Pengambilan keputusan do not resucitate pasien end of life ditinjau dari perspektif keluarga

Abstract

Background: The goals decisionmaking process DNR orders are supporting autonomy of patient/families and preventing futile medical interventions. Families can experience challenges and difficulties when making decision. Exploration decisionmaking process involving family is therefore crucial. The study aims to explore indepth the decisionmaking DNR among EOL patient from perspective families.Methods: A qualitative descriptive phenomenology study was recruited 6 families, within purposive sampling. Data collection used after to have passed the code of etic, and used indepth interviews face to face and videocalls, and then data analysis followed the Colaizzi’s method.Results: Twelve major themes from interview finding: decisionmaking is autonomy of families, inadequate information communication, consideration patient health status, family’s beliefs and values, family accompaniment, time allocation, knowledge, trust health workers, financial consideration, information provision, and needs second opinions.The findings: Process of communication and effective information inadequate, need for conditional and psychological considerations, need special officers in communicating, need second opinion. Other inhibiting factors are limited knowledge, values and beliefs, limited time from family and health workers, and financial limitations. Conclusion: Need to improve their ability provide adequate information and to perform an effective communication, and facilitate a shared decision making, partculary in DNR decision making for EoL patients