When White Heroes Need You as Their Heroes
A nurse, hero on white uniform, is often constrained for doing an ethical dilemma towards their professional values as a nurse. Not only does it have unspecific regulations for a nurse working in hospital, but also it somehow determines the health service provided in the hospital. Those concerns are basically examples of many reasons why profession as a nurse needs to have a legally binding regulation. Simply to say, they need a nursing act.
It has been twenty years since Indonesian nurses and nursing students consistently promoted the nursing bill, however, it has yet to be legalized. On October 15th 2012, a nationwide protest is formed under the name of Indonesia Nursing Student Association and all Indonesian nursing students. Bearing only one hope, “That we want these nursing bills to be legalized”. For the first time, nurses, professions that have always been in the hospital saving lives for 24/7, desperately need help. The main reason why nursing act should be legalized are as follow:
1. “The legality of nursing practices are protected; thus our people will be saved”
This notion recalls the case where nurses face ethical dilemma. Seeing from the perspective of professional value and the law, nurses are not eligible to give medication by themselves. It is stated in the health act in Indonesia that healthcare providers should not give intervention that is not based on their capabilities. Giving or prescribing medication is the capability that should only be done by doctor or pharmacist. However, in other article of one particular act (about healthcare providers), it is also said that healthcare providers are obliged to save lives in the urgent cases. There are nurses working in secluded area in Indonesia where, in fact, they do not have any healthcare providers that could provide medication. Their contributions towards the nation are helpful in overcoming health disparity. However, when an ethical dilemma strikes, these nurses will never be able to help people in need. In this regard, nursing act would be the best answer for nurses working in secluded so that they can always save people’s life without being afraid of ethical dilemma that can lead them to prison. Nursing act will be a form of government’s appreciation towards nurses as one of the healthcare professionals who are willing to proliferate even to rural areas in Indonesia. By doing this, Indonesia will ensure that there are these nurses who contribute themselves in giving more health access. In the end, nursing act will give people who are living in rural area assurance to access healthcare as one of their most fundamental rights: life.
2. “Nursing education will be empowered, higher quality on health service will be given, so higher health status will be achieved in Indonesia”
More than 50% interventions given in hospital are nursing services. Not to mention that nurse is the only healthcare providers that maintain patient’s health in 24/7. It shows that the better nurses work in hospital, the better health service is given. What this particular argument is trying to argue is that nowadays Indonesia has already had nurse specialist in surgical, pediatric, maternity, psychiatric, and community area. The people possessing that educational background are, unfortunately, not working as healthcare providers in hospital. Most of them work as lecturers, researchers, or even clinic owners. Nursing act will transfer them for nursing area in the hospital. Not to mention that nurses have unique intervention called “nursing diagnosis” which are popularized by North American Nursing Diagnosis Association (NANDA). The diagnosis will ensure patient’s response towards their own health problems, for example, elevated body temperature and body image disturbances. These problems can only be solved by nursing intervention. The current status quo in Indonesia is that nurses are discouraged to perform nursing interventions based on NANDA. By giving nursing interventions diagnosed in NANDA, nurses can directly overcome patient’s responses and this can bring an acceleration of patient’s wellness. Without this being implemented, patients will only rely on medication. Nursing act will not let this happen. The more immediate patients go home, the better. Nursing act will regulate hospitals to implement nursing interventions therefore all patients can gain benefits from the nursing act by receiving higher quality of interventions.
Those are the basic premises which have always been maintained by all nursing students and nurses when they’re asked about the nursing bills. The big question that has never been answered is basically one: to whom nursing bills are dedicated? The basic premises from those two arguments start with “nurse” and the syllogism will end in “people”. All legalized bills are beneficial for the whole society. Clearly, so do these bills. Why? Because this bills will encourage nurses to provide the best quality to nurture the whole world. The main actor who will receive the impact from this act will be nurse. Nurses will ultimately have to work harder after this bills is proposed. However, in the end, the benefits will provide all the needs of the people in accessing the best health care. Another thing is that if the society has already counted on nurses to take care of them 24/7 when they are sick in hospital, this time the white heroes themselves need us to participate, hope, and be critical so that Indonesia will have its own nursing act along side with other seven ASEAN member countries who have already adopted nursing act.
We do not want to discourage future and bright “white heroes”. We want them to keep protecting our nations by giving them easier access on their job. So that we need to protect their professional legality at the first place. This is the real support that has always been expected by our white heroes.
Reza Mardian is a stand out nursing student of Universitas Indonesia who always tries to do things differently. He is also active in English Debating Society Universitas Indonesia and UI Model United Nations Club in gaining more critical thinking and public speaking skills. Besides that, he is also known as a president of Badan Semi Otonom Penerbitan Ners UI, a nursing journalistic organization that he leads in his faculty.