https://ppjp.ulm.ac.id/journal/index.

php/JDK/article/view/4948

Dunia Keperawatan

Jurnal Keperawatan dan Kesehatan

Vol 6, No 1 (2018) > Hafifah

Pengelaman Keluarga dalam Pengambilan Keputusan pada PAsien Kritis di RUANG Intensive Care Unit
(ICU) RSUD UlinBanjarmasin

Ifa Hafifah, Noor Fithriyah

Abstract

ABSTRAK
Pengalaman keluarga saat pengambilan keputusan pada pasien kritis bukan hal yang mudah. Ditemukan
banyak masalah yang dialami keluarga saat pengambilan keputusan seperti masalah fisiologis,
psikologis, spiritual, sosial, dan budaya. Masalah tersebut harus diatasi agar keputusan yang dihasilkan
merupakan keputusan yang terbaik untuk pasien dan keluarga. Tujuan penelitian mengungkap secara
mendalam tentang pengalaman keluarga dalam pengambilan keputusan pada pasien kritis. Jenis
penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Penelitian dilakukan di ICU RSUD Ulin
tanggal 20 Juli-6 Agustus 2017. Jumlah informan mencapai saturasi yaitu 7 orang keluarga. Teknik
pengumpulan data wawancara mendalam. Analisis data menggunakan analisis tematik Braun dan
Clarke. Hasil penelitian ditemukan 6 tema yaitu diskusi dengan keluarga terkait perawatan pasien,
informasi terkait tindakan yang akan dilakukan, kesembuhan pasien prioritas utama, lama perawatan
pasien di ICU, pendanaan perawatan pasien, keterlibatan keluarga dalam perawatan pasien. Hasil
penelitian diharapkan dapat memberikan masukan kepada perawat dan tenaga kesehatan terkait
kebutuhan pelayanan yang harus diberikan kepada keluarga sebelum pengambilan keputusan.

Kata-kata kunci: ICU; paliatif; pengalaman keluarga; pengambilan keputusan.

ABSTRACT
Family experience when making decisions in critical patients is not an easy thing. Found many problems
experienced by the family when making decisions such as physiological, psychological, spiritual, social,
and cultural issues. Those problems must be overcome and the resulting decision is the best decision for
the patient and the patient's family. The aim of this research was to explore about family’s experiences
in making decision in critical patients. The research design used qualitative research with descriptive
phenomenology approach. This research have been done in ICU of Ulin Hospital on July 20 to August 6,
2017. The number of informants had reached saturation that was 7 informants family of critical patients
in ICU. The techniques of data collection in this study has been used in-depth interviews. Data analysis
used thematic analysis of Braun and Clarke. The Result found that 6 themes are discussions with family-
related to patient care, information about the action to be taken, patient's cure a top priority, length of
patient care, patient care funding, and family involvement in patient care. The Advice for nurses and
health personnel are to provide all needs of services that must be given to the family before making
decision.

Keywords: decision making; family experience; ICU; palliative.

Full Text:

PDF (Bahasa Indonesia)

References

KEPUSTAKAAN

Morton PG, Dorrie F, Carolyn MH, Barbara MG. Pendekatan Asuhan Holistik Keperawatan Kritis Edisi 8
Alih Bahasa Nike Esty W. Jakarta: EGC; 2011.

Cosgrove JF, Nesbitt ID, Bartley C. Focus on: Gat & Controversies in Anaesthesia: Palliative care on the
intensive care unit. Journal Current Anaesthesia & Critical Care 2006:17: 283-8.

Keputusan Menteri Kesehatan Republik Indonesia (Kepmenkes). Tentang Kebijakan Perawatan Paliatif.
Nomor:812/Menkes/SK/VII/2007; 2007.

Braun, V & Clarke, V. Using thematic analysis in psychology. Qualitative Research in Psychology 2006; 3:
77-101.

Polit DF, Beck CT. Nursing research generating and assessing evidence for nursing practice. USA:
Lippincott Williams and Wilkin; 2006.

Ningsih SS. Pengalaman Keluarga Menghadapi Hospitalisasi Pasien Kritis di ruang ICU RSUP DR. Kariadi
Semarang, BSN Research, Fakultas Kedokteran Universitas Diponegoro; 2017.

Abour RB, Wiegand DL. Self described nursing roles experienced during care of dying patients and their
families: A phenomenological study. Intensive and Critical Care Nursing 2014; 30: 211-8.

Heyland DK, Rocker GM, O'Callaghan CJ, Dodek PM, Cook DJ. Ethics in Cardiopulmonary Medicine: Dying
in the ICU Perspectives of Family Members. CHEST 2003; www.chestjournal.org.

Kydonaki C. Family Involvement in the care of the critically ill patient: A case of Shared Decision-
Making?, Edinburgh Napier University, School of Nursing, Midwifery & Social Care 2014.
Fortunatti, CFP. Most important needs of family members of critical patients in light of the Critical Care
Family Needs Inventory. Invest Educ Enferm 2014; 32(2): 306-16.

Arumsari DP, Etika E, Aat S. Hambatan Komunikasi Efektif Perawat dengan Keluarga Pasien dalam
Perspektif Perawat, Jurnal Pendidikan Keperawatan Indonesia 2016; 2(2): 104-14.

Kurniawan E. Gambaran Faktor yang Berhubungan dengan Kecemasan Keluarga Pasien di ICU Rumah
Sakit Umum Daerah Panembahan Senopati Bantul Yogyakarta, Sekolah Tinggi Ilmu Kesehatan Jenderal
Achmad Yani Yogyakarta; 2015.

Coombs M. Research article: A scoping review of family experience and need during end of life care in
intensive care. Nursing Open published by John Wiley & Sons Ltd; 2015.

Sari RN. Pengalaman Keluarga dalam Pengambilan Keputusann Kesehatan yang Berhubungan dengan
Perspektif Keperawatan Transkultural Pada Pasien yang dirawat di RS PKU Muhammadiyah Surakarta;
2012.

Quinn JR, Madeline S, Judith GB, Sally AN, Mary TD, et al. Family Member’s Informal Roles in End-ofLife
Decision Making in Adult Intenaive Care Units, American Journal of Critical Care 2012; 21(1): 43-53,
DOI:http://dx.doi.org/10.4037/ajcc2012520.

Badan Penyelenggara Jaminan Sosial. 2014. Panduan Praktis Administrasi Klaim Fasilitas Kesehatan
Badan Penyelnggara Jaminan Sosial Kesehatan.

Emaliyawati E. Interaksi Pasien, Keluarga dan Petugas Kesehatan dalam Perawatan Akhir Hidup Pasien
Sakit Terminal. Nursing Journal Padjadjaran University (Majalah Keperawatan Unpad) 2011;12(2).

DOI: http://dx.doi.org/10.20527/dk.v6i1.4948

Article Metrics

Abstract view : 253 times

PDF (Bahasa Indonesia) - 326 times