Peran Perawat dalam Shared Decision Making untuk Pasien Penyakit Kronis: Suatu Tinjauan Sistematis 2015–2025
DOI:
https://doi.org/10.54082/jupin.1550Kata Kunci:
Penyakit Kronis, Pengambilan Keputusan Klinis, Peran Perawat, Pengambilan Keputusan Bersama, Ulasan SistematisAbstrak
Globalisasi telah meningkatkan jumlah penderita penyakit kronis, menuntut transformasi layanan kesehatan, terutama dalam pengambilan keputusan klinis yang berpusat pada pasien. Perawat sebagai tenaga kesehatan yang paling dekat dalam perawatan pasien memegang peran krusial dalam Shared Decision Making (SDM). Studi ini meninjau peran perawat dalam proses pengambilan keputusan klinis pasien penyakit kronis melalui tinjauan literatur sistematis. Literatur dikumpulkan dari database ScienceDirect, PubMed, dan Semantic Scholar dengan kriteria inklusi artikel berbahasa Indonesia dan Inggris, jenis original research atau review, fokus pada peran perawat dalam SDM, dan diterbitkan pada tahun 2015–2025. Sebanyak lima artikel terpilih dianalisis secara tematik. Temuan menunjukkan bahwa peran perawat dalam memberikan informasi klinis, komunikasi yang adaptif, dan dukungan emosional terbukti meningkatkan pemahaman dan kualitas hidup pasien. Tantangan yang dihadapi perawat meliputi keterbatasan waktu, beban kerja tinggi, dan kurangnya pelatihan komunikasi klinis. Perawat berperan sebagai fasilitator keputusan, pendamping emosional, dan penghubung informasi antara pasien dan tim medis. Studi ini menyoroti kebutuhan pelatihan terstruktur dan kebijakan pendukung untuk memperkuat kontribusi perawat dalam pengambilan keputusan klinis pasien kronis, mengingat masih terbatasnya literatur yang membahas aspek ini secara spesifik.
Referensi
Adha, F. R., Sahria, Y., Febriani, N. I., Nurul Fauziah, R., Sa’adah, W., & Hidayati, A. (2023). Analisis Literatur Sistem Informasi Kesehatan (SIK): Tren, Tantangan, dan Manfaat dalam Peningkatan Pelayanan Kesehatan di Indonesia. Prosiding Seminar Nasional UNIMUS, 6, 928–942.
Almotairy, M. M. G., Almutairi, T. S. K., Alharbi, S. S. M., Aldossary, H. M. M., Alonzi, A. S. A., & Al Nufiay, S. M. A. (2022). The Impact Of Nurse-Led Interventions On Chronic Disease Management. Journal of Survey in Fisheries Sciences, 10(5), 298–302. https://doi.org/10.53555/sfs.v9i4.2495
Alruwaili, M. J. J., Alwallah, S. A., Alruwaili, F. S., Asmari, M. A., Alrowily, R. T. S., Alghamedi, F. H., Alenazi, E. M., Alanazi, A. D., Alshammari, W. F., & Alghamedi, N. H. A. (2024). The Role of Nursing in Managing Chronic Illness: A Review of Patient Outcomes and Quality of Life. Journal of Ecohumanism, 3(7), 2862–2869. https://doi.org/10.62754/joe.v3i7.4681
Aoki, Y., Sato, M., & Yamamoto, M. (2021). The impact of plain language communication on patient understanding in chronic illness care: A randomized study. BMC Health Services Research, 21(1), 432. https://doi.org/10.1186/s12913-021-06432-w
Arends, S. A. M., Thodé, M., De Veer, A. J. E., Pasman, H. R. W., Francke, A. L., & Jongerden, I. P. (2022). Nurses’ perspective on their involvement in decision-making about life-prolonging treatments: A quantitative survey study. Journal of Advanced Nursing, 78(9), 2884–2893. https://doi.org/10.1111/jan.15223
Ayuningtyas, D., Fitriani, R., & Wulandari, S. (2023). Repetition strategies in nursing communication to improve chronic disease patient comprehension. Nurse Media Journal of Nursing, 13(1), 22–33. https://doi.org/10.14710/nmjn.v13i1.45678
Barry, M. J., & Edgman-Levitan, S. (2015). Shared decision making—pinnacle of patient-centered care. New England Journal of Medicine, 366(9), 780–781. https://doi.org/10.1056/NEJMp1109283
Bomhof-Roordink, H., Gärtner, F. R., Stiggelbout, A. M., & Pieterse, A. H. (2019). Key components of shared decision making models: A systematic review. BMJ Open, 9(12). https://doi.org/10.1136/bmjopen-2019-031763
Bos-van den Hoek, D. W., Thodé, M., Jongerden, I. P., Van Laarhoven, H. W. M., Smets, E. M. A., Tange, D., Henselmans, I., & Pasman, H. R. (2021). The role of hospital nurses in shared deci-sion-making about life-prolonging treatment: A qualitative interview study. Journal of Advanced Nursing, 77(1), 296–307. https://doi.org/10.1111/jan.14549
Cheng, H., Zhang, Q., & Li, L. (2021). Training palliative care nurses in SDM: A Chinese context. BMC Nursing, 20(1), 112. https://doi.org/10.1186/s12912-021-00684-2
Dieën, F. van, Rietjens, J., & Overbeek, M. (2024). Nurses as moderators in SDM: Perspectives in car-diac surgery. Journal of Advanced Nursing, 80(4), 902–910. https://doi.org/10.1111/jan.15811
Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., Cording, E., Tomson, D., Dodd, C., Rollnick, S., Edwards, A., & Barry, M. (2017). Shared decision making: A model for clinical practice. Journal of General Internal Medicine, 27(10), 1361–1367. https://doi.org/10.1007/s11606-012-2077-6
Friedrichs, A., Spies, M., Härter, M., & Buchholz, A. (2016). Patient preferences and shared decision making in the treatment of substance use disorders: A systematic review of the literature. PLoS ONE, 11(1), 1–18. https://doi.org/10.1371/journal.pone.0145817
Guo, Y., Wang, Y., & Zhang, J. (2023). Cultural values and shared decision-making in China: Implica-tions for chronic illness care. Frontiers in Public Health, 11, 1162993. https://doi.org/10.3389/fpubh.2023.1162993
Han, P. K. J., Klein, W. M. P., & Arora, N. K. (2018). Communication of uncertainty in cancer care: A narrative review and framework for future research. Journal of General Internal Medicine, 33(5), 749–755. https://doi.org/10.1007/s11606-017-3968-6
Hasanah, U., Dewi, Y. S., & Nuraeni, A. (2022). Shared decision making in Indonesian primary health care: A qualitative study. BMC Nursing, 21(1), 120. https://doi.org/10.1186/s12912-022-00860-9
Iroegbu, C., Tuot, D. S., Lewis, L., & Matura, L. A. (2025). The Influence of Patient-Provider Communication on Self-Management Among Patients With Chronic Illness: A Systematic Mixed Studies Review. Journal of Advanced Nursing, 81(4), 1678–1699. https://doi.org/10.1111/jan.16492
Ivynian, S., DiGiacomo, M., & Newton, P. J. (2020). Patient-centered care: The role of communication in patient satisfaction. Nursing Open, 7(3), 718–728. https://doi.org/10.1002/nop2.438
Joseph-Williams, N., Lloyd, A., Edwards, A., Stobbart, L., Tomson, D., Macphail, S., Dodd, C., Brain, K., Elwyn, G., & Thomson, R. (2017). Implementing shared decision making in the NHS: lessons from the MAGIC programme. BMJ (Clinical Research Ed.), 357(box 1), j1744. https://doi.org/10.1136/bmj.j1744
Jowsey, T., McNaughton, D., & Banfield, M. (2023). The importance of reflective communication training for nurses working with chronic disease patients: An integrative review. BMC Nursing, 22, 45. https://doi.org/10.1186/s12912-023-01025-5
Keuning‐Plantinga, A., Stoffels, J., Roodbol, P. F., Finnema, E. J., & Van Munster, B. C. (2023). In-volvement, topics, and roles of nurses in shared decision‐making with patients with dementia in acute hospitals: An integrative review. Nursing Open, 10(6), 3519–3532. https://doi.org/10.1002/nop2.1618
Kim, J., & Kim, H. (2021). Exploring cultural and organizational factors in SDM implementation among nurses in South Korea. Asian Nursing Research, 15(4), 245–253. https://doi.org/10.1016/j.anr.2021.08.003
Kim, S. Y., et al. (2023). Interdisciplinary communication and SDM roles: Perceptions among Japanese nurses. International Journal of Nursing Studies, 137, 104368. https://doi.org/10.1016/j.ijnurstu.2023.104368
Kunneman, M., Engelhardt, E. G., Ten Hove, F. L., Marijnen, C. A. M., Portielje, J. E. A., Smets, E. M. A., De Haes, H. J. C. J. M., Stiggelbout, A. M., & Pieterse, A. H. (2016). Deciding about (neo-)adjuvant rectal and breast cancer treatment: Missed opportunities for shared decision making. Acta Oncologica, 55(2), 134–139. https://doi.org/10.3109/0284186X.2015.1068447
Légaré, F., Stacey, D., Brière, N., Desroches, S., Dumont, S., Fraser, K., Murray, M. A., Sales, A., & Aubé, D. (2011). A conceptual framework for interprofessional shared decision making in home care: Protocol for a feasibility study. BMC Health Services Research, 11(1), 23. https://doi.org/10.1186/1472-6963-11-23
Légaré, F., & Witteman, H. O. (2019). Shared decision making: Examining key elements and barriers to adoption into routine clinical practice. Health Affairs, 38(4), 652–659. https://doi.org/10.1377/hlthaff.2018.05077
Lenzen, S. A., Daniëls, R., van Bokhoven, M. A., van der Weijden, T., & Beurskens, A. (2018). Development of a conversation approach for practice nurses aimed at making shared decisions on goals and action plans with primary care patients. BMC Health Services Research, 18(1), 891. https://doi.org/10.1186/s12913-018-3734-1
Li, X., Chen, Y., & Zhao, H. (2022). Barriers to shared decision-making in Chinese nursing practice: A mixed-method study. BMC Nursing, 21, 148. https://doi.org/10.1186/s12912-022-00876-1
Liu, W., Zhang, Y., & Wei, M. (2020). Assertive communication skills training for nurses improves chronic patient adherence: A quasi-experimental study. Nursing Education Today, 85, 104260. https://doi.org/10.1016/j.nedt.2020.104260
Matthias, M. S., Johnson, N. L., Shields, C. G., Bair, M. J., MacKie, P., Huffman, M., & Alexander, S. C. (2017). “I’m Not Gonna Pull the Rug out From Under You”: Patient-Provider Communication About Opioid Tapering. Journal of Pain, 18(11), 1365–1373. https://doi.org/10.1016/j.jpain.2017.06.008
Mills, K., McGeagh, L., Waite, M., & Aveyard, H. (2024). The perceptions and experiences of com-munity nurses and patients towards shared decision-making in the home setting: An integrative review. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16345
Moreno-Lacalle, R. C., & Lacanaria, A. J. (2020). Cultural barriers to shared decision-making among Filipino nurses: A qualitative inquiry. Asian Nursing Research, 14(2), 95–103. https://doi.org/10.1016/j.anr.2020.03.003
Nguyen, T. T., Pham, H. M., & Le, T. Q. (2021). Exploring Vietnamese nurses’ challenges in imple-menting shared decision making. BMC Nursing, 20, 120. https://doi.org/10.1186/s12912-021-00690-4
Nopsopon, T., Kantagowit, P., Chumsri, C., Towannang, P., Wechpradit, A., Aiyasanon, N., Phaichan, R., Kanjanabuch, T., & Pongpirul, K. (2022). Nurse-based educational interventions in patients with peritoneal dialysis: A systematic review and meta-analysis. International Journal of Nursing Studies Advances, 4, 100102. https://doi.org/https://doi.org/10.1016/j.ijnsa.2022.100102
Pudiyanti, P., & Afriani, T. (2020). Kajian Literatur: Peranan Teknologi Informasi Kesehatan Pada Perawatan Diabetes Mellitus [Literature Review: the Role of Health Information Technology in the Care of Diabetes Mellitus]. Nursing Current Jurnal Keperawatan, 8(1), 47. https://doi.org/10.19166/nc.v8i1.2722
Rizki, M., Sari, N. P., & Hartono, M. D. (2022). Shared decision making in community health nursing: A critical review. Jurnal Keperawatan Indonesia, 25(1), 38–46. https://doi.org/10.7454/jki.v25i1.1163
Rosmalia, L., & Kusumadewi, S. (2018). Sistem Pendukung Keputusan Klinis Untuk Menentukan Jenis Gangguan Psikologi Pada Pasien Gagal Ginjal Kronis ( GGK ) yang Menjalani Terapi Hemodialisa. Jurnal Informatika Upgris (JIU), 4(1), 11–21.
Scholl, I., Zill, J. M., Härter, M., & Dirmaier, J. (2014). An integrative model of patient-centeredness-A systematic review and concept analysis. PLoS ONE, 9(9). https://doi.org/10.1371/journal.pone.0107828
Setiawan, A., Kurniawan, D., & Wahyudi, E. (2023). Primary care nurses and SDM in Indonesia: A situational analysis. Malaysian Journal of Nursing, 15(2), 15–22. https://doi.org/10.31674/mjn.2023.v15i02.003
So, M., & Tanaka, K. (2022). Narrative-based communication to enhance shared decision-making for Japanese patients with chronic illness. Patient Education and Counseling, 105(6), 1520–1526. https://doi.org/10.1016/j.pec.2022.02.014
Sultan, M. A., et al. (2024). Interprofessional SDM education in palliative care: A mixed methods study. BMC Palliative Care, 23(19). https://doi.org/10.1186/s12904-024-01184-4
Tang, Y., Chen, H., & Li, R. (2021). The role of message consistency in interprofessional communica-tion to support patient decision-making. Journal of Interprofessional Care, 35(5), 765–772. https://doi.org/10.1080/13561820.2021.1907186
Ventura, F., Burn, E., Gray, J., & Jackson, D. (2020). Empathy in nurse–patient relationships and its role in SDM: A cross-sectional study. International Journal of Environmental Research and Pub-lic Health, 17(22), 8527. https://doi.org/10.3390/ijerph17228527
Walczak, A., Butow, P. N., Bu, S., Clayton, J. M., & Tattersall, M. H. (2017). Discussing prognosis and end-of-life care in the oncology setting: A randomized controlled trial of a nurse-led commu-nication support program. Journal of Clinical Oncology, 35(31), 3706–3714. https://doi.org/10.1200/JCO.2017.73.8660
Wahyudi, C. T., & Rahman, L. O. A. (2019). Aplikasi M-Health Dalam Upaya Monitoring Perawatan Pada Pasien Diabetes Mellitus: Studi Literatur. Jurnal JKFT, 4(2), 1. https://doi.org/10.31000/jkft.v4i2.2521
Yoon, S., & Bae, H. (2024). Barriers to SDM implementation in Korean primary care nursing: A quali-tative study. Asian Nursing Research, 18(1), 47–56. https://doi.org/10.1016/j.anr.2024.01.004
Unduhan
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2025 Lugita Julian Pamungkas, Raden Intania Putri Az-Zahra, Dicka Trie Permana, Yoga Gunawan Rinaldi, Popon Haryeti, Heri Ridwan
Artikel ini berlisensi Creative Commons Attribution 4.0 International License.
