction of a medical practitioner.

"psychiatric nursing".

independently and "under an order"

In all provinces the scope of practice of a licensed practical nurse is wholly contained within the scope of practice of a registered nurse. In other words the LPN (or RNA - registered nursing assistant) in Canada practices nursing under the legal definition of nursing but works under a narrower

scope of practice than the registered nurse. There is nothing in the scope of practice of an LPN that is outside of the scope of the registered nurse 3. What is the issue of nursing practice? a. Indonesia In Indonesia, nurses do not yet receive the recognition of other health professionals. In the eyes of the public, nurses are the ""servants of the doctor"", or ""the arms of the doctor"". Regardless of the prevalent perception, Indonesian nurses have been developing themselves in order to be accepted as professional healthcare givers. They are striving to improve their competence and quality of patient care. One of their efforts is to draft the Indonesian Nursing Regulation. Globalization has stimulated Indonesian nurses to raise their standards. When the health sector is open to the global market, the impact will reach the country's nurses. While globalization carries potential benefits, it poses an imminent danger, driven by economic motives, for the nursing sector. Nurses are well aware that while market-led expansion may enhance efficiency, it may not impact equity. This is because the benefits of competitive markets are often unequally distributed in the health field. The global market may provide healthcare givers opportunities to develop innovative and cutting-edge services and new jobs. Others, however, may find that the demands for the healthcare market and competition, as well as unsettled national labor problems, will give rise to employment vulnerability, reduce publicly funded services and lower the public's access to healthcare services. Marshall (1999) says that WTO rules are biased against developing countries; and that trade interests are put before environmental concerns. WTO supporters argue that international trade agreements boost free trade, cut costs, create jobs

and warrant a free flow of goods, services and ideas, all of which are ultimately beneficial to the development of countries. As a result, an even greater inequity may be created for vulnerable groups, including the nursing sector. They find themselves unprepared and unable to compete in an increasingly competitive global labor market, and unable to access basic healthcare services. The consequences of health inequity take many forms. There may be an increased susceptibility to infectious diseases, and/or diseases resulting from malnutrition, especially among children, psychiatric disorders and propensity for violence. Women are often disproportionately affected due to their vulnerability in child-bearing and child-rearing years. Children may be exploited by demand for cheap labor and the need to raise family income, often working in conditions that are harmful to health and normal growth and development. The Indonesian government has set a target of seeing all nurses hold Diploma III certificates in nursing by 2015. Meanwhile our neighbor the Philippines has set a bachelor's degree as the minimum educational background for its nurses since 1974. How can Indonesian nurses compete with their counterparts in other countries in this global trade? The global trends and demands in the nursing practice call for nursing professionalism, which a draft law on the nursing practice aims to promote. The bill is already on the table at the House of Representatives. The draft orders the creation of a Nursing Council which will draw up implementing regulations and approve nursing licenses. The funding for the body's operation would come from taxpayer money. Professionalism in the nursing sector requires a huge effort and sacrifices from the nurses themselves. This professionalism is measured by the quality of nursing care.

On the other hand, the bill may scare people away with the nurse's ""professional fee"". Overregulation can also adversely affect the nurses, who may be worried about taking medical steps due to fears of malpractice allegations. There are some possible solutions to minimize the negative effects from the enforcement of nursing legislation. The implementation of a nursing law must be accompanied by publication of its preparatory work to allow the public at large to understand the process and the spirit of the bill. Such understanding is all that law enforcement institutions and judges need to establish before dealing with violations of the nursing practice law. Judges in particular must be aware of which acts are classified as crimes and which are violations of ethics. Hopefully, preparation and familiarization of the draft with the public will enable improvement of the bill. Finally, the public will relish quality nursing care and nurses will find a favorable environment that supports and nurtures their career. b. Canada For students who are exploring career paths, the field of nursing in Canada, offers many opportunities. There is a nursing shortage in North America . The issue is so critical that the Canadian and governments are implementing plans to encourage new nurses into the field, and support existing staff in hopes of keeping them satisfied with there positions. Health Canada considers the nursing shortage of 1999 critically severe, due to the fact the need for nursing could not be met immediately and possibly in the future. A study by Linda Aiken, nursing professor at the University of Pennsylvania, reveals that when a nurse take on four patients over the recommended four patients, for a total of eight patients, each patients risk of death increases by 31

percent. To prevent such a disaster as the 1999 shortage from happening again, Health Canada issued a nursing strategy with suggestions for improvement such as higher enrolment into nursing schools, adequate placements available for clinical experience, education and specialization of existing employees to increase competency and improved management strategies. This plan is one solution to fall back on, but because of the aging population and workforce, the shortage of nurses in Canada looms as an obstacle, which only a new workforce can alleviate. The only action which can be taken when nurses are scarce as the health-care systems now exist in Canada is for hospitals to transfer patients to a facility which can accommodate their needs. For a long-term solution to this shortage, more students need to enroll into nursing schools, and these schools must accept more students to make a dent in the demand for health-care professionals in the future. Vancouver Career College's pracital nursing program prepares graduates to provide nursing care in collaboration with other healthcare professionals. With the development of competencies necessary for a Practical Nurse as outlined by the College of Licensed Practical Nurses of British Columbia, the program curriculum and practicum prepares the students with the skills needed to care for selected clients in medical, surgical or rehabilitation wards of acute care hospitals. Graduates may also gain employment in the long-term care settings, group homes, public schools, special care units (e.g., Alzheimer units) and home care. The Nursing Arts courses and the 3 Practicum courses give students ample opportunity to put theory into practice.

By the end of the preceptorship component, students will have learned to provide holistic nursing interventions to patients, with all the relevant clinical experience to meet professional practice competencies and standards

NASKAH VIDEO KOMUNIKASI PERAWAT DENGAN PERAWAT

KELOMPOK XI Rosa Devita S.S. Rafika Nurmalasari Astrilia Diah Kartikasari Lisca Candra Lurita Nurul Hikmatul Qowi Hemilda Firdiana Yustifa (130915009) (130915010) (130915011) (130915012) (130915013) (130915014)

Prama Dharma Rangga B.A. (130915043) Triadi Rekso P. (130915102)

FAKULTAS KEPERAWATAN

UNIVERSITAS AIRLANGGA 2009