Implementing Caring in Nursing...
Transcript of Implementing Caring in Nursing...
Caring Nursing
Caring is the essence, moral ideal,
and foundation for nursing practice (Boykin& Schoenhofer, 2001; Leininger & McFarland, 2006; Watson, 2005)
Caring nursing formalizes the conception
of professional nursing practice and
validates nursing as a discipline of
specialized knowledge in the action of
caring for and about the patient and
family (Nelson & Watson, 2012)
What is Caring Science??
Developed by Jane Watson in 1979
Human trait with moral attitude in
science and art
What is Caring Science??
Support the nurses to reflect upon what it
means to be whole, to be healed, and to
be caring (Hills & Watson, 2011)
An evolving ethical-epistemic field of study that
is grounded in the discipline of nursing and
informed by related fields (Watson & Smith, 2002)
caring sbg sifat manusia
caring sbg ideal moral
caring sbg afek
caring sbg interaksi interpersonal
caring sbg intervensi
Actions characteristic of concern for the well-
being of a patient
(Mosby's Medical Dictionary, 9th ed. 2009)
A wide variety of features and actions and these may be
words, thoughts, feelings, looks, actions, movement, gestures,
body language, touch, acts, procedures and/or information
(Udomluck , Tonmukayakul , & Tiansawad, 2010)
Instrumental and expressive behaviors
that, when used in the context of shared professional
interactions, facilitate understanding,
learning, comfort, human dignity,
security, self-confidence, hope, and
encouragement (Duffy, 2013)
Caring Skills
Seperangkat perilaku yang mencerminkan caring
seorang perawat dalam berinteraksi dengan
pasien atau klien dalam upaya menumbuhkan
hubungan saling percaya yang terapeutik
(therapeutic-trust relationship) (Setiawan, 2019)
Instrumental caring behaviors
1. Technical behaviors,
2. Physical behaviors
The expressive caring behaviors
1. Psychosocial behaviors
2. Emotional behaviors
• Patient’s diagnosis
• The type of institution
• Nurse’s age and experience
• Self-respect
• Beliefs
• Workplace circumstances
1. understand patients’ conditions and appreciate
their uniqueness as people
2. allowing them to provide care centered on the
patient
3. reinforcing their desire to enhance their ability to
provide patient care commitment to the nursing
profession and organization
1. Dimulai dari diri perawat sendiri
We need to love, respect, care for
ourselves, and treat ourselves with
dignity, before we can respect, love,
and care for others and treat them with
dignity.
2. Menerapkan Caring Behavior Dalam
Praktek Keperawatan
Model caring (menggunakan teori caring) sangat
membantu dalam menuntun perawat
menerapkan caring dalam merawat pasien.
Caring behavior akan konsisten ditampilkan
sementara non-caring behavior perlahan-lahan
ditinggalkan.
Perawat harus menjalin hubungan caring dengan
pasien.
Mutualitas harus terbentuk antara perawat dan pasien
mengenai situasi dan kebutuhan pasien
Perawat harus memperlakukan pasien sebagai
makhluk holistik (body, mind & spirit) dengan sikap yg
positif
Perawat harus mempromosikan kesehatan pasien
dengan melakukan penyuluhan & intervensi dan
memperlihatkan penerimaan atas pasien apa adanya.
Caring occasions/moments harus diciptakan oleh
perawat
Memahami diri sendiri seutuhnya
Membaurkan energi kehidupan perawat & pasien
Mempraktekan caring secara sadar
Menyadari bagaimana caring memberi keuntungan
bagi pasien
Berperilaku caring yang akan memperkaya kehidupan
perawat, pasien, kolega dan menciptakan lingkungan
yg positif
• Dilaksanakan sejak tahun 2014
• Dalam bentuk Protap Interaksi Staf RS
berbasis Caring (5 tahap)
• Di evaluasi tiap bulan
• Pelaksanaan Momen 3 menit
• Pelaksanaan Momen 3 menit plus
• Monev oleh Karu tiap bulan dan
dilaporkan dalam briefing bulanan
Training on application of caring science in
hospital
Implementation the SCIP at 11 wards.
Monitoring and evaluation of the SCIP
Measurement impact of implementation of the
SCIP
Application of Caring Science at USU
Hospital
HOSPITAL POLICY
SURAT EDARAN No: 2399/UN5.4.1.1.5/KPM/2018
on Implementation of SCIP in delivering
Nursing Care for improving quality of
Medical and Nursing Service
Date on 31 July 2018
dari Diryanmed atas nama Direktur Utama
untuk seluruh Ka.Instalasi dan UnitPelayaan Medik & Keperawatan, juga selu
ruh KaRu Rajal & Ranap
Application of Caring Science at USU Hospital