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All Journal Jurnal Keperawatan Profesional (KEPO) JUKEJ: Jurnal Kesehatan Jompa
Negoro, Widigdo Rekso
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Legal Authority and Protection for Anesthesia Practitioners Working Without Direct Anesthesiologist Supervision in Indonesian Hospitals Negoro, Widigdo Rekso
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2187

Abstract

This study analyzes the legal authority and protection of anesthesia practitioners (penata anestesi) who provide services in hospitals without direct supervision from anesthesiologists. The issue arises from the gap between legal norms and healthcare conditions in Indonesia, particularly the unequal distribution of anesthesiologists, which creates legal challenges for practitioners in underserved regions. This research aims to assess the alignment between existing legal frameworks and actual clinical practices and to propose regulatory adjustments that strengthen legal certainty and professional protection. Using a normative juridical approach with a descriptive-analytical method, the study reviews statutory regulations, legal doctrines, and relevant literature. Qualitative analysis was conducted to examine the relationship between legal provisions and the realities of anesthesia practice. The findings show that Minister of Health Regulation No. 18 of 2016 remains restrictive and does not accommodate the limited availability of anesthesiologists. In emergencies, anesthesia practitioners may perform tasks beyond their formal authority, exposing them to potential legal liabilities. The mismatch between legal norms and practical needs results in insufficient legal protection and uncertainty in practice. This study highlights the need for adaptive, competence-based, and patient-safety-oriented regulatory reform.
Surgical Procedures and Team Compliance with the Surgical Safety Checklist Budi Prasetyo, Agus; Negoro, Widigdo Rekso; Rodli, Muhammad; Sintara, Sindu; Permana, Annes Rindy
Jurnal Keperawatan Profesional (KEPO) Vol. 6 No. 2 (2025): Volume 6 Nomor 2 November 2025
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v6i2.1590

Abstract

Patient safety is a critical component of surgical procedures, with the Surgical Safety Checklist (SSC) playing a key role in minimizing medical errors. However, its implementation in healthcare settings continues to face challenges in medical team compliance. This study aimed to examine the relationship between the type of surgical procedure and the level of compliance of medical teams in implementing SSC. An analytic survey with a cross-sectional approach was conducted at a maternal and child specialty hospital in urban Yogyakarta. Data were collected through observation of 65 surgical procedures using a checklist based on the three SSC phases (sign-in, time-out, sign-out), and analyzed using the chi-square test. Results showed elective surgeries were more dominant (55,4%), with the majority of patients undergoing cesarean section (84,6%). A significant association was found between surgery type and compliance during the time-out (p-value = 0,004) and sign-out (p-value = 0,011) phases, but not during the sign-in phase (p-value = 0,195). Overall, only 27,7% of surgeries were performed with full SSC compliance. These findings indicate that surgical procedure type significantly influences SSC compliance, particularly in the time-out and sign-out phases, and underline the need for targeted system strengthening through structured training, standardized workflow integration, and continuous compliance monitoring to improve patient safety outcomes.
Co-Authors Budi Prasetyo, Agus Permana, Annes Rindy Rodli, Muhammad sintara, sindu