Phenomenological Study: Nurses Experiences in Collaboration with Physician and Witch-doctors in Initial Management of Emergency Trauma Patient in Puskesmas of East Sumba Regency, East Nusa Tenggara, Indonesia

Introduction: Communities in the area of East Sumba in meeting its health is influenced by cultural traditions and handling of traditional treatment. The provision of health services at the community health center (Puskesmas) is often referred to health centers requires collaboration among health professionals. Medical collaboration process influenced by the culture and traditions of the people so do also the collaboration process traditionally by witch-doctors in the initial treatment of trauma patients in the Puskesmas. The aim of research to explore the nurses experience collaborate with doctors and witch-doctors in the initial handling emergency trauma patients at the Puskesmas East Sumba, East Nusa Tenggara. Method: The research method of qualitative research design using interpretive phenomenological approach. Participants totaled 7 nurse health center, taken by purposive sampling. Collecting data through semi-structured interviews with in-depth interviews and open-ended question. Data were analyzed using phenomenology interpretative analysis (IPA). Result: The results of this study obtained four themes, namely theme 1: Responsible for performing their duties in collaboration, theme 2: Pros Cons collaborative process with witch-doctors, theme 3: Receiving treatment witch-doctor but under close supervision, and theme 4: Feeling strange but true to the success of the witch-doctor. The process of collaboration between health professionals by nurses and doctors as well as traditional collaboration with witch-doctors in the early treatment of trauma is done in the Puskesmas. Traditional treatment options by witch-doctor is a tradition that is believed to be public, proven and successful cure the patient. Nurses as health workers in Puskesmas receive the tradition but remains under close supervision by nurse. Conclusion: Initial management of trauma patients is done in the Puskesmas in the process of collaboration between nurses, doctors and witch-doctors to save the patient. Witch-doctor collaboration process in the initial treatment of trauma can not be avoided but successful and remain in the supervision of health workers in Puskesmas. Important local cultural considerations in nursing care based on the culture of early trauma treatment in the Puskesmas.