Overview of

Critical Care
Nursing
Sri Wulandari N., M.Kep.,
Ns.Sp.Kep.An.

What Critical Care Nurse

Do ?
Critical care Nurses Do ...
What Nurse Do ?
1.Attend human
experience &
responce
2.Integrate
objective data
3.Apply scientific
knowledge
4.Establish a
caring relationship

1.Critical care nurses deal

with human responses to life
threathening problems
2.The scope of practice
includes all ages and involves
a dynamic interaction
between critically ill patients,
the patients family, dritical
care nurse and the
environment
3.Framework of practice

Framework of Practice

Framework...contd

The Environment of Critical Care

Complexity Vigilance

Critically ill patients

require complex
assesment and
therapies, high-intensity
interventions, and
continous vigilance

Organizational Model
1. Critical care nurse workes with interdiciplinary
team. Five elements of an organizational model
for health and healing:
a. Common values of health as a function of mindbody-spirit interrelationships
b. Patient & family-centered philosophy
c. Physical environment that support healing
d. Use of complementary and alternative therapies
as well as conventional therapies
e. Organizational culture that promotes personal
growth

Contd...
2. Critical care nurse is a constant in the environment &
works to develop an organizational culture that support
the following:
a. Providers that acts as advocates on behalf of patients,
family & communities
b. The dominance of the patients & familys value
c. Practise based in research & driven by outcomes
d. Ethical decision making
e. Collaboration
f. The fostering of leadership at all levels & in all activities
g. Lifelong learning as fundamental to professional growth
h. Optimalization of existing talents & resources
i. The rewarding of innovation & creativity
j. Respect for diversyty

Patient Safety Goals (JCAHO,

2006)

Model Sinergi
Rumusan Model Sinergi disusun oleh
American Association of Critical Care-Nurse
(AACN).
Menjelaskan praktik keperawatan menurut
kebutuhan dan karakteristik pasien bukan
pada penyakit dan modalitas
pengobatannya.
Ketika karakteristik pasien dan kompetensi
perawat cocok & bersinergi, hasil pasien
yang optimal dapat tercapai

Description of Synergy
Model

Karakteristik Pasien

Karakteristik Pasien (contd)

Kompetensi Perawat
Kompetensi

Deskripsi

Penilaian Klinis

Pengambilan keputusan klinis, berpikir

kritis, pemahaman menyeluruh thd
situasi, keterampilan keperawatan
(pengetahuan formal + pengalaman).

Advokasi

Berfungsi sbg agen moral dalam

mengidentifikasi dan membantu
menyelesaikan masalah etis dan klinis
di tatanan klinis.

Praktik caring

Aktivitas yg responsif thd keunikan

pasien & klg, menciptakan lingkungan
yg menyayangi & terapeutik, bertujuan
meningktkan kenyamanan.

Kolaborasi

Bekerjasama dg pasien, keluarga, & tim

kesehatan lain.

Kompetensi Perawat (Contd)

Kompetensi

Deskripsi

Pemikiran Sistem

Landasan pengetahuan & Instrumen yg

mendukung perawat u/ menghargai
lingkungan perawatan dari sudut
pandang holistik .

Respon terhadap
keragaman

Kepekaan dalam mengenali ,

menghargai, dan memadukan
perbedaan dalam pemberian
perawatan.

Peneliti Klinis /
inovator

Proses berkelanjutan dalam praktik,

membuat inovasi melalui penelitian &
pembelajaran eksperiensal, terlibat
dalam pengembangan pengetahuan
klinis.

Fasilitator
pembelajaran

Kemampuan memfasilitasi
pembelajaran pasien, staf keperawatan,
tim kesehatan lain.