KARAKTERISTIK PROFESI & HUBUNGAN

PERAWAT-PASIEN
YG ETIS
Dr. RATNA SITORUS, SKp., M.App.Sc &
YATI AFIYANTI. SKp., MN
KARAKTERISTIK ESENSIAL
SUATU PROFESI (SHORTRIDGE, L.M)
Kode etik: sbg pedoman keterlaksanaan standar &
tanggung jawab pribadi
Orientasi kpd pelayanan: komitmen utk
memberikan asuhan oleh pakar utk memenuhi
kebutuhan kes klien
Landasan penget yg kokoh: menggunakan
berbagai konsep, teori, & prinsip sebagai landasan
asuhan
Otonomi: Kewenangan tanggung jawab mengatur
keprofesian
Hub yg caring: Landasan hub yang etis
Hub yg caring py 3 arti:
Perhatian
Tanggung jawab
Ikhlas
Pasien-Perawat yg etis:
Saling menghargai
Tidak ada paksaan & tekanan

Very special
Dasar Hubungan
Giving & Taking the knowledge &
kekuatan (Priviliged Position)
No Paternalistik
CARING RELATIONSHIP
Memberi kesempatan pada klien
memperoleh haknya
Memberikan pengetahuan sesuai
dengan kebutuhan klien (landasan
yang etis): ikhlas & tanpa pamrih
Unethical: if we use our knowledge &
advantage for our own gain only or we
dont share our knowledge
FUNDAMENTAL CONCEPT OF NURSING
Caring makes the dividing lines between
wanting to (kewajiban) & having to
(keharusan)
Caring is the basic act of nursing as locus
of all attributes used to described nursing
Nursing is a therapeutics interpersonal
process (Watson in Craven & Hirnle,
1996)
CHANGING ENVIRONMENT
IN HEALTH CARE
The influence the role of nurses:
Complex technology
Quality & costumer satisfaction
Demographics changes of population
The role of advocate:
The nurse supports, uphold, defends,
or intercedes on behalf of the client
WITHOUT THE ADVOCATE OF NURSE
Loss of independence
Loss of freedom of action
Interference with the ability to make choices
The power health care professionals
(Paternalistic)
The effect of paternalistic:
Clients values are ignores
Client cease to exits as unique human beings
FIVE IMPORTANT CONDITION
FOR ADVOCACY
Trust relationships is established &
maintained between the nurse & the client
The nurse must be aware of all conditions
related to health care decision
The nurse must remain educated about
current legal & ethical trends
The members of the profession must
communicate to clarify obligations &
responsibilities
Open lines of communication among
prefessionals about client rights must be
maintained
THE NURSE ADVOCATE THE
CLIENT THROUGH CARING
Helping the client to find information
they need
Ensuring that the clients understand
their problems treatments
Identify solution for their health care
needs
Enrouraging the client to solve their
problem
Promoting what is the best for client
Protecting the clients legal
rights & helping clients
assert these rights
Lack of continuity of care
Lack of accountability
Lack of autonomy
Caring relationship is not exist
Advocacy role is not facilitated
Caring is not valued as an important nursing
intervention
Work environment barriers
Advocate clien through caring
Improve the competencies of the nurse
Improve the team work
Improve work environment: staffing,
leadership role etc
Redesign the nursing delivery system:
primary nurse/case manager
Improve caring relationship between the
nurses & the client
Admission--discharge
NILAI-NILAI PERAWAT PROFESIONAL
Aesthetic
Memberi kepuasan bagi klien, lingk, atasan
(kreatif & sensitive)
Altruisme (keikhlasan)
Peduli bagi kesejahteraan klien/orang lain
(komitmen, tekun, & bekerja cerdas)
Equality (tiap indv py hak & status yg sama):
adil, toleransi, & menerima
NILAI-NILAI PERAWAT PROFESIONAL
Kebebasan:
kapasitas menentukan pilihan (percaya diri,
disiplin, & mandiri)
Menghargai martabat manusia (Empati, kasih,
menghargai)
Adil:
bersemangat utk keadilan, integritas diri pribadi,
& objektif
Junjung nilai kebenaran:
jujur, rasional, & akontabel

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