Abstract
ABSTRAK Pengalaman keluarga saat pengambilan keputusan pada pasien kritis bukan hal yang mudah. Ditemukan banyak masalah yang dialami keluarga saat pengambilan keputusan seperti masalah fisiologis, psikologis, spiritual, sosial, dan budaya. Masalah tersebut harus diatasi agar keputusan yang dihasilkan merupakan keputusan yang terbaik untuk pasien dan keluarga. Tujuan penelitian mengungkap secara mendalam tentang pengalaman keluarga dalam pengambilan keputusan pada pasien kritis. Jenis penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Penelitian dilakukan di ICU RSUD Ulin tanggal 20 Juli-6 Agustus 2017. Jumlah informan mencapai saturasi yaitu 7 orang keluarga. Teknik pengumpulan data wawancara mendalam. Analisis data menggunakan analisis tematik Braun dan Clarke. Hasil penelitian ditemukan 6 tema yaitu diskusi dengan keluarga terkait perawatan pasien, informasi terkait tindakan yang akan dilakukan, kesembuhan pasien prioritas utama, lama perawatan pasien di ICU, pendanaan perawatan pasien, keterlibatan keluarga dalam perawatan pasien. Hasil penelitian diharapkan dapat memberikan masukan kepada perawat dan tenaga kesehatan terkait kebutuhan pelayanan yang harus diberikan kepada keluarga sebelum pengambilan keputusan. Kata-kata kunci: ICU; paliatif; pengalaman keluarga; pengambilan keputusan. ABSTRACT Family experience when making decisions in critical patients is not an easy thing. Found many problems experienced by the family when making decisions such as physiological, psychological, spiritual, social, and cultural issues. Those problems must be overcome and the resulting decision is the best decision for the patient and the patient's family. The aim of this research was to explore about family’s experiences in making decision in critical patients. The research design used qualitative research with descriptive phenomenology approach. This research have been done in ICU of Ulin Hospital on July 20 to August 6, 2017. The number of informants had reached saturation that was 7 informants family of critical patients in ICU. The techniques of data collection in this study has been used in-depth interviews. Data analysis used thematic analysis of Braun and Clarke. The Result found that 6 themes are discussions with family-related to patient care, information about the action to be taken, patient's cure a top priority, length of patient care, patient care funding, and family involvement in patient care. The Advice for nurses and health personnel are to provide all needs of services that must be given to the family before making decision. Keywords: decision making; family experience; ICU; palliative.