NURSE’S EFFORTS TO TRANSFORM OF NURSE ROLES IN PRIMARY HEALTH CARE FROM PROMOTIVE TO CURATIVE IN MANAGING PATIENTS WITH ACS IN PRIMARY HEALTH CARE MALANG REGENCY, EAST JAVA, INDONESIA

Dini Prastyo Wijayanti • Kumboyono Kumboyono • Titin Andri Wihastuti • Septy Dewi Racmawati

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Abstract

Background: Acute Coronary Syndrome (ACS) is a sudden reduction disorder in the coronary bloodstream that is life-threatening and as a source of morbidity and mortality. Nurses n Primary Health Care have an important role for health problems in the community in a preventive, curative, and rehabilitation. This requires that the role nurses not only do promotive actions but also curative in handling patients with ACS. Purpose: The purpose of this study was to explore nurses in primary healt care had an important role to transform from promotive but also curative managing Patients with ACS in Primary Health Care. Methods: This research used qualitative method with descriptive-phenomenological approach by using the process of analysis of Clark and Brown, 2013. Results: Four themes were successfully obtained from 8 participants, namely: Efforts to improve quality, Harmony team in Collaboration, The Need for improving nurse quality, Multi-working of nurse with additional duty. Discussion: The implementation of emergency care services at the primary health care was based on the nurses' awareness of roles in providing holistic nursing care to patients with ACS related to prompt and appropriate relief in order to save the lives of patients. The role of nurses from the focus to the community was promotive but now requires nurses to have good skills in curative actions. Therefore, it is necessary to develop nurses' skills to continue to improve the service of patients with ACS in the primary health care so that they can become the first level of health services that are relied on by the community.

Key words: Nurses role, Acute Coronary Syndrome, Emergency Nursing, Primary Health Care.

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