BATASAN PROFESIONAL DAN DINAMIKA ETIKA DALAM HUBUNGAN PERAWAT-PASIEN : PERSPEKTIF EVIDENCE-BASED NURSING

Authors

  • Muhammad Ridho S1 Keperawatan, Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Kalimantan Timur
  • Najla Dalilah Ramadhania Zain S1 Keperawatan, Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Kalimantan Timur
  • Muhammad Raihan Ghifari S1 Keperawatan, Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Kalimantan Timur
  • Yusri Arisandi Ilyas S1 Keperawatan, Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Kalimantan Timur
  • Shinta Dwie Lestari S1 Keperawatan, Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Kalimantan Timur
  • Hana Putri Pratiwi S1 Keperawatan, Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Kalimantan Timur
  • Gita Anisa Maulida S1 Keperawatan, Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Kalimantan Timur

DOI:

https://doi.org/10.31004/jkt.v7i1.54305

Keywords:

batasan profesional, boundary making, etika keperawatan, evidence-based nursing, hubungan perawat–pasien

Abstract

Tinjauan literatur ini membahas konsep Boundary Making (Batasan Profesional) dalam konteks Evidence-Based Nursing (EBN). Melalui analisis terhadap sepuluh artikel ilmiah terbitan lima tahun terakhir, kajian ini menegaskan bahwa batasan profesional merupakan landasan etika yang penting untuk menjaga hubungan perawat–pasien yang aman, efektif, dan bersifat terapeutik. Hasil sintesis menunjukkan tiga tema utama: (1) batasan profesional sebagai pilar etika yang melindungi martabat pasien dan mempertahankan kepercayaan; (2) tantangan yang muncul akibat dinamika kekuasaan, ambiguitas peran, tekanan emosional, serta kurangnya pelatihan terstruktur yang dapat memicu terjadinya pelanggaran batas; dan (3) faktor internal seperti penalaran etis, nilai profesional, dan konsep diri positif yang memperkuat kemampuan perawat dalam menjaga batasan. Tinjauan ini menekankan bahwa kemampuan menetapkan dan mempertahankan batasan profesional merupakan prasyarat penting dalam penerapan EBN yang objektif dan etis. Rekomendasi meliputi integrasi pendidikan batasan profesional dalam kurikulum, penyusunan pedoman institusional yang jelas, peningkatan supervisi klinis, serta penelitian lanjutan berbasis intervensi.

References

Alzahrani, I. H., Saad, S., Alalyani, Z., Alharbi, A. M., Alhawsawi, N. M., Allqmani, R. H., Musaed, S., Alynbawi, M., Mohammed, M., Ashiri, A., Algethami, A. M., Mohammed, H., Althagafi, A., & Shook, A. (2024). Nursing Ethics: Balancing Care and Professional Boundaries. 7, 12.

Awang Ziadi, D. N. A., & Zolkefli, Y. (2025). Nursing Students’ Understanding and Experiences of Student-Patient Relationships: A Thematic Analysis. International Journal Of Care Scholars, 8(1), 98–107. https://doi.org/10.31436/ijcs.v8i1.407

De Silva, D. K. M., Madhushika, G. V. G., Prabhani, S. D. D., & Asuakkody, T. A. (2024). Overview of Ethical Reasoning in Nursing: A Scoping Review. Sri Lankan Journal of Nursing, 3(1), 46–60. https://doi.org/10.4038/sljn.v3i1.50

Febriana, A., Nur Achriyana Arif, R., Jend Ahmad Yani Km, J., Harapan Kota Parepare, L., Selatan, S., & Dan Kesehatan, M. (2025). Konsep Diri Mahasiswa Keperawatan Untuk Menjadi Perawat Profesional Nursing Students’ Self-Concept to Become a Professional Nurse.

Mbalinda, S. N., Najjuma, J. N., Gonzaga, A. M., Livingstone, K., & Musoke, D. (2024). Understanding and barriers of professional identity formation among current students and recent graduates in nursing and midwifery in low resource settings in two universities: a qualitative study. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01795-2

National Council of State Boards of Nursing. (2024). A Nurse’s Guide to Professional Boundaries.

Putu Suryani, N., Rizmadewi Agustina, H., Eriyani, T., & Setyorini, D. (2023). Professional Boundaries in The Relationship Between Nurses and Patients in Healthcare Settings: A Scoping Review. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 8(2), 917–928. https://doi.org/10.30604/jika.v8i2.2005

Singh, B., Mudgal, T., Govindrao Gaikwad, S., & Sharma, A. (2025). Maintaining Professional Boundaries And Upholding Ethics In Nursing: A Critical Analysis. Universe International Journal of Interdisciplinary Research (International Peer Reviewed Refereed Journal, 06. www.uijir.comhttps://doi-ds.org/doilink/07.2025-36368443/UIJIR

Susanti, I. A., Putri, P., & Astutik, E. (2023). Pentingnya Nilai Profesional dari Perspektif Mahasiswa Keperawatan di Jember. In Profesional Health Journal (Vol. 5, Issue 1). https://www.ojsstikesbanyuwangi.com/index.php/PHJ

Unhjem, J. V., & Hem, M. H. (2025). Nurse-patient relationship boundaries and power: A critical discursive analysis. Nursing Ethics. https://doi.org/10.1177/09697330251314093

Downloads

Published

2026-03-02

Issue

Vol. 7 No. 1 (2026): MARET 2026

Section

Articles

License

Copyright (c) 2026 Muhammad Ridho, Najla Dalilah Ramadhania Zain, Muhammad Raihan Ghifari, Yusri Arisandi Ilyas, Shinta Dwie Lestari, Hana Putri Pratiwi, Gita Anisa Maulida

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).