MARDIYONO, MNS, PhD

Prodi Keperawatan Terapan

Pascasarjana Poltekkes Kemenkes Semarang
PENGERTIAN UMUM
• Terapi/intervensi
Terapi pelengkap dari
terapi/intervensi
Komplemeter konvensional

• Terapi/intervensi
Terapi sebagai pilihan lain dari
terapi/intervensi
Alternatif konvensional

Terapi • Terapi/intervensi yang

menyeluruh meliputi
aspek bodi,mind, spirit
Holistik
 Keperawatan Holistik
 Holistic nursing is defined as “all nursing practice that has
healing the whole person as its goal” (American Holistic
Nurses Association, 1998, Description of Holistic Nursing)
 Keperawatan mengacu pada healing pasien berdasarkan
pendekatan secara menyeluruh berbagai aspek :
1. Biologis
2. Psikologis
3. Kognisi
4. Sosial
5. Kultural
6. Spiritual
 Perkembangan
Teori Keperawatan Holistik
 Body of knowledge Keperawatan
 Teori keperawatan
 Struktur Konsep keperawatan dalam teori keperawatan
 Dasar dalam asuhan keperawatan:
 Pengkajian
 Diagnosa keperawatan
 Invertensi keperawatan
 Implementasi
 Evaluasi
 Perkembangan
Teori Keperawatan Holistik
Teori
Caring
Watson

Keperawatan
Teori Holistik Teori
Trans
Cultural Theory of Consciousness

Leininger Integral Wilber

Nursing

Teori Energi
Roger
 Perkembangan
Teori Keperawatan Holistik
Teori Teori Holistik
Keperawatan Psikologi
Teori Bidang energi manusia dan integral dengan
Energi lingkungan,
Teori Manusia meliputi body mind spirit
Transkultural Kekayaan sosial & budaya diadopsi dalam
keperawatan

Teori Caring Manusia meliputi body mind spirit: bio psiko

sosial kultural spiritual
Caring secara holistik untuk healing
Teori Integral 4 kuadran kesadaran: intentional, behavioral,
of cultural dan social
Conciousness Satu kesatuan energi kesadaran
Teori Manusia meliputi body mind spirit: bio psiko
Integral Nursing kognisi sosial kultural spiritual
 Theory of Integral Nursing
 A model of holistic nursing incorporates a philosophy of
nursing practice that involves recognition of the
individual as an integrated whole interacting with and
being acted upon by both internal and external
environments.

 Teori Keperawatan Holistik

 Theory of Integral Nursing
Barbara Dossey, PhD, RN, AHN-BC, FAAN c 2007

B. M. Dossey (2008).
Integral and Holistic Nursing: Local to Global. Figure 1.1a. Healing
In B. M. Dossey & L. Keegan.
Holistic Nursing: A Handbook for Practice (5th ed.) Figure 1.1b. Healing and Meta-Paradigm of Nursing
Sudbury, MA: Jones & Bartlett. (Nurse, Person/s, Health, Environment)
 Theory of Integral Nursing
Barbara Dossey, PhD, RN, AHN-BC, FAAN c 2007

B. M. Dossey (2008).
Integral and Holistic Nursing: Local to Global.
In B. M. Dossey & L. Keegan. Figure 1.1c. Healing and Patterns of Knowing in Nursing
Holistic Nursing: A Handbook for Practice (5th ed.) (Personal, Aesthetics, Empirics, Ethics, Not Knowing, Socio-Political)
Adapted from B. Carper, Fundamental Patterns of Knowing in Nursing,
Sudbury, MA: Jones & Bartlett. Advances in Nursing Science 1 No. 1 (1978): 13-23
 Theory of Integral Nursing
Barbara Dossey, PhD, RN, AHN-BC, FAAN c 2007

I
subjective
It
objective
personal biological
intentional behavioral

We
intersubjective
Its
interobjective
cultural systems
shared values structures

B. M. Dossey (2008).
Integral and Holistic Nursing: Local to Global.
In B. M. Dossey & L. Keegan. Figure 1.1d. Healing and Four Quadrants
Holistic Nursing: A Handbook for Practice (5th ed.) (I, We, It, Its)
Sudbury, MA: Jones & Bartlett. Adapted from K. Wilber (2000)
 Theory of Integral Nursing
Barbara Dossey, PhD, RN, AHN-BC, FAAN c 2007

B. M. Dossey (2008).
Integral and Holistic Nursing: Local to Global.
In B. M. Dossey & L. Keegan. Figure 1.1e. Healing and AQAL
Holistic Nursing: A Handbook for Practice (5th ed.) (All Quadrants, All Levels)
Sudbury, MA: Jones & Bartlett. Adapted from K. Wilber (2000)
 Theory of Integral Nursing
Barbara Dossey, PhD, RN, AHN-BC, FAAN c 2007

B. M. Dossey (2008).
Figure 1.1f.
Integral and Holistic Nursing: Local to Global.
Theory of Integral Nursing
In B. M. Dossey & L. Keegan.
(Healing, Meta-Paradigm and Patterns
Holistic Nursing: A Handbook for Practice (5th ed.)
of Knowing in Nursing, Four Quadrants,
Sudbury, MA: Jones & Bartlett.
Stages of Consciousness and AQAL)
 Askep Holistik
Proses keperawatan Asuhan keperawtan Holistik

Pengkajian Pasien meliputi bio psiko kognisi, sosio kultural spiritual

Diagnosa bio psiko kognisi, sosio kultural spiritual

Intervensi bio psiko kognisi, sosio kultural spiritual

Komplementer
Alternatif

Evaluasi Healing: bio psiko kognisi, sosio kultural spiritual

 Intervensi Keperawatan Holistik
 Mind-body interventions
 Meditation
 Relaxation
 Imagery
 Hypnosis , NLP(Neuro Language Program)
 Yoga
 T’ai chi
 Prayer
 Art therapy
 Music and dance therapies
 Cognitive-behavioral therapy
 Biofeedback
 Therapeutic counseling
 Stress management
 Intervensi Keperawatan Holistik
 Energy therapies
 Therapeutic touch
 Reiki
 Qi Gong
 Acupressure
 Healing Touch
 Magnet therapy
 Spiritual intervensi
 Dzikir
 Murotal
 Rukyah
 Sholat
 Intervensi Keperawatan Holistik
 Other modalities:
 Massage
 Reflexology
 Shiatsu
 Aromatherapy
 Guided imagery
 Guided imagery music
 Animal-assisted therapy: ikan, lintah, lebah
 Use of essential oils
 Herbal
 bekam
 Intervensi Keperawatan Holistik
 Other modalities….
 Chiropractice, sangkal putung
 Hydrotherapy
 Express felling
 Story telling, dongeng
 SEFT (spiritual emotional freedom technique)
 Food therapy
 Ayurveda

 “Teori keperawatan practice”

 Selamat Berkarya

Himpunan Perawat Holistik Indonesia

Indonesian Holistic Nurses Association