WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dessy Rindiyanti Harista*, Dr., Titin Andri Wihastuti, Septi Dewi Rachmawati, Kumboyono Kumboyono

ABSTRACT

Introduction: Rural and remote areas generally have higher number of mortality and cardiac mordability case compared to urban areas. Nurses run an important function within the health care system in rural areas, in which they are required to provide health services for people across ages. Method: This research was conducted using a descriptive phenomenology design. There were 8 nurses in emergency units of rural hospitals in Pamekasan, East Java - Indonesia who participated as the samples of this research who were chosen through a purposive sampling technique based on an inclusive criterion: having at least 1 year experience working in emergency unit and taking care of patients with acute cardiac coronary syndrome. Results: There are two main themes which were pointed out from this study; nurses’ initiation in dealing with limited resources and the role of the Heads of ward in solving various obstacles. Nurses’ initiation in dealing with limited resources covers sub-themes including request for medical equipment and replacement of doctors in charge. Meanwhile, the role of the Heads of ward in solving various obstacles covers the procedure in summoning nurses who were off duty and reaching other parties when problems occur. Conclusion: Nurses of rural hospitals in Pamekasan have been known to have adequate initiation to deal with limited resources in performing their jobs. In addition, the role of hospital leaders in taking situational policy has been strong enough to improve the quality of health services.

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