PROFESSIONAL NURSING

CHAPTER I INTRODUCTION A. Problem Background Over time the profession of nursing is a profession that required to develop themselves to participate actively in the health care system. Many rights that must be done in order to become a nurse who has the quality of nursing personnel. Not just a nurse who has the rights of a patient but also has the rights to obtain the necessary needs of the patient. There are several types of rights required by a patient the right to choose / freedom, welfare rights, legislative rights. B. Problem formulation 1. Understanding Professional Challenges of Nursing and Patient Rights 2. Classification Challenges in Nursing 3. Kind - Type of Patient Rights 4. Conditions that Affect the Determination of the Rights of Patients 5. Patients Rights C. Purpose 1. Knowing the right understanding of the challenges of the profession and patients 2. Classification describes the challenges in nursing 3. Describes the type - the type of patients' rights 4. Knowing the conditions that affect the rights - the rights of patients 5. Outlines the rights - the rights of patients D. Restrictions Problem Because of concerns about the challenges of patient rights is extensive, so we only discuss the definition, classification, types, conditions, and patients rights.

CHAPTER II DISCUSSION A. Understanding Professional Challenges of Nursing and Patient Rights Challenges of the nursing profession is a profession that has been gaining recognition from other professions, are required to develop themselves to participate actively in the health care system so that its existence to receive recognition from the community. To achieve such recognition, the nurses still have to fight for measures of professionalism appropriate to the circumstances and social environment. Internal challenges of the nursing profession is to improve the quality of Human Resources (HR) of nursing staff has been agreed in line with nursing as a nursing profession at a national workshop in 1983, so that nursing is required to provide service that is professional. External challenges of the nursing profession is another profession's readiness to accept the new paradigm that we carry. Demands of one's rights is something that is personal needs in accordance with justice, morality and legality. Every human being has the inalienable right to do, express opinions, give something to others and receive something from someone else or some institution. The rights of patients and nurses, in principle, not apart with human rights or basic human rights again. Human rights are not unlimited and it is the duty of each state / government to determine the boundaries of freedom that can be held and protected by prioritizing the public interest. B. Classification Challenges in Nursing Classification of coverage challenges include: 1. A shift in the pattern of Indonesia a) Shifting patterns of agricultural society to industrial society and traditional society evolved into advanced communities. b) The shift pattern is the existence of health such as infectious diseases of poverty, diseases caused by malnutrition and unhealthy housing, presence of diseases or health disorders due to modern lifestyles. c) The movement of life expectancy also lead to health problems associated with elderly people as generative disease. 2. Development of science and technology Development of science and technology research and demanding specifications ability not only to utilize science and technology, but also to screen and ensure that science and technology in accordance with social and cultural needs of the people of Indonesia that will be adopted. Science and technology also have an impact on health care costs are higher and the choice of action. Prevention of health problems are more numerous and complex than it may decrease the number of days hospitalized. Decrease in the number of day care affects health care needs are more focused on quality not just quantity, and increasing demand for services / nursing care at home by engaging the client and his family. 2

3. Globalization in health care Globalization will affect the development of health services including nursing care that there are two, namely : a) Availability of alternative services b) Competition for the provision of services to attract users of the quality of their clients to provide the best health care services. 4. Demands of the nursing profession The belief that nursing is a profession must be accompanied by the realization of the fulfillment of the characteristics of nursing as a profession called a professional. C. Kind - Type of Patient Rights 1. The right to choose / freedom Namely the right of people to live according to his choice within the limits specified. Example: A female nurse who worked in the hospital can use the diiginkan uniform (right) provided the pure white color and politely in accordance with the limits. These limits is the policy of the hospital and a nurse established norms. 2. Welfare rights Namely the rights provided by law for the things that are specific safety standards within a certain atauwilayah building. Example: Patient's right to obtain nursing care, the right people get clean water, and others. 3. Right of legislative Namely the right to apply the law based on the concept of justice. Example: A woman has the legal right not to be unfairly treated by her husband. Bandman and Bandman (1986) states that the rights of legislators had 4 roles. In the community that is making the rules, changing rules, regulations limit the moral of that is not fair, giving the court's decision or resolve disputes. D. Conditions that Affect the Determination of the Patients Rights 1. Freedom to exercise selected by the other person, the person not being blamed or punished for using or not using this right. Example: Patients have a right to treatment determined by a physician, but he has the right to accept or refuse treatment. 2. A person has a duty to make it easy for others to use their rights. Example: Nurses have a duty to ensure and protect the rights paisen to get treatment. 3. Rights shall be in accordance with the principles of justice, namely equality, impartiality and honesty. 3

Example: All patients had an equal right to receive treatment and care. 4. Hak to be implemented. Example: In some Hospital, policy makers have a duty to ensure that the provision of human rights carried out for all patients. 5. If the right person is dangerous, then those rights can be excluded or denied and the person will be compensated or replacement. Example: If the name is delayed from the scheduled surgery patients with no deliberate, patient tertas compensated for deployment of the next surgery list (if there is a mistake) E. Patients Rights 1. Rights to give consent (approval) Consent means an act or acts unwarranted given without coercion by someone who has enough knowledge about the decision. He gave, which is legally the person is legally capable of giving consent. Consent is applied on the principle that every adult has the right to decide what to do about it. Criteria for a valid consent: a. Written b. Signed by the patient or the person in charge against him c. There is only one proper procedures done d. Meet some imorptant elements : an explanation of the conditions, procedures, and consequently, alternative treatment or procedure, expected benefits, jobs provided by adult patients who are physically and mentally capable of making decisions 2. The right to choose death Death decisions are made based on medical standards by a physician, one of the criteria of brain death is death or brain death. The right to choose death is often contrary to the right to keep alive. 3. Rights protection for people who are powerless What is meant by a powerless group of people here are people with mental disorders and children under the age of young people where they are legally unable to make decisions about their own fate, as well as old age group who have impaired thinking patterns and physical weakness. 4. Rights of patients in the study Research is often done by involving the patient. Any study such as the use of drugs or new ways of handling the melibakan patients should pay attention to aspects of patients' rights. Before the patient is involved, they should be given information to be clear about the experiments performed, dangers arising and freedom of patients to refuse or accept to participate. When nurses participate in research involving patients, the nurse must be sure that patients' rights are not violated either ethical or legal. For that nurses should understand the rights of patients: making their own decisions to participate, get complete information, stop participation without doubt, have privacy, free from danger or risk of injury, the conversation about the sources of private and protected the rights of people who do not care competent.

CHAPTER III CLOSING Conclusion The conclusion that the challenge of the nursing profession is a profession that has been gaining recognition from other professions, are required to develop themselves to participate actively in the health care system so that its existence to receive recognition from the community. The rights of patients and nurses, in principle, not apart with human rights or basic human rights again. Human rights are not unlimited and it is the duty of each state / government to determine the boundaries of freedom that can be held and protected by prioritizing the public interest. Suggestion His advice is to achieve such recognition, the nurses still have to fight for measures of professionalism appropriate to the circumstances and social environment.

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http://syehaceh.wordpress.com/2008/06/18/hak-pasien-dan-perawat/ http://spesialisbedah.com/2010/01/hak-hak-pasien/ http://stikeskabmalang.wordpress.com/2009/09/19/berbagai-tantangandalam-profesi-keperawatan/