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All Journal JURNAL PENDIDIKAN TAMBUSAI Science Midwifery
Widyastuti, Melita
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Dentistry Health Professions Nursing Public Health Social Sciences Veterinary

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Perlindungan Hukum terhadap Tenaga Kesehatan dalam Pemberian Mandat Pelayanan Kesehatan di RSUD dr Soeroto Ngawi Widyastuti, Melita; Yuswanti, Yuswanti; Roeswandi, RM Achmad; Astuti, Sri Ayu
Jurnal Pendidikan Tambusai Vol. 9 No. 2 (2025): Agustus
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v9i2.27185

Abstract

Penelitian ini bertujuan untuk mengkaji bentuk pemberian mandat pelayanan kesehatan terhadap tenaga kesehatan, mengidentifikasi permasalahan hukum yang berpotensi timbul dari praktik tersebut, serta merumuskan bentuk perlindungan hukum yang ideal bagi tenaga kesehatan di RSUD dr. Soeroto Ngawi. Hasil penelitian menunjukkan bahwa pemberian mandat pelayanan kesehatan kepada tenaga kesehatan di RSUD dr. Soeroto Ngawi masih dilakukan secara lisan tanpa adanya dasar hukum tertulis yang sah. Kondisi ini menimbulkan kekhawatiran terkait tanggung jawab dan perlindungan hukum terhadap tenaga medis. Permasalahan hukum yang berpotensi timbul mencakup ketidakjelasan otoritas, pelanggaran prosedur, hingga potensi kriminalisasi tenaga medis saat terjadi kesalahan medis. Hal ini menggambarkan lemahnya sistem manajerial dalam menjamin keamanan hukum tenaga kesehatan. Dalam rangka memberikan perlindungan hukum yang ideal, diperlukan kebijakan internal yang menetapkan mekanisme pemberian mandat secara tertulis, sah, dan dapat dipertanggungjawabkan. Dengan demikian, kebijakan tersebut dapat memberikan kepastian hukum serta rasa aman dalam menjalankan tugas tenaga kesehatan. Penelitian ini menggunakan pendekatan kualitatif deskriptif dengan teknik pengumpulan data melalui wawancara dan observasi. Analisis data dilakukan menggunakan model Miles dan Huberman yang terdiri dari tiga tahap: reduksi data, penyajian data, dan penarikan kesimpulan.
Hybrid mediator panel: A legal pluralism framework for resolving medical disputes under the Indonesian health law Witri, Repelita; Widyastuti, Melita; Purwanto, Nanang Zuli; Putra, Marsudi Dedi; Kuntardjo, Carolina
Science Midwifery Vol 14 No 1 (2026): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i1.2319

Abstract

Background The transformation of medical-legal relationships from a paternalistic to a contractual model in Indonesia has triggered complex disputes that conventional, legalistic mechanisms often fail to resolve fairly. While Law No. 17 of 2023 mandates non-litigation resolution, the current mediation framework remains trapped in a state-centric paradigm that marginalizes professional ethics and social norms. Research Gap A critical research gap exists in the prevailing legal monism approach, which creates a "justice gap" by failing to synchronize the disciplinary reviews of Article 308 with criminal judicial processes, thereby leaving healthcare workers vulnerable to criminalization and patients without substantive restoration. Method This study employs a normative-prescriptive research method with a qualitative-synthetic conceptual development design to reconstruct the mediation function. Findings The findings introduce a "Hybrid Mediator Panel" and a "Multi-Layered Screening" mechanism as a functional reconfiguration of Article 310 of Law No. 17 of 2023. This model integrates state law, professional ethics (deontological), and living law (deliberation) into a single convergent system to ensure that settlement agreements are not only legally enforceable but also sociologically valid. Contribution This study provides a strategic blueprint for the Indonesian government to implement restorative justice in health law, ensuring legal certainty for medical professionals while simultaneously achieving holistic justice and therapeutic recovery for patients.
Legal liability of nurses in adverse events: A normative-empirical analysis of patient safety governance at RSUD dr. Soeroto Ngawi Widyastuti, Melita; Astuti, Sri Ayu; Ropii, Imam; Putra, Marsudi Dedi; Kuntardjo, Carolina
Science Midwifery Vol 14 No 1 (2026): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i1.2341

Abstract

Adverse events pose a serious threat to patient safety in hospitals. Data from RSUD Dr. Soeroto Ngawi reveal fluctuations in medical incident cases over 2021–2024 (n=354), with procedural and medication errors dominating patient safety reports. A critical research gap persists regarding inconsistent SOP implementation and a blame culture that suppresses transparent incident reporting — gaps unaddressed through an integrated legal-empirical lens. This study aims to analyze forms of nursing negligence, construct a legal accountability framework, and identify barriers and resolution efforts at a regional public hospital. An empirical legal approach was employed, combining case-based and statutory analysis. Data were collected through in-depth interviews with eight key informants, observation, and document review, then analyzed using descriptive qualitative methods with legal triangulation. Results indicate that nursing negligence primarily occurs in patient identification and clinical communication during handover. Nurses' accountability is manifested through immediate clinical responses, IKP system reporting, and root-cause investigations under Law No. 17 of 2023 on Health. Accountability nonetheless remains hindered by psychological barriers and structural workload imbalances. The scientific contribution of this study is the Dual-Layer Accountability Model, which proportionately assigns legal liability between individual professional conduct and institutional systemic failures — a framework absent from prior Indonesian health law scholarship. It is recommended that hospital management adopt a non-punitive just culture, digitize incident reporting, and strengthen clinical risk management training to ensure legal certainty for nurses while advancing patient safety.
Co-Authors Kuntardjo, Carolina Purwanto, Nanang Zuli Putra, Marsudi Dedi Roeswandi, RM Achmad ropii, imam Sri Ayu Astuti, Sri Ayu Witri, Repelita Yuswanti Yuswanti