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All Journal Jurnal Ilmu keperawatan Indonesian Journal of Cancer Jurnal Kesehatan Mesencephalon Belitung Nursing Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Journal of Telenursing (JOTING)
Martina Sinta Kristanti
Faculty Of Medicine, Public Health, And Nursing, Universitas Gadjah Mada, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Belitung Nursing Journal

 1 
PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS Atsarina Fauzan; Sri Setiyarini; Christantie Effendy; Martina Sinta Kristanti
Belitung Nursing Journal Vol. 5 No. 4 (2019): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1386.944 KB) | DOI: 10.33546/bnj.815

Abstract

Background: Nurses have a key role in promoting patients’ involvement in decision-making process of palliative care to improve their dignity and satisfaction. However, there is a dearth of studies exploring this involvement, especially in public health centers in Indonesia. Objective: This study aimed to explore the perception of nurses in decision-making process and to understand what type of decision-making made by health care providers in palliative care. Methods: This was a descriptive explorative study with qualitative approach. Participants were selected using purposive and snowball sampling. Data were collected using Focus Group Discussion (FGD) and in-depth interview. Content analysis method by inductive approach was used for data analysis. Consolidated criteria for reporting qualitative research (COREQ) was also used. Results: Eight themes emerged in this study, namely: (1) Collecting information about patients’ current physiological condition, (2) Creating alternative strategies according to the patients’ current physiological condition, (3) Establishing implementation type to be performed, (4) Providing information to the patients, (5) Discussing decision-making between patients and family, (6) Choosing/rejecting an action by patients, (7) Performing selected actions, and (8) Evaluating action. Three points that are different from the existing theory were: (i) there was a discussion between patients and family, (ii) the absence of the process of collecting information after a patient rejects to act, and (iii) there were three types of decision-making: paternalistic, shared, and informed decision-making. Conclusion: This study serves as an input for nurses to pay more attention in decision-making process in palliative care in patients with cancer, and to encourage patients to give contribution in decision-making as part of shared decision-making.
Common ethical dilemmas of family caregivers of palliative patients in Indonesia Martina Sinta Kristanti; Kusmaryanto Kusmaryanto; Christantie Effendy
Belitung Nursing Journal Vol. 7 No. 3 (2021): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1457

Abstract

Family caregivers, especially in Asian countries, have a profound role in caring for a sick family member. However, there are wide variations between the Asian and western world in terms of culture and facilities. Therefore, the problems and needs of family caregivers between those two regions may also be distinct, and it is important to explore and elaborate based on our empirical evidence. In Indonesia, motives and values in caregiving and religion become the wheel-power of the family caregivers in providing care. This affects action and consequences for caregivers. This paper attempts to elaborate on common ethical dilemmas that usually face by family caregivers in Indonesia. Unfortunately, family caregivers typically are not prepared to make those challenging decisions. Therefore, we recommend not only that family caregivers need to be involved in the caring process, but also their issues and ethical dilemmas should be assessed and addressed by health care professionals, especially nurses, who have the most frequent contact with patient and family caregiver.
The importance of providing palliative care for patients with severe COVID-19 in Indonesia Effendy, Christantie; Kristanti, Martina Sinta
Belitung Nursing Journal Vol. 7 No. 5 (2021): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1466

Abstract

Patients with Coronavirus Disease 2019 (COVID-19), particularly those with a severe condition, might not survive. Pandemic situation challenges the healthcare providers in addressing palliative care to the patients. This paper aimed to describe the importance of providing palliative care for patients with severe COVID-19 in Indonesia. We used a case scenario to illustrate the common condition experienced by a patient with severe COVID-19. Health care providers in Indonesia could address palliative care for patients with COVID-19 by focusing on controlling the symptoms, avoiding futile intervention, and connecting the patients and their families. Nurses need to consider the patients’ needs for family supports, even though not in physical or psychosocial support, and help the patients who need end-of-life care to be dying with dignity. Communication technology must be utilized optimally by healthcare providers to realize the communication among the patients, families, and health workers. 
Co-Authors Anisa Hidayah Atsarina Fauzan Christantie Effendy Dedi Kurniawan Desti Puswati Devita, Yeni Ettik Indarti, Ettik Junadhi, Junadhi Khudazi Aulawi Mariyono Sedyowinarso Nita, Yureya NUZUL SRI HERTANTI, NUZUL SRI Sri Setiyarini Sri Setiyarini SRI SETIYARINI, SRI