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KARAKTERISTIK PROFESI & HUBUNGANPERAWAT-PASIEN

YG ETIS

Dr. RATNA SITORUS, SKp., M.App.Sc &

YATI AFIYANTI. SKp., MN

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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

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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

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Very specialDasar Hubungan

Giving & Taking the knowledge &

kekuatan (Priviliged Position)

No Paternalistik

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CARING RELATIONSHIP

Memberi kesempatan pada klienmemperoleh haknya

Memberikan pengetahuan sesuai

dengan kebutuhan klien (landasanyang etis): ikhlas & tanpa pamrih

Unethical: if we use our knowledge &

advantage for our own gain only or wedont share our knowledge

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FUNDAMENTAL CONCEPT OF NURSING

Caring makes the dividing lines between

wanting to (kewajiban) & having to(keharusan)

Caring is the basic act of nursing as locusof all attributes used to described nursing

Nursing is a therapeutics interpersonalprocess (Watson in Craven & Hirnle,1996)

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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

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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

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FIVE IMPORTANT CONDITION

FOR ADVOCACY Trust relationships is established &

maintained between the nurse & the client

The nurse must be aware of all conditionsrelated to health care decision

The nurse must remain educated aboutcurrent legal & ethical trends

The members of the profession mustcommunicate to clarify obligations &responsibilities

Open lines of communication amongprefessionals about client rights must bemaintained

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THE NURSE ADVOCATE THE

CLIENT THROUGH CARING

Helping the client to find informationthey need

Ensuring that the clients understand

their problems treatments

Identify solution for their health care

needsEnrouraging the client to solve their

problem

Promoting what is the best for client

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Protecting the clients legal

rights & helping clientsassert these rights

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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

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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

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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

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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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