KARAKTER PERAWAT

PROFESIONAL

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Nature alone cures
and what nursing has to do
is to put the patient in the best
condition for nature to act
upon him (Florence Nightingale, 1865)

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 Nursing encompasses autonomous and
collaborative care of individuals of all ages,
families, group and communities, sick or well, and
in all setting.
Nursing includes the promotion of health,
prevention of illness, and the care of ill, disabled
and dying people. Advocacy, promotion of a safe
environment, research, participation in shaping
health policy and in patient and health system
management, and education are also key nursing
roles. (ICN, 2011)

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 Nursing is a vital human service
provided for and to people by the nurse .

It is a service based on trust that the

nurse what will do & what is right, what is
needed, and what will benefit for the
patients.

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 When interacting guidelines have been
formed to define how they should act,
what is proper behavior, and what their
responsibilities are.

It can been seen in national and local law

and in a code of ethics of nursing
profession .

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Quality of Practice

Self
determination

Institutional policies
and procedures
Nursing practice act and
rules and regulation

Nursing professional scope of practice,

standar of practice, code of ethics, speciality
sertification

Evidence Page 6
 CIRI PROFESI :
Ilmu Pengetahuan melalui pendidikan
tinggi
Melakukan praktek
Pengendalian secara otonom
Kode etik
A research-based body of knowledge
Organisasi profesi
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 Bukan sekedar pekerjaan
(vokasi)

Membutuhkan :

Keahlian (expertise)
Tanggung jawab (responsibility)
Kesejawatan (corporateness)

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 Self credentialing
Self licensing

Profesionalisme Masyarakat Profesi

High standard of competence

Moral responsibility

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KOMPONEN UTAMA PROFESIONALISME

Conduct/Per Kompetensi/
ilaku kecakapan

Kognitif dan
Empathy
ketrampilan

Duty of
Fisik
care

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Meletakkan kepentingan klien
diatas kepentingannya sendiri

Duty of care

Altruism

Client oriented

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 Dimensi Profesi :
Pelayanan kepada
manusia

Hukum

Disiplin

Etik
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Ethics
Ethics represents judgment about
actions and conduct that deemed to be
right, correct, or based on moral.

Refers to a study of philosophical ideals of

right and wrong behavior.

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Moral

Morals are standard of right and wrong

that help people determine the correct or
permissible actions.

It is the study of good conduct, character

and motives

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Moral
It is concern with determining what is good
or valuable to all people

In nursing it often reflects a commitment

of personal preference and standard of
nursing profession

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Value

Defined as sets of beliefs or religion and

attitudes owned by the clients or society .

Sometimes personal values can make a

conflict with professional duties, specially in
an emergency situation.

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Rights

Rights as a claim made by an individual or

group of society according what should be
have for him or them as a client in health
system as human being.

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Nurses Personal Characteristics
Research (Smith & Godfrey, 2002)
Does the right thing
Character framed by ethical code
Truly cares for people
Flexible
Compassionate
Respects self
Outstanding people skills
Listens Page 18
 Respects others feelings and beliefs
Knowledgeable
Patient centered
Advocacy
Thinks critically
Performs safe, competent nursing care
Commitment to patients
Follows professional code of ethics
Adheres to nurse practice acts and standards of
care
Acts as role model to advance the profession Page 19
Good Nursing Work: Entering nurses
(Miller, 2006)

Makes a difference in lives of others

Treats others with respect
Honest
Compassionate
Supports patients and families
Is present to patient

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Good Nursing Work: Experienced nurses
(Miller, 2006)

Promotes excellence in nursing

Advocates for underprivileged people
Creates a positive learning environment for
nurses
Empowers others
Promotes quality education

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Good Nursing Care (Attree, 2001)

Focuses on patients Close, open relationship

Involves patients Kind
Acknowledges patients Concerned
individuality
Compassionate
Anticipates patients
Sensitive
needs
Cares for and about
Offers help willingly
patients

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Not So Good Care (Attree, 2001)

Routine
Patients have to ask for help.
Distant relationship
Patients experience little rapport.
Receives little information, kindness, and
concern
Staff inaccessible
Staff unavailable
Does not feel cared for or cared about
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Bad Caring (Lovgren et al., 1996)

Not respected Careless about hygiene

and wound care
Not listened to
Work done in slovenly
Not treated as whole fashion
human being Inattentive
Misjudgments
Poor pain relief
Inflexible routines
Having to wait
Breach of promise
Enforced or forced
treatment Abuse (threat, enforced
medication, accusation
Forget a care task of misuse of drug)

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Noncaring Nurses (Riemen, 1986)

Hurried
Efficient
Just doing a job
Rough
Belittles patients
Not responding
Not paying attention
Treats patients as objects

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Noncaring Nurses (Karlsson et al., 2004)

Being unimportant (neglected, not seen or

recognized by nurse, waits a long time for the
nurse)
Being troublesome (a bother)
Not being thoughtful (does not ask patient about
how nurse can make him/her comfortable, being
disregarded, not being recognized, being
neglected)

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Uncaring Nurses/Incompetent Nurses
(Halldorsdottir, 1991,1999)

Depersonalizes patients
Increases patients vulnerability
Patients despair, become helpless and
hopeless.
Detached
Non-communicative
Negative communication Indifferent

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Justifying Coercion Grounded theory:
Psychiatric nurses (Vuckovich & Artinian, 2005)

Forcibly administers medications to patients in

acute psychotic states

Ethical conflict: beneficence (nurses coerced

patients) versus autonomy (patients refused
medication)

Invests in preserving patients dignity and nurse-

patient relationship despite forcible
administration of medications

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