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All Journal Babali Nursing Research Babali Emergency and Disaster Research
Widiastuti, Ni Kadek Nefi
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Health Professions Medicine & Pharmacology Nursing Public Health Other

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A Literatur Review Do Not Resuscitate: An Ethical Dilemma in Nursing Practice Dewi, Ni Made Ratih Comala; Aryana, I Gusti Ngurah; Bela, I Kadek Miki Indra; Widiastuti, Ni Kadek Nefi; Wahyuni, Ni Wayan Sri; Wulandari, Ida Ayu Putri
Babali Emergency and Disaster Research Vol. 2 No. 1 (2024): June
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bedr.2024.2121

Abstract

Introduction: Medical interventions for pulmonary heart resuscitation in patients with DNR raise a conflict situation among nurses, where faced with two equally unsatisfactory decisions that are contrary to ethical principles. The practical approach that can be taken is to build patient and family confidence, define their goals, and apply ethical principles of autonomy: beneficence, nonmaleficence, and justice. This research aims to find out the ethical dilemma of DNR in nursing practice. Methods: A literature review was conducted using three journal databases: ScienceDirect, PubMed, and Google Scholar. Kata kunci dalam tinjauan pustaka ini disesuaikan dengan Medical Subject Heading (MeSH) yang terdiri dari “ethic” AND “principle based” AND “do not resuscitate” AND “nursing ethic”. Several inclusion criteria were set to obtain eligible articles: published between 2014 and 2023, and written in English or Bahasa. Fifteen eligible articles were finally included in the analysis. Results: Four subthemes were found: factors that influence DNR decisions, knowledge and understanding of health professionals related to DNR, ethical dilemmas, and care of DNR patients. Conclusion: The DNR decision requires ethical competence based on DNR information and understanding. The DNR decisions are based on the principles of autonomy, beneficence, nonmaleficence, and justice. The role of a nurse tends to be psychosocial intervention.
Determinant Factors of Stress in Family Caregiver in the Care of Older adults with Chronic Disease: Literature Review Widiastuti, Ni Kadek Nefi; Kamaryati, Ni Putu; Rismawan, Made; Sriasih, Ni Kadek
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61449

Abstract

Introduction: Chronic diseases are degenerative conditions that require long-term treatment. Older adults patients who are unable to care for themselves independently often rely on assistance from others, particularly family members, who serve as family caregivers. Stress among family caregivers is a significant issue encountered when caring for older adults individuals with chronic diseases. This research aims to analyze the factors contributing to stress in family caregivers providing care for older adults people with chronic diseases. Methods: This study employed a literature review design, analyzing 16 articles published between 2017 and 2024 in either Indonesian or English. Articles included were complete and relevant to the study objectives. The PRISMA checklist was utilized to guide the protocol and evaluation process, ensuring the appropriate selection of studies aligned with the literature review objectives. Results: Several factors contribute to stress among family caregivers caring for older adults individuals with chronic diseases, including (1) age of family caregiver; (2) sex; (3) Llow levels of education and knowledge can trigger stress family caregiver; (4) type of work and income level; and (5) the length of treatment carried out family caregiver also affects the stress he experiences Conclusion: Nurses can play a vital role in supporting family caregivers by conducting comprehensive assessments, providing individualized support, teaching stress management techniques, offering caregiver education, and facilitating respite care.
Nursing Ethics as a Foundation in Nursing Practice: A Literature Review Dewi, Ni Made Ratih Comala; Aryana, I Gusti Ngurah; Bela, I Kadek Miki Indra; Widiastuti, Ni Kadek Nefi; Putra, I Kadek Andika Dwi; Satriani, Ni luh Adi
Babali Nursing Research Vol. 5 No. 2 (2024): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.52373

Abstract

Introduction: Complexity in the healthcare environment causes problems in nursing practice. The nursing code of ethics has been designed as an appropriate guideline for behavior and helps decision-making. Nursing ethics requires nurses to comply with ethical principles to produce quality nursing care. Therefore, this study aims to illustrate the importance of nursing ethics as a foundation for nursing practice.Methods: In the case of the current research, the articles were selected according to PRISMA guidelines. A literature review used three journal databases: ScienceDirect, PubMed, and Google Scholar. The keywords in this literature review are adjusted to the Medical Subject Heading (MeSH), which consists of "nursing ethics," "code of ethics," AND "professional nurse." Several inclusion criteria were set to obtain eligible articles published between 2014 and 2023 and written in English and Bahasa. Fifteen eligible articles were finally included in the analysis.Results: These findings highlight the critical role of understanding ethics, integrity, and moral responsibility and the importance of nursing codes of ethics in implementing nursing practice to improve the quality of nursing care and improve the quality of care Conclusion: Nursing ethics is ethos. Integrity and moral responsibility are at the heart of ethics. Nurses must have an understanding of ethics for self-development and nursing services. As a relevant source, the code of ethics refers to the system of rules. Applying the code of ethics in nursing practice improves the quality of nursing care and service to guarantee patient safety.
Co-Authors Aryana, I Gusti Ngurah Bela, I Kadek Miki Indra Dewi, Ni Made Ratih Comala Ida Ayu Putri Wulandari Made Rismawan Ni Putu Kamaryati Ni Wayan Sri Wahyuni Putra, I Kadek Andika Dwi Satriani, Ni Luh Adi Sriasih, Ni Kadek