Nonmaleficence pada Pasien Neonatal dengan Hiperbilirubinemia yang Menjalani Fototerapi: Analisa Konsep

Wahyu Setyaningsih, Sidik Awaludin

Abstract


Background: The clinical ethical issue of nonmaleficence is not causing harm to patients. The principle of nonmaleficence requires that every medical action be weighed against all benefits, risks, and consequences. This principle reminds practitioners that the benefits of medical action should always be weighed against all risks and consequences. Objective: The concept analysis aimed to explore the nonmaleficence in neonatal hyperbilirubinemia patient undergoing phototherapy. Methods: Walker and Avants's method for concept analysis is used in this paper. This paper defines the attributes using the eight-step Walker and Avant’s process of concept analysis method, such as the main objectives of the concept analysis process are to identify the attributes and provide researchers with a precise definition of the concept. Therefore, this analysis can provide a conceptualized definition of hyperbilirubinemia, phototherapy and nonmaleficence. The search method performing a literature searching PUBMED, Science Direct, ProQuest, and Google Scholar databases using the keywords hyperbilirubinemia, phototherapy, and nonmaleficence as key word and title. Published materials conducted from 2000 to 2023 in English or Indonesian.  Results: The concept analysis showed that health workers in providing health care efforts must always be with the intention of helping patients overcome their health problems. Nurses’ actions must be in accordance with procedures so that there are no errors or negligence that can harm patient and families so that they can provide maximum benefits and minimal risk. Conclusion: Nurse using ethical concept of nonmaleficence tried to explanation to mothers and family members in non-medical language.

Keywords


Concept Analysis, Neonatal Hyperbilirubinaemia, Nonmaleficence, Phototherapy, Walker and Avant

Full Text:

PDF

References


Bhutani, V. K., Papile, L. A., Baley, J. E., Carlo, W. A., Cummings, J. J., Kumar, P., Polin, R. A., Tan, R. C., & Watterberg, K. L. (2011). Phototherapy to prevent severe neonatal hiperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics, 128(4). https://doi.org/10.1542/peds.2011-1494

Girdler SJ, Girdler JE, Tarpada SP, Morris MT. Nonmaleficence in medical training: Balancing patient care and efficient education. Indian J Med Ethics. Published online on December 12, 2018. DOI: 10.20529/ IJME.2018.100.

Kinshella, M. L. W., Salimu, S., Chiwaya, B., Chikoti, F., Chirambo, L., Mwaungulu, E., Banda, M., Hiwa, T., Vidler, M., Molyneux, E. M., Dube, Q., Mfutso-Bengo, J., Goldfarb, D. M., Kawaza, K., & Nyondo-Mipando, A. L. (2022). Challenges and recommendations to improve implementation of phototherapy among neonates in Malawian hospitals. BMC Pediatrics, 22(1), 1–10. https://doi.org/10.1186/s12887-022-03430-y

Olopade, O. O. (2016). Evaluation of Transcutaneous Bilirubin As a Screening Tool for Significant Jaundice in Term and Late Preterm Newborns At the University College Hospital Ibadan. Faculty of PAEDIATRICS.

Pettersson, M., Eriksson, M., Odlind, A., & Ohlin, A. (2022). Home phototherapy of term neonates improves parental bonding and stress: Findings from a randomised controlled trial. Acta Paediatrica, International Journal of Paediatrics, 111(4), 760–766. https://doi.org/10.1111/apa.16231

Romero HM, Ringer C, Leu MG, et al. (2028). Neonatal Jaundice: Improved Quality and Cost Savings After Implementation of a Standard Pathway. Pediatrics, 141(3).

Sampurna, M. T. A., Mapindra, M. P., Mahindra, M. P., Ratnasari, K. A., Rani, S. A. D., Handayani, K. D., Angelika, D., Harianto, A., Utomo, M. T., Etika, R., & Sauer, P. J. J. (2021). Kramer score, an evidence of its use in accordance with indonesian hiperbilirubinemia published guideline. International Journal of Environmental Research and Public Health, 18(11). https://doi.org/10.3390/ijerph18116173

Sofia, J.A. (2020). Kajian Penerapan Etika Dokter Pada Pemberian Pelayanan Kesehatan Di Era Pandemi Covid-19. Jurnal Hukum dan Pembangunan Ekonomi, 8(2).

Ullah, S., Rahman, K., & Hedayati, M. (2016). Hiperbilirubinemia in neonates: Types, causes, clinical examinations, preventive measures and treatments: A narrative review article. Iranian Journal of Public Health, 45(5), 558–568.

Walker, L.O. and Avant, K.C. (2011). Strategies for Theory Construction in Nursing. 5th Edition. New York: Prentice Hall.

Wang, J., Guo, G., Li, A., Cai, W., & Wang, X. (2021). Challenges of phototherapy for neonatal hiperbilirubinemia (Review). Experimental and Therapeutic Medicine, 21, 231. https://doi.org/10.3892/etm.2021.9662

Xiong, T., Qu, Y., Cambier, S., & Mu, D. (2011). The side effects of phototherapy for neonatal jaundice: What do we know? What should we do?. European Journal of Pediatrics, 170(10), 1247–1255. https://doi.org/10.1007/s00431-011-1454-1




DOI: https://doi.org/10.31983/jkm.v13i1.11320

Article Metrics

Abstract view : 25
Download PDF : 23

Refbacks

  • There are currently no refbacks.



Creative Commons License
Jurnal Keperawatan Mersi by ejournal.poltekkes-smg.ac.id/ojs/index.php/mersi is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
View My Stats