TANTANGAN ETIK PADA PERAWAT DALAM PENANGANAN PASIEN DI MASA PANDEMIK COVID-19: SCOPING REVIEW

Authors

  • Imran Pashar S2 keperawtaan, Departemen Ilmu Keperawatan, Fakultas Kedokteran, Universitas Diponegoro
  • Suhartini Ismail Divisi Keperawatan Gawat Darurat dan Kritis, Departemen Keperawatan Fakultas Kedokteran, Universitas Diponegoro
  • I Edward
  • Sarinti Sarinti

DOI:

https://doi.org/10.32584/jpi.v4i3.732

Keywords:

Pandemik COVID-19, perawat, tantangan etik

Abstract

Muncul tantangan etik utama bagi perawat selama pandemi COVID-19 yang teridentifikasi yakni adanya isolasi sosial, tugas perawatan yang semakin berat dan akses pelayanan yang dituntut untuk selalu adil selama pengobatan. Tantangan etik adalah hal yang umum terjadi dalam praktik keperawatan klinis. Tantangan etik  mengacu pada dilema etika dan konflik etika serta skenario lain yang membuat perawat berada  pada pilihan yang sulit. Tujuan dari review adalah untuk meringkas bukti dari tantangan etik pada perawat dalam penanganan pasien di masa pandemik COVID-19. Artikel ini dirancang menggunakan metode scoping review. Pencarian artikel dilakukan menggunakan data base dari Sciencedirect, Scopus, EBSCO, dan ProQuest yang terbit dalam pada bulan Januari sampai September tahun 2020 dengan kata kunci “COVID-19†AND “Nurse†AND “ethic challenges†OR “Issue Ethic†OR “Dilemma ethic. Munculnya berbagai masalah terkait etik dalam praktik perawatan pasien COVID-19 membuat perawat mengalami lebih banyak kesulitan, tanggung jawab dan tantangan  akibatnya berdampak terhadap kualitas pelayanan didalam ruang perawatan intensif dan isolasi. Hasil penelitian ditemukan 3 tema, yaitu 1) tanggung jawab perawat, 2) tantangan etik selama perawatan, 3) beban kerja selama perawatan. Kesimpulan dari review ini adalah Tantangan etik yang dihadapi perawat selama perawatan di masa pandemik COVID-19 yakni pasien dengan COVID-19 yang berbeda penangannya dengan pasien lainnya, terdapatnya ketidaksetaraan, tingginya tuntutan etika professional, dan kompetensi kerja yang berubah-ubah. Selain itu hak pasien yang terlupakan, kurang perhatian pada etik professional dan perawat selalu dihadapkan pada situasi yang membingunkan. 

Author Biography

Suhartini Ismail, Divisi Keperawatan Gawat Darurat dan Kritis, Departemen Keperawatan Fakultas Kedokteran, Universitas Diponegoro

Departemen Keperawatan Fakultas Kedokteran Universitas Diponegoro

References

AACN Position Statement. (2015). Moral Distress in Times of Crisis. American Journal of Critical Care, 24(4), 276–278. Retrieved from https://doi.org/10.4037/ajcc2015738

Aditya Nurullahi. (2020). Ancaman Corona dan Etik Sosial. Retrieved 17 April 2020, from https://news.detik.com/kolom/d-4923222/ancaman-corona-dan-etika-sosial-kita

Bao, Y., Sun, Y., Meng, S., Shi, J., & Lu, L. (2020). 2019-nCoV epidemic: address mental health care to empower society. The Lancet, 395(10224), e37–e38. Retrieved from https://doi.org/10.1016/S0140-6736(20)30309-3

Centers for Disease Control and Prevention. (n.d.). Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID19) in Healthcare Settings.

Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., … Zhang, Z. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e15–e16. Retrieved from https://doi.org/10.1016/S2215-0366(20)30078-X

Haryono, R. (2012). Etika keperawatan dengan pendekatan praktis (Edisi 1). Jakarta: EGC.

Inter-Agency Standing Committee. (2020). Catatan tentang aspek kesehatan jiwa dan psikososial wabah COVID-19 versi 1.0, (Feb), 1–20.

Jameton, A. (2017). What moral distress in nursing history could suggest about the future of health care. AMA Journal of Ethics, 19(6), 617–628. Retrieved from https://doi.org/doi: 10.1001/amajethics.2019.78

Jaya, A. (2014). Etika dan hukum kesehatan (Cetakan 1). Sulawesi selatan: Pustaka As Salam.

Jeffrey, D. I. (2020). Relational ethical approaches to the COVID-19 pandemic. Journal of Medical Ethics, 46(8), 495–498. Retrieved from https://doi.org/10.1136/medethics-2020-106264

Jia, Y., Chen, O., Xiao, Z., Xiao, J., Bian, J., & Jia, H. (2020). Nurses’ ethical challenges caring for people with COVID-19: A qualitative study. Nursing Ethics. Retrieved from https://doi.org/10.1177/0969733020944453

Jiang, X., Deng, L., Zhu, Y., Ji, H., Tao, L., Liu, L., … Ji, W. (2020). Psychological crisis intervention during the outbreak period of new coronavirus pneumonia from experience in Shanghai. Psychiatry Research, 1–3. Retrieved from https://doi.org/10.1016/j.psychres.2020.112903

Kementerian Kesehatan Republik Indonesia. (2020). Pedoman Pencegahan dan Pengendalian Coronavirus Disease (COVID-19) (Maret 2020). Indonesia. Retrieved from https://www.kemkes.go.id/resources/download/info-terkini/COVID-19 dokumen resmi/REV-04_Pedoman_P2_COVID-19_ 27 Maret2020_Tanpa TTD.pdf.pdf

Kim, M., Oh, Y., & Kong, B. (2020). Ethical conflicts experienced by nurses in geriatric hospitals in south korea: “if you can’t stand the heat, get out of the kitchenâ€. International Journal of Environmental Research and Public Health, 17(12), 1–13. Retrieved from https://doi.org/10.3390/ijerph17124442

KY, T., & X, L. (2017). Influence of moral dilemma on job burnout of nurses in oncology department. Chin Nurs Res, 31(34), : 4344–4348.

Larkin, M. E., Beardslee, B., Cagliero, E., Griffith, C. A., Milaszewski, K., Mugford, M. T., … Witte, E. R. (2019). Ethical challenges experienced by clinical research nurses:: A qualitative study. Nursing Ethics, 26(1), 172–184. Retrieved from https://doi.org/10.1177/0969733017693441

Markwell, A., Mitchell, R., Wright, A. L., & Brown, A. F. T. (2020). Clinical and ethical challenges for emergency departments during communicable disease outbreaks: Can lessons from Ebola Virus Disease be applied to the COVID-19 pandemic? EMA - Emergency Medicine Australasia, 32(3), 520–524. Retrieved from https://doi.org/10.1111/1742-6723.13514

McGibbon, E., Peter, E., & Gallop, R. (2010). An institutional ethnography of nurses’ stress. Qualitative Health Research, 20(10), 1353–1378. Retrieved from https://doi.org/10.1177/1049732310375435

Monica, S., Arlington, & Virginia. (2020). Public mental health crisis during COVID-19 pandemic, China. Centers for Disease Control and Prevention, 26(7).

NHPCO Guide to Orgazational Ethics in Hospice. (2020). Ethical Framework for Decision Making in HPC During the COVID-19 Pandemic. Retrieved from https://www.nhpco.org/wp-content/uploads/COVID-19-Ethical-Framework-Decision-Making.pdf

Peter, E., & Liaschenko, J. (2013). Moral Distress Reexamined: A Feminist Interpretation of Nurses’ Identities, Relationships, and Responsibilites. Journal of Bioethical Inquiry, 10(3), 337–345. Retrieved from https://doi.org/10.1007/s11673-013-9456-5

Polk, L. V., & Green, P. M. (2007). Contamination: nursing diagnoses with outcome and intervention linkages. International Journal of Nursing Terminologies and Classifications : The Official Journal of NANDA International, 18(2), 37–44. Retrieved from https://doi.org/10.1111/j.1744-618X.2007.00048.x

Rubio, O., Estella, A., Cabre, L., Saralegui-Reta, I., Martin, M. C., Zapata, L., … Amblas, J. (2020). Ethical recommendations for a difficult decision-making in intensive care units due to the exceptional situation of crisis by the COVID-19 pandemia: A rapid review & consensus of experts. Medicina Intensiva, 1–7. Retrieved from https://doi.org/10.1016/j.medin.2020.04.006

Rushton, C. H. (2016). Moral Resilience: A Capacity for Navigating Moral Distress in Critical Care. AACN Advanced Critical Care, 27(1), 111–119.

Savel, R. H., & Munro, C. L. (2015). Moral distress, Moral Courage. Am J Crit Care, 24(4), 276–278. Retrieved from https://doi.org/http://dx.doi.org/10.4037/ajcc2015738

Strandås, M., & Fredriksen, S. T. D. (2015). Ethical challenges in neonatal intensive care nursing. Nursing Ethics, 22(8), 901–912. Retrieved from https://doi.org/10.1177/0969733014551596

Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., … Wang, H. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. American Journal of Infection Control, 000, 3–9. Retrieved from https://doi.org/10.1016/j.ajic.2020.03.018

van Nistelrooij, I., & Leget, C. (2017). Against dichotomies: On mature care and self-sacrifice in care ethics. Nursing Ethics, 24(6), 694–703. Retrieved from https://doi.org/10.1177/0969733015624475

World Health Organization. (2020a). Coronavirus Disease 2019 (COVID-19) Situastion Report-73. Retrieved from 10.1056/NEJMoa2001316.4.

World Health Organization. (2020b). Q&A on coronaviruses (COVID-19), how does COVID-19 spread.

World Health Organization. (2020c). Rational use of personal protective equipment for coronavirus disease 2019 ( COVID-19 ). Interm Guidace, 1–7. Retrieved from WHO/2019-nCov/IPC PPE_use/2020.1

Published

2020-12-25

How to Cite

Pashar, I., Ismail, S., Edward, I., & Sarinti, S. (2020). TANTANGAN ETIK PADA PERAWAT DALAM PENANGANAN PASIEN DI MASA PANDEMIK COVID-19: SCOPING REVIEW. Jurnal Perawat Indonesia, 4(3), 469–481. https://doi.org/10.32584/jpi.v4i3.732

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