Public Health and Safety International Journal April 2023 | Vol. 3 | No. 1 E-ISSN : 2715-5854 DOI: 10.55642 GOVERNANCE OF COMMUNITY NURSES PARTICIPATION IN THE RENAL CARE CENTER: A DOCUMENT REVIEW Ridha Afzal* 1 , Yuli Peristiowati 2 1 Renal Care Division, Baxter International, Makassar, South Sulawesi, Indonesia 2 STRADA Institute of Health Sciences, Kediri, East Java, Indonesia. e-mail: * 1 ridhaafzal.rj@gmail.com , 2 yulyperistiowati@gmail.com, Abstract The emergence of new regulations regarding the mandatory ownership of new Peritoneal Dialysis Units (PD Units) in regional hospitals in Indonesia creates new problems for PD patients after undergoing therapy. They need treatment by CAPD professionals who are still on the move. This study aims to discuss how far the community nurses are involved in the management of patient care in the PD unit so that an overview of their duties and functions is obtained in handling PD patients in the CAPD unit under management nursing. This document review used PRISMA analysis. Data were taken from Google Engine, with keywords: Peritoneal Dialysis, community nursing, and public health. Select documents from reputable journals for the last five years. The documents that were filtered (n=14) all met the search criteria for documents according to keywords. There were only two documents (n = 2) that raise the issue of community nurses and their role specifically in PD units in the community. The most discussed role was training (n=5). The challenges were bureaucracy or government regulations. This study recommended that community nurses could be empowered to care for PD patients after getting short CAPD training. Keywords— CAPD unit, community nurses, peritoneal dialysis. INTRODUCTION The government's latest regulations regarding the need to have a Continuous Ambulatory Peritoneal Dialysis (CAPD) unit for every hospital raise questions about the continuation of nursing care for CAPD patients in the community (Kemenkes RI, 2022). This is because chronic kidney disease (CKD) patients with peritoneal dialysis (PD) therapy who live in remote areas far from healthcare facilities require health services (Afzal et al., 2021). Therefore, the involvement of various related parties, especially the role of community nurses needs to be considered (Li et al., 2021). In general, nurses have roles and functions as clinicians, advisers, coordinators, consultants, educators, researchers, and managers (Belita et al., 2022; Fawaz et al., 2020). Community nurses in Indonesia have an active role in handling public health problems (Shalahuddin et al., 2019). They are at the forefront of individuals, families, groups, and communities both from the aspects of promotion, prevention, and rehabilitation (Huang et al., 2020). They are actively involved in activities related to managing cases of chronic kidney failure (CKD) in the community, from early identification of cases to follow-up (Hardy et al., 2021). The prevalence rate of CKD in Indonesia will increase by 0.38% in 2022 (Databox, 2022). Meanwhile according to Riskesdas data estimates that 3.8% of the population suffers from chronic kidney failure (IRR, 2018). The Indonesian Renal Registry (IRR) recorded only about 10% report and there are still around 2000 patients receiving CAPD therapy (IRR, 2018). However, the number of CAPD nurses is very limited. Currently, there are around 2000 CAPD nurses spread throughout Indonesia, the majority in Jakarta, West Java, Central Java, East Java, Yogyakarta, and Bali (IPDI, 2017).