WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dini Prastyo Wijayanti. BCN, Kumboyono Kumboyono, MN*, Titin Andri Wihastuti, PhD and Septi Dewi Rachmawati, MNg

ABSTRACT

Introduction: ACS (Acute Coronary Syndrome) cases have many deaths due to factor such as delayed treatment. Service needs to be integrated from primary, secondary and tertiary services that prioritize multidisciplinary cooperation. Collaboration is one of the main supporters that can improve the quality of care and cure of patients. Objective: The purpose of this study was to explore the challenges of collaboration between nurses and doctors on service of patients with acute coronary syndrome at emergency room in primary health care. Participants and Methods: This research used qualitative method with descriptive-phenomenological approach by using the process of analysis of Clark and Brown, 2013. that was done through in-depth interviews involving eight subjects of nurses working in the Emergency Department (ED) of Primary Health Care. Results: Two themes were successfully obtained, namely: 1) Team harmony in collaboration, 2) Dependence of nurses on doctors in service implementation. Conclusion: In collaboration of multidisciplinary teams (nurses and doctors) had their respective duties and authorities in which each member had the authority to make autonomous decisions. Keeping the ethics of each profession was a key in collaboration to avoid gap in collaborative practice. This study are expected to be considered as a consideration of efforts to improve the quality of collaboration, both in terms of nurse skills and collaboration process policies in the treatment of ACS patients in primary health care, Indonesia.

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