NURSE ETHICAL DILEMMAS IN INPATIENT WARD of BALADHIKA HUSADA HOSPITAL JEMBER

Authors

  • Siti Amaliatul Khoiroh Faculty of Nursing, University of Jember
  • Ahmad Rifai
  • Alfid Tri Afandi

DOI:

https://doi.org/10.21776/ub.jik.2020.008.02.9

Keywords:

Ethical Dilemma, Nurses, Inpatient ward

Abstract

A ward nurse is a practitioner nurse who takes action according to standard operating
procedures and prevention and identifies the state of the environment for 24 hours. The
workload can lead to the emergence of attitudes that become complaints of patients,
namely the emotional instability of nurses because of fatigue and high activity. The
impact of ethical dilemmas experienced by nurses, one of which is the emotional impact
on nurses such as anger, stress, frustration, and fear during the decision-making process.
The research design is qualitative research with a phenomenological approach that
aims to explore nurses’ perceptions and experiences of the ethical dilemma of nursing
in the inpatient ward. A total of six participants involved in this study were selected by
purposive sampling technique. Participants were the practitioner nurses in the inpatient
ward of the Baladhika Husada Hospital in Jember. Colaizzi analysis method is used to
conclude this study. The results obtained by five main themes: nurse knowledge and
understanding, forms of ethical dilemmas experienced by nurses, ethical dilemmas related
to ethical principles, actions when experiencing ethical dilemmas, and expectations for
nurses. Continuing education regarding nurse ethical dilemmas in the implementation
of professional nursing care is crucial to improve the quality of nurse performance when
delivering nursing care.


References

  • Astuti, S. D. N. 2012. Hubungan Beban Kerja Dan Kondisi Penyakit Dengan Stres Kerja Perawat Pelaksana Di Intensive Care Unit (Icu) Rsud Polewali Mandar. Universitas Islam Negeri Alauddin Makassar.
  • Barlow, N. A. 2017. Nurses Contribution To The Resolution Of Ethical Dilemmas In Context. Nursing Ethics. 2:230–242.
  • Ernawati, S. U. 2014. Pengaruh Pelatihan Terhadap Kinerja Perawat Dengan Motivasi Sebagai Variabel Moderasi (Studi Pada Rsud Dr. Saiful Anwar Malang). 2(2)
  • Fatah, A. 2019. Tanggung Jawab Perawat Praktik Mandiri Dalam Pemberian Pengobatan Kepada Pasien. Universitas Lampung.
  • Ganz, F. D., N. Wagner, Dan O. Toren. 2015. Nurse Middle Manager Ethical Dilemmas And Moral Distress. Nursing Ethics. 22(1):43–51.
  • Ibrahim Yousif, K. 2018. Perception Of Ethical Principles By Hemodialysis Nurses In Khartoum, Sudan. Nursing & Healthcare International Journal. 1(2):1–5.
  • Ito, C. Dan M. Natsume. 2015. Ethical Dilemmas Facing Chief Nurses In Japan. Nursing Ethics. 23(4):432–441.
  • Juliati. 2015. Hubungan Pelatihan Terhadap Kinerja Perawat Pelaksana Di Rumah Sakit Pertamedika Pangkalan Brandan. Jurnal Kesehatan Surya Nusantara. 2(5):1–13.
  • Nafi’ah, J. 2018. Hubungan Persepsi Beban Kerja Perawat Dengan Stres Kerja Perawat Dalam Kegiatan Mempertahankan Akreditasi Rumah Sakit Paripurna Di Rumah Sakit Tk. Iii Baladhika Husada Jember. Universitas Jember.
  • Oerlemans, A. J. M., N. Van Sluisveld, E. S. J. Van Leeuwen, H. Wollersheim, Dan W. J. M. Dekkers. 2015. Ethical Problems In Intensive Care Unit Admission And Discharge Decisions : A Qualitative Study Among Physicians And Nurses In The Netherlands. 1–10.
  • Ose, M. I. 2018. Dilema Etik Dalam Merawat Pasien Terlantar Yang Menjelang Ajal Di Igd. Jurnal Pendidikan Keperawatan Indonesia. 3(2):145.
  • Pangaribuan, R. 2016. Nurse Perceptions Of Principles Of Conduct In The Implementation Of Action In Icu Nursing Home Sick At Putri Hijau Hospital Medan. Jurnal Riset Hesti Medan,. 1(1):37–44.
  • Pujiastuti Dan Rr.Sri Endang. 2010. Dilema Etik & Pengambilan Keputusan Etis Dalam Praktik Keperawatan Jiwa. Jakarta: Penerbit Buku Kedokteran.
  • Purnamasari, I. 2015. Dilema Etik Penolakan Imunisasi, Antara Hak Orang Tua Dan Tanggung Jawab Pemberi Pelayanan Kesehatan. Jurnal Manajemen Keperawatan. 3(1):7–12.
  • Rainer, J., J. K. Schneider, Dan R. A. Lorenz. 2018. Ethical Dilemmas In Nursing: An Integrative Review. Journal Of Clinical Nursing. 27(19–20):3446–3461.
  • Sari, S. P., Asmuji, Dan E. Permatasari. 2016. Hubungan Etik Perawat Pelaksana Dengan Tingkat Kepuasan Pasien Di Ruang Rawat Inap Kelas Iii Rsd Kalisat Jember. Universitas Muhammadiyah Jember.
  • Tappen, M.R. 2010. Essentials Of Nursing Leadership And Management. Edisi 5. United States Of America: F.A Davis Company.
  • Zubović, S. 2018. Ethical Dilemmas Of Nurses And Physicians In The Primary Health Care Setting. Hospice And Palliative Medicine International Journal. 2(5):280–284.


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Published

2020-11-30

How to Cite

Khoiroh, S. A., Rifai, A., & Afandi, A. T. (2020). NURSE ETHICAL DILEMMAS IN INPATIENT WARD of BALADHIKA HUSADA HOSPITAL JEMBER. Journal of Nursing Science Update (JNSU), 8(2), pp. 121–128. https://doi.org/10.21776/ub.jik.2020.008.02.9

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