Effectiveness of The Implementation of The K3 Program as A Form of Legal Protection for Nursing Personnel at The Tanjung Enim Community Health Center
DOI:
https://doi.org/10.15575/jis.v5i4.58592Keywords:
legal protection, nurses, community health centers, legal effectivenessAbstract
Nurses working in primary healthcare facilities face a high risk of occupational accidents and occupational diseases. These risks not only impact the nurses' physical and mental health but can also affect their professional responsibilities and legal standing. In this context, occupational health and safety (OHS) programs play a strategic role, not merely as a technical effort to control workplace hazards but also as an instrument of legal protection for nursing staff in carrying out their duties. This study aims to assess the effectiveness of the OHS program implementation as a form of legal protection for nurses at the Tanjung Enim Community Health Center, referring to Minister of Health Regulation Number 52 of 2018. The method used is a normative-empirical legal approach, which combines analysis of statutory provisions with empirical findings in the field. Empirical data were obtained through documentation studies and in-depth interviews with three nurses and the Head of the Community Health Center. The research analysis is based on the theory of legal effectiveness and legal protection theory to assess the conformity between norms and practices. The research results indicate that preventive legal protection measures are available, including the provision of personal protective equipment (PPE), the implementation of standard operating procedures (SOPs), the implementation of occupational health and safety (K3) training, and regular health checks. However, their implementation has not been consistent and optimal. Meanwhile, repressive legal protection measures have been regulated, but the reporting and documentation mechanisms for work-related incidents still lack clear and systematic standards. Therefore, the implementation of the K3 program at the Tanjung Enim Community Health Center is considered ineffective in ensuring legal certainty and providing a sense of security for nurses in carrying out their profession.
References
Arifin, A., & Pratama, R. A. (2025). Pelindungan Hukum Terhadap Penerapan Prosedur Keselamatan dan Kesehatan Kerja pada Pekerja PT. Sagatrade Murni Kota Samarinda [Legal Protection for the Implementation of Occupational Safety and Health Procedures for Workers at PT. Sagatrade Murni, Samarin. Indonesian Journal of Criminal Law and Criminology (IJCLC), 6(1), 1–9. https://doi.org/10.18196/ijclc.v6i1.24325 [In Indonesian]
Asbar, M., & Wijaya, A. (2021). Perlindungan Kesehatan dan Keselamatan Kerja Terhadap Pekerja Perspektif Maslahat [Occupational Health and Safety Protection for Workers from a Public Interest Perspective]. Shautuna: Jurnal Ilmiah Mahasiswa Perbandingan Mazhab Dan Hukum. https://doi.org/10.24252/shautuna.v2i2.18456 [In Indonesian]
Ayutama, K. R., Subekti, R., & Raharjo, P. S. (2025). Implementasi Perlindungan Hukum Keselamatan dan Kesehatan Kerja Terhadap Pekerja/Buruh di PT Sinar Semesta [Implementation of Occupational Safety and Health Legal Protection for Workers/Laborers at PT Sinar Semesta]. Majelis: Jurnal Hukum Indonesia, 2(2), 11–23. https://doi.org/10.62383/majelis.v2i2.619 [In Indonesian]
Bertoli, P., & Grembi, V. (2021). Territorial differences in access to prenatal care and health at birth. Health Policy, 125(8), 1092–1099. https://doi.org/10.1016/j.healthpol.2021.05.006
Bintartho, A., Nasser, M., & Sutrisno. (2025). Legal Analysis of Legal Protection for Doctors in Reporting Patient Safety Incidents to Improve the Quality of Health Services. KRTHA BHAYANGKARA, 19(2), 445–459. https://doi.org/10.31599/krtha.v19i2.3868
Boynuegri, S., Ozer, S., Peksoy, I., Açikalin, A., Tuna, E., Dursun, E., & Eryilmaz, A. (2016). Rhinoscintigraphic analysis of nasal mucociliary function in patients with Bell’s palsy. Nigerian Journal of Clinical Practice, 19(3), 359. https://doi.org/10.4103/1119-3077.179287
Breloff, S. P., Dutta, A., Dai, F., Sinsel, E. W., Warren, C. M., Ning, X., & Wu, J. Z. (2019). Assessing work-related risk factors for musculoskeletal knee disorders in construction roofing tasks. Applied Ergonomics, 81, 102901. https://doi.org/10.1016/j.apergo.2019.102901
Bruin, Y. B. de, Lequarre, A.-S., McCourt, J., Clevestig, P., Pigazzani, F., Zare Jeddi, M., Colosio, C., & Goulart, M. (2020). Initial impacts of global risk mitigation measures taken during the combatting of the COVID-19 pandemic. Safety Science, 128, 104773. https://doi.org/10.1016/j.ssci.2020.104773
Budiono, N. D. pasca, Inayah, Z., & Ekawati, R. (2026). Aspects of Legal Protection of Health Workers Regarding Occupational Safety and Health (K3) in Hospitals. Journal of Public Health Science Research (JPHSR), 6(2). https://doi.org/10.30587/jphsr.v6i2.11304
Choi, E. (2017). Health Inequalities Among Korean Employees. Safety and Health at Work, 8(4), 371–377. https://doi.org/10.1016/j.shaw.2017.03.002
Febryaningsih, S. (2023). Perlindungan Hukum Terhadap Keselamatan dan Kesehatan Tenaga Kesehatan Akibat Pandemi Covid 19 [Legal Protection for the Safety and Health of Healthcare Workers Due to the Covid-19 Pandemic]. Jurnal Hukum, Politik Dan Ilmu Sosial, 1(1), 29–42. https://doi.org/10.55606/jhpis.v1i1.1706 [In Indonesian]
Hadjon, P. M. (2020). Perlindungan Hukum bagi Rakyat di Indonesia [Legal Protection for the People in Indonesia]. In Cet. Revisi. PT Bina Ilmu, Surabaya.
Ilham, M. R., Rumainur, & Yandy, E. T. (2024). Perlindungan Hukum Tenaga Kerja dalam Keselamatan dan Kesehatan Kerja Perspektif Undang-Undang Nomor 13 Tahun 2003 Tentang Ketenagakerjaan (Studi di Disnakertransgi DKI Provinsi Jakarta) [Legal Protection of Workers in Occupational Safety and Health from . YUSTISI, 11(2), 220–230. https://doi.org/10.32832/yustisi.v11i2.16677 [In Indonesian]
Kementerian Kesehatan Republik Indonesia. (2021). Profil Kesehatan Indonesia Tahun 2021 [Indonesia’s Health Profile 2021]. Kementerian Kesehatan RI.
Kohnen, D., De Witte, H., Schaufeli, W. B., Dello, S., Bruyneel, L., & Sermeus, W. (2023). What makes nurses flourish at work? How the perceived clinical work environment relates to nurse motivation and well-being: A cross-sectional study. International Journal of Nursing Studies, 148, 104567. https://doi.org/10.1016/j.ijnurstu.2023.104567
Li, Z., Han, C., Huang, H., Guo, Z., & Xu, F. (2020). Novel Coronavirus Pneumonia Treatment With Traditional Chinese Medicine: Response Philosophy in Another Culture. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00385
Mamudji, S., & Soekanto, S. (2019). Penelitian Hukum Empiris: Suatu Pengantar [Empirical Legal Research: An Introduction]. UI Press.
Moleong, L. J. (2002). Metodologi Penelitian Kualitatif. Lexy J. Moleong.
Nazeri, Hidayat, R., & Maza, R. El. (2024). Encouraging Community Empowerment and Local Economic Inde- pendence in Villages through Sustainable Economic Development Techniques. The Es Economics and Entrepreneurship, 3(02), 239–245. https://doi.org/10.58812/esee.v3i02
Penny P, U., Artadi, I., Sutrisno, E., & Hartini, M. I. (2021). Pemberdayaan Hukum Untuk Perlindungan Tenaga Kesehatan Pada Masa Pandemi Covid-19 [Legal Empowerment for the Protection of Health Workers During the Covid-19 Pandemic]. HERMENEUTIKA : Jurnal Ilmu Hukum, 5(2). https://doi.org/10.33603/hermeneutika.v5i2.5802 [In Indonesian]
Perkasa, M. J. (2021). Tanggung Jawab Rumah Sakit Terhadap Tenaga Medis Dalam Hal Keselamatan Dan Kesehatan Kerja Akibat Pelayanan Medis [Hospital Responsibilities to Medical Personnel in Terms of Occupational Safety and Health Due to Medical Services]. Yurispruden, 4(2), 113. https://doi.org/10.33474/yur.v4i2.8989 [In Indonesian]
Pickler, R. H., & Kearney, M. H. (2018). Publishing pragmatic trials. Nursing Outlook, 66(5), 464–469. https://doi.org/10.1016/j.outlook.2018.04.002
Putri, N. K., Wulandari, R. D., Syahansyah, R. J., & Grépin, K. A. (2021). Determinants of out-of-district health facility bypassing in East Java, Indonesia. International Health, 13(6), 545–554. https://doi.org/10.1093/inthealth/ihaa104
Rahmawati. (2023). Ulama Kampung dan Tradisi Keagamaan Pesisir Jawa Tengah [Village Ulama and Coastal Religious Traditions of Central Java]. Al-Daulah: Jurnal Kajian Politik Islam, 12(2), 88. https://doi.org/10.21580/ws.32.2.23455 [In Indonesian]
Ratnaningrum, A. Y., Maharani, O., & Yudiarto, D. A. (2024). Legal Protection for Health Workers against Occupational Safety and Health Standards in Hospital. Green Medical Journal, 6(2), 57–65. https://doi.org/10.33096/gmj.v6i2.186
Rayga, & Siregar, A. R. M. (2025). Kepastian Hukum dalam Penerapan Teknologi Kesehatan: Perlindungan Data Pasien dan Malpraktik [Legal Certainty in the Implementation of Health Technology: Patient Data Protection and Malpractice]. Politika Progresif : Jurnal Hukum, Politik Dan Humaniora, 2(1), 01–11. https://doi.org/10.62383/progres.v2i1.1230 [In Indonesian]
Rispler, C., & Luria, G. (2021). Employee experience and perceptions of an organizational road-safety intervention – A mixed-methods study. Safety Science, 134, 105089. https://doi.org/10.1016/j.ssci.2020.105089
Salimnia, H., Meyer, M. P., Mitchell, R., Fairfax, M. R., Gundel, A., Guru, N., & Chopra, T. (2021). A laboratory model demonstrating the protective effects of surgical masks, face shields, and a combination of both in a speaking simulation. American Journal of Infection Control, 49(4), 409–415. https://doi.org/10.1016/j.ajic.2021.01.012
Sugiyono. (2019). Metode Penelitian Kuantitatif, Kualitatif, dan R&D [Quantitative, Qualitative, and R&D Research Methods]. Alphabet.
Supinganto, H. A., Hadi, I., Rusiana, H. P., Istianah, H., Utami, R. A., & Rahmana, M. R. (2020). Praktik Manajemen Keperawatan: Teori dan Aplikasinya [Nursing Management Practice: Theory and Application]. Pantera Publishing.
Syafitri, I. (2021). Analisis Perlindungan Hukum TerhadapTenaga Kesehatan Atas Keselamatan dan Kesehatan Kerja di Masa Pandemi Covid-19 Di Indonesia [Analysis of Legal Protection for Health Workers Regarding Occupational Safety and Health during the Covid-19 Pandemic in Indon. Juripol, 4(2), 190–199. https://doi.org/10.33395/juripol.v4i2.11130 [In Indonesian]
Tang, D., Zhang, Y., & Bethel, B. J. (2020). A Comprehensive Evaluation of Carbon Emission Reduction Capability in the Yangtze River Economic Belt. International Journal of Environmental Research and Public Health, 17(2), 545. https://doi.org/10.3390/ijerph17020545
Tonkikh, O., Zisberg, A., & Shadmi, E. (2021). The role of nurse staffing in the performance of function-preserving processes during acute hospitalization: A cross-sectional study. International Journal of Nursing Studies, 121, 103999. https://doi.org/10.1016/j.ijnurstu.2021.103999
WHO. (2022). World Health Organization, Occupational Health: Health Workers. World Health Organization.
Wong, S.-C., Chen, J. .-K., Yuen, L. .-H., Chan, V. .-M., AuYeung, C. .-Y., Leung, S. .-M., So, S. .-C., Chan, B. .-K., Li, X., Leung, J. .-Y., Chung, P.-K., Chau, P.-H., Lung, D. C., Lo, J. .-C., Ma, E. .-K., Chen, H., Yuen, K.-Y., & Cheng, V. .-C. (2022). Air dispersal of meticillin-resistant Staphylococcus aureus in residential care homes for the elderly: implications for transmission during the COVID-19 pandemic. Journal of Hospital Infection, 123, 52–60. https://doi.org/10.1016/j.jhin.2022.02.012
Zahn, R. (2015). ‘Common Sense’ or a Threat to EU Integration? The Court, Economically Inactive EU Citizens and Social Benefits. Industrial Law Journal, 44(4), 573–585. https://doi.org/10.1093/indlaw/dwv031
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