Pengalaman Perawat IGD Merawat Pasien Do Not Resuscitate pada Fase Perawatan Menjelang Ajal

Ose, Maria Imaculata

doi:10.7454/jki.v20i1.378

Cited by 3 publications

(5 citation statements)

References 9 publications

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“…Good understanding and knowledge of DNR supports nurses in making accurate and effective decisions regarding DNR and preparing for care before death (Ose, 2017). Determination of DNR status requires consultation and agreement between the nurse and the doctor who treats the patient and with the consent of the patient's family.…”

Section: Discussionmentioning

confidence: 99%

“…Abandoned patients who are dying alone without any support and assistance in their care. Thing this makes the tendency for psychological changes to appear (Ose, 2017) The purpose of this study was to explore the experiences of nurses in the emergency department in caring for DNR patients in the emergency room.…”

Section: Qualitativementioning

confidence: 99%

“…Based on observations Ose, (2017) (Wolf et al, 2015). DNR is a decision that is not easily taken by doctors and requires consideration and recommendations from nurses (Brizzi et al, 2012;Chow, & DBioethics, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Peaceful End-of-Life-Care Program and Do Not Resuscitate (DNR) orders among nurses: A literature review

2022

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Background: One of the emergency cases that often occurs outside the hospital and is often found in the Emergency Room is heart disease which is the first leading cause of death in the world. When nurses apply Peacefulness and life care, that is, nurses are not maximal in providing services due to various factors including the work environment of the Emergency Room with urgent and crowded conditions.Purpose: To identify Peaceful End-of-Life-Care Program and Do Not Resuscitate (DNR) orders among nurses: A literature reviewMethod: This type of literature research or literature review is characterized by descriptive analysis, namely the regular breakdown of the data that has been obtained. The data used in this research is secondary data.Results: In the 10 articles found, there were 5 articles that stated that nurses carried out end-of-life actions peacefully to patients and families. From several reviews of end-of-life care articles, important factors in dying care are reducing pain, involving families in end-of-life care, providing empathy, respecting and respecting patient and family decisions, and respecting the rights of patients and families.Conclusion: Nurse's experience in the peaceful end of life for patients near death, resuscitation, and emergency services. Obtained good results and the peaceful end of life is carried out in patients well.

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Section: Discussionmentioning

confidence: 99%

Section: Qualitativementioning

confidence: 99%

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Peaceful End-of-Life-Care Program and Do Not Resuscitate (DNR) orders among nurses: A literature review

2022

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“…Pengambilan keputusan DNR membutuhkan pertimbangan dan pemahaman pada kriteria DNR, perawat harus terlibat dalam kolaborasi dengan tim yang merawat pasien, sehingga keputusan DNR tepat. Perawatan DNR di IGD memberikan resusitasi sebagai tindakan awal dan mempersiapkan kematian pasien dengan baik dengan melibatkan keluarga pasien (Ose, 2017). Keterlibatan Manajer Pelayanan Pasien (MPP) juga sangat penting dalam keberhasilan KIE dan memastikan bahwa hak, kebutuhan dan nilai-nilai keyakinan pasien dan keluarganya dalam proses asuhan pelayanan tahap terminal.…”

Section: Faktor Yang Mempengaruhi Keputusan Dnrunclassified

Gambaran Faktor Yang Mempengaruhi Keputusan Do Not Resuscitate (Dnr) Dan Konsekuensi Hukumnya

Wijilestari¹,

Suharso²,

Nugroho

2022

JHKI

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Do Not Resuscitate (DNR) merupakan keputusan klinis yang sering menjadi dilema etik, moral, dan hukum bagi para tenaga medis. Penelitian bertujuan untuk memberikan gambaran faktor yang mempengaruhi keputusan DNR dan bagaimana konsekuensi hukumnya di Indonesia ketika keputusan terpaksa dipilih. Penelitian menggunakan metode yuridis empiris berdasarkan rekam medis beberapa pasien dengan masing-masing diagnosis berbeda yang dirawat di Instalasi Gawat Darurat, Intensive Care Unit, Instalasi Rawat Inap, dan Ruang Isolasi Covid-19. Selanjutnya dilakukan analisis secara yuridis normatif dengan menggunakan sumber hukum yang berlaku di Indonesia. Hasil penelitian ini adalah ditemukannya gambaran faktor pasien, faktor keluarga, faktor tenaga profesional pemberi asuhan, faktor sumber daya, dan faktor pemahaman bioetika yang mempengaruhi keputusan DNR. Konsekuensi hukum pidana adalah mungkin, bila DNR dilakukan tanpa alasan klinis yang kuat dan tidak dilakukan dengan prosedur yang benar sebagaimana diatur dalam Peraturan Menteri Kesehatan Nomor 37 Tahun 2014. Oleh karena itu, dokter dan rumah sakit harus memastikan keputusan DNR dilakukan pada pasien yang berada dalam keadaan yang tidak dapat disembuhkan akibat penyakit yang dideritanya (terminal state) dan tindakan kedokteran sudah sia-sia (futile); keputusan melibatkan semua organ rumah sakit terkait (Tim Profesional Pemberi Asuhan, Manajer Pelayanan Pasien, Direktur, Komite Medik, Komite Etik dan Hukum); dan berdasarkan keputusan tertulis keluarga pasien.

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“…Asuhan keperawatan jiwa-spiritual sering diabaikan dalam praktik keperawatan jiwa sehari-hari. Praktik spiritual care bahkan dilaporkan sebagai praktik keperawatan yang dilakukan secara tidak teratur (infrequently) (Tyalor, Mamier, Ricci-Allegra, & Foith, 2017) dan hanya dilakukan pada saat-saat tertentu, seperti pada keadaan pasien terminal atau pada pasien yang kritis dan tidak tertolongkan, misalkan pada pasien dengan status Do Not Resuscitate (DNR) (Ose, 2017), pasien dalam keadaan sakratul maut (Hadi, Halid, & Istiana, Februari 2017). Tapi, hal ini bukan berarti bahwa asuhan keperawatan ini adalah asuhan yang harus diabaikan atau tidak dilakukan oleh perawat.…”

Section: Spiritual Health and Well-being Perawat Kesehatan Jiwa DI Ruunclassified

Assessment of Spiritual Health and Well-Being of Psychiaric Nurses in a Mental Health Hospital

Dias¹

2020

JKJ

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The practice of mental health care performed by nurses in mental hospitals requires nurses to also provide spiritual care. Nurses who have a healthy spiritual state can certainly provide good spiritual care to their patient. Unfortunately, nurses admit that in practice, this spiritual element is often overlooked and not considered important in practice. This study aims to examine the health and spiritual well-being of mental health nurses working in mental health care facilities (hospital based). This research was a pilot study using Mix Method (MM), the design of this study was a sequential research design (Qual-Quant) between quantitative and qualitative study. Data collection was carried out using a self-administered survey and using the SHALOM (Spiritual Health and life orientation measure) instrument from Fisher which had a total of 22 questions. Quantitative data analysis was performed using descriptive statistics, while qualitatively, the data were analyzed using the thematic analysis method. A total of 22 mental health nurses participated in this research project. This number represents the nurses who work in all wards in mental hospitals. Researchers used the cluster sampling method to select participants who were given questionnaires and the snowball sampling method to find suitable informants to be interviewed. This research shows nurses expressing worship of the Creator (Mean = 4.54, SD = 0.59) as the most important thing in the ideal standard of health and spiritual well-being. Likewise, with daily life and practice (Mean = 3.81, SD = 1.68). Nurses assess their health and spiritual well-being were more determined by the transcendental domain, especially with religious rituals. This study concluded that nurses have a well-distributed state of health and spiritual well-being ranging from the personal domain to transcendence, with dominance in the transcendence domain.

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Pengalaman Perawat IGD Merawat Pasien Do Not Resuscitate pada Fase Perawatan Menjelang Ajal

Cited by 3 publications

References 9 publications

Peaceful End-of-Life-Care Program and Do Not Resuscitate (DNR) orders among nurses: A literature review

Peaceful End-of-Life-Care Program and Do Not Resuscitate (DNR) orders among nurses: A literature review

Gambaran Faktor Yang Mempengaruhi Keputusan Do Not Resuscitate (Dnr) Dan Konsekuensi Hukumnya

Assessment of Spiritual Health and Well-Being of Psychiaric Nurses in a Mental Health Hospital

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