Kajian literatur: implementasi advance care directives di Asia

Refo, Claudia Adreina and Harefa, Dinda Kartianty and Ralendesang, Widya Lestari (2021) Kajian literatur: implementasi advance care directives di Asia. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Latar Belakang: Advance Care Directive (ACD) adalah rencana yang dibuat oleh individu mengenai pelayanan perawatan di masa depan. ACD dapat menjadi petunjuk dalam menjalankan perawatan, meningkatkan kualitas komunikasi dan hidup pasien serta mengurangi perawatan yang tidak diinginkan di rumah sakit. Penerapan ACD dapat memfasilitasi tenaga medis untuk memberi perawatan yang efektif sehingga tujuan perawatan yang diinginkan dapat tercapai, dan membantu untuk mengurangi ketegangan keluarga dan kebingungan keluarga mengenai kebutuhan pasien. Tujuan Penelitian: Tujuan dari kajian literatur ini adalah untuk melihat gambaran dari bagaimana perawat mengimplementasikan ACD di negara- negara Asia. Metode Penelitian: Kajian literatur ini akan menggunakan metode thematic analysis: a simplified approach. Pencarian data menggunakan tiga database seperti PMC, EBSCO, dan ScienceDirect dengan penggunaan Boolean operator AND dan OR. Penulis menggunakan flow diagram PRISMA untuk proses seleksi artikel. Analisis artikel/data dilakukan menggunakan Critical Appraisal Checklist tools yang dikembangkan oleh Joanna Briggs Institute (JBI). Hasil: Implementasi ACD di Asia sudah dilakukan di negara- negara seperti China, Hong Kong, Taiwan, Jepang, Singapura, dan Korea. Implementasi terebut dapat digambarkan dalam tema yaitu: pelaksanaan ACD yang dilakukan oleh perawat, manfaat ACD yang dirasakan oleh pasien, keluarga serta perawat dan faktor yang mempengaruhi implementasi perawat. / Background: Advance Care Directive (ACD) is a plan made by individuals regarding future care services. ACD can guide care, improve the quality of communication and patient life and reduce unwanted care in the hospital. The application of ACD can facilitate medical personnel to provide effective care so that the desired treatment goals can be achieved, and help to reduce family tension and family confusion about patient needs. Research Objectives: The purpose of this literature review is to see an overview of how nurses implement ACD in Asian countries. Research Methods: This literature revie use the method of thematic analysis: a simplified approach which is described simply. Data search use three databases such as PMC, EBSCO, and ScienceDirect with the use of Boolean operators AND and OR. Using PRISMA flow diagrams for the article selection process. The article/data analysis carried out using the Critical Appraisal Checklist tools developed by the Joanna Briggs Institute (JBI). Results: The implementation of ACD in Asia has been carried out in countries such as China, Hong Kong, Taiwan, Japan, Singapore and Korea. ACD implementation can be described in three themes: the implementation of ACD by nurses, the benefits of ACD that are felt by patients, families and nurses and factors that influence nurse implementation.

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