Yulia Candra Lestari

Introduction: Acute Coronary Syndrome (ACS) is a cardiovascular disease that is one of the main causes of death worldwide. Nurse collaboration in Indonesia is still very complex and inadequate. Positive collaboration in providing care for patients with ACS is essential in the practice of nursing services. Objective: This study aims to explore the barriers in the implementation of nurses-physicians collaboration for the care of patient with ACS in Emergency Departments (EDs). Method: This research is a qualitative survey using purposive sampling. It was conducted on 16 nurses who worked in emergency departments from four general hospitals in East Java, Indonesia. Research data were collected using open-ended questions in semi-structured interviews. Results: There were three themes obtained from the data analysis, which include the difference of confidence between senior and junior nurses in ACS actions, limitations in performing professional nursing, and unclear job responsibilities. Conclusions: Collaboration of nurses and physicians in emergency departments still faces many problems. It is important to carry out interprofessional education initiations for nursing and medical students, apply peer-mentoring to increase the self-confidence of junior nurse, develop and train the clinical pathway of collaboration between physicians and nurses for the care of ACS patients in EDs.

Background Nurses play a role in providing nursing care for emergency patients with acute coronary syndrome. Emergency nurses have different challenges with nurses in another hospital room because they are required to master some competencies in handling the urgency cases. Method This research employed a qualitative research with the phenomenology design approach. Participants in this study involved 40 nurses working in the Emergency Units of Rural Hospital East Java-Indonesia. In this study, nurses shared their experience in improving their quality services in taking care of patients with ACS during in-depth semi-structured interviews. Result Based on the interviews with the participants, two major themes in the research were obtained. The first theme was the qualifications of emergency nurses was divided into three sub-themes i.e. the requirements, the care capabilities, and the ward management capabilities. The second theme was the nurse development for competence improvement, consisted of two sub-themes: continuing education and nursing service development. Conclusion The qualifications of emergency nurses in the treatment of patients with acute coronary syndrome included education and training, as well as experience, the care capabilities including nursing care components, and the ward management capabilities comprising planning, organizing, actuating, and evaluating. In addition, the nurse development for competence improvement which included continuing nursing education, as well as nursing service development were also the qualifications in the treatment of patients with ACS.

Background Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) has become a current worldwide and global pandemic among other communicable diseases. objective The purpose of this study is to clearly describe the requirements of the public health services in treating HIV/AIDS patients. Method This study is a qualitative phenomenological study with its subjects being 27 participants suffering from HIV/AIDS. Results People living with HIV/AIDS stated that they are desperately in need health education, early detection of diseases, HIV/AIDS examinations before marriage, free medication, special health services, and social support for the peer group and their families. Conclusions Management of HIV/AIDS patients is expected to change, to become a more facilitating and amiable system for patients, centering on the needs of attentive and friendly health practitioners, health insurance for patients, and affordable public health services.