Kualitatif Eksploratif: Penerapan Forensic Nursing Di Instalasi Gawat Darurat

RAHMAH YANITA KUSUMA, Ariani A. P. Pertiwi, S.Kep., Ns., MAN., DNP; Dr. Sri Setiyarini, S.Kp., M.Kes

2024 | Tesis | S2 Magister Keperawatan

Latar belakang: Forensic nursing di Indonesia merupakan hal yang baru dan belum dikenal secara luas. Belum ada regulasi khusus yang mengatur forensic nursing di Indonesia. Hal ini tidak sejalan dengan tingginya angka kriminalitas dimana banyak pasien kasus forensic yang datang ke Instalasi Gawat Darurat (IGD). Tidak diterapkannya forensic nursing dengan baik memunculkan dampak negatif yang dapat menghambat pemberian perawatan kepada pasien dengan kasus forensic di IGD. 

Tujuan: Mengeksplorasi penerapan forensic nursing di IGD. 

Metode: Kualitatif eksploratif dengan wawancara mendalam kepada 12 perawat IGD di rumah sakit milik pemerintah dan swasta. Partisiapan adalah perawat IGD yang pernah memberikan forensic nursing kepada pasien dengan kasus forensic. 

Hasil: Didapatkan 5 tema yaitu 1) ragam kasus forensic, 2) proses keperawatan, 3) pendukung implementasi forensic nursing, 4) The importance of crime evidence, 5) tantangan, hambatan dan kebutuhan dalam melaksanakan forensic nursing 

Kesimpulan: Penerapan forensic nursing di IGD pada setting penelitian sudah dilakukan namun belum terlaksana dengan baik. Regulasi terkait forensic nursing perlu diupayakan agar perawat dapat melaksanakan intervensi keperawatan forensic yang berkualitas dengan lebih percaya diri dan aman.

Background: Forensic nursing in Indonesia is new and not widely recognized. There are no specific regulations governing forensic nursing in Indonesia. This is not in line with the high crime rate where many forensic case patients come to the Emergency Department (IGD). Not implementing forensic nursing properly has a negative impact that can hinder the provision of care to patients with forensic cases in the emergency room. 

Objective: To explore the application of forensic nursing in the emergency department. 

Methods: Exploratory qualitative with in-depth interviews with 12 emergency room nurses in public and private hospitals. The participants were emergency room nurses who had provided forensic nursing to patients with forensic cases. 

Results: 5 themes were obtained, namely 1) the variety of forensic cases, 2) the nursing process, 3) support for the implementation of forensic nursing, 4) The importance of crime evidence, 5) challenges, obstacles and needs in implementing forensic nursing. 

Conclusion: The implementation of forensic nursing in the emergency room in the research setting has been carried out but not well implemented. Regulations related to forensic nursing need to be sought so that nurses can carry out quality forensic nursing interventions with more confidence and safety.

Kata Kunci : Forensic nursing, forensic nurse, kasus forensic, ruang instalasi gawat, darurat, kualitatif eksploratif