Persepsi Tenaga Kesehatan Terhadap Pentingnya Keberadaan Hospice Care Untuk Pasien Kanker Stadium Terminal di RSUP Fatmawati Jakarta.

Okky Rachmad Ngakili, Moch. Prasetyo Mulyanto


Hospice care is an integrated service that focused in giving full support to the patients for having enjoyable life and peaceful end of life. The research aimed to find medical professional’s perception on the meaning, benefit and challenge on hospice care as well as multidisciplinary team roles in hospice care service for terminal illness patient in Fatmawati Central General Hospital, Jakarta. This Research utilized qualitative methodology with hermeneutic phenomenology approach. The participants were recruited through purposive sampling according to the inclusive criteria. A total number of 15 main participants consisted of 3 persons in each proffesion namely doctor, nurse, nutriciant, physiotherapist and pharmacist. A focus group discussion in the research and education room. The analyzed through N VIVO 11 program, interpreted within thematic and sub-theme analysis. The result showed that hospice care was very important. The health professionals stated that multidisciplinary team’s roles in Hospice care acted as educator, consellor and care giver to respond to patients needs. It was concluded then that hospice care is important to improve patients quality of life in many aspects. The research recommended the hospice care to be implemented and supported by health care team and management of Fatmawati Central General Hospital Jakarta.

Keyword: Perception, Medical Proffesional, Hospice Care.


Perception; Medical Proffesional; Hospice Care.

Full Text:



Afiyanti. (2014). Metodologi Penelitian kualitatif Dalam Riset Keperawatan. Rajawali. Jakarta.

Alligood. (2014). Nursing theorist and their works. St.Louis: Elsevier Mosby

American Cancer Society. (2014). Information and Resources for Cancer.

Bandur. (2014). Penelitian kualitatif Metodologi, Desain & Teknik Analisis Data Dengan NVIVO 10. Mitra Wacana Media. Jakarta.

Black & Hawks. (2009). Medical-surgical nursing: Clinical management for positive outcome (7th ed.). St. Louis: Elsevier Saunders.

Boyd. (2016). Nurses’ Perceptions and Experiences With End-of-Life Communication and Care. Journal of California State University. Fullerton. Vol. 38, No. 3.

Bray. (2013). Patient and family perceptions of hospice services: ‘I knew they weren’t like hospitals’. Original Scientific Paper: Qualitative Research. Journal of Department of General Practice and Primary Health Care. The University of Auckland. New Zealand

Brooks. (2013). Improving Access: Identifying the Top Four Barriers to Hospice Admission. Halcyon Hospice. USA

Brunner & Suddarth. (2010). Textbook Medical Surgical Nursing Brunner&Suddarth (ed 13th). China: Lisa McAllister

Carlson. (2010). Mindfulness for Cancer and Terminal Illness. Calgary Alberta. Canada

Center for Medicare services. (2014). Center for medicare & Medicaid services.

Charmaz. (2009). Constructing grounded Theory: A practical guide Through Qualitative Analysis. Thousand Oaks: Sage Publication Ltd.

Connor. (2009). Hospice and Palliative Care. Oxford University Press: New York

Creswell. (2013). Qualitative inquiry & research design: Choosing among five approaches. Thousand Oaks: Sage Publication Ltd.

Daniela. (2013). Hospice Care In A Hospital Setting: The Experience Of A Multidisciplinary Team. Original artikel: Text Context Nursing, Florianopolis, 2013 Out-Dez; 22(4): 1134-41.

DepKesRI. (2014). Publikasi Data Dan Informasi.

DepKesRI. (2015). Publikasi Data Dan Informasi.

Desen, W. (2008). Onkologi Klinis Edisi 2. Beijing Cina: Science Publication .

DeWitt & Kumagai. (2012). Medical-surgical nursing concepts and practice. Philadelphia: Elsevier Mosby.

Doddy Owen. (2012). Final-year student nurses’ perceptions of role transition. British Journal of Nursing. Vol.21,No.11. Department of Nursing and Midwifery. University of Limerick.

Field. (2012). Palliative And Hospice Care Ethics. Oxford University Press: New York

Finley. (2009). Methodology Of Research Qualitative. Oxford University Press: New York

Harwell. (2012). Research design: Qualitative, quantitative, and mixed methods. In C. Conrad & R.C. Serlin (Eds.). The Sage handbook for research in education: Pursuing ideas as the keystone of exemplary inquiry (Second Edition). Thousand Oaks, CA: Sage.

Heberth. (2011). The Nurse Advocate in End of Life Care. The Ochsner Journal 325-329.

Heydarnejad et al. (2009). Factors Affecting Quality of Life in Cancer Patients Undergoing Chemotherapy, (online), ( /pmc/articles/PMC3158510/pdf /AFHS1102-0266.pdf, diakses 17 Februari 2012).

ICSI. (2013). Health Care Guideline Palliative Care for Adults. Institute for Clinical System Improvement: USA.

Ignatavicius & Workman. (2010). Medical surgical nursing: Patient centered collaborative care. St. Louis: Elsevier Saunder.

Infeld. (2013). Hospice Care and Cultural Diversity. The Haworth Press. New York

Institute for Clinical System Improvement. (2013). Health Care Guidelines. Olmsted Medical Center. Philadelphia.

Karen Hess. (2008). The Family Handbook of Hospice Care. Fairview Press Minneapolis: USA

Kathryn. (2010). The Role of the Pharmacist in Hospice Care. Wellness Partner Free CE. the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. United State

Kindi. (2012). Pattern of Hospitalization of Patients With Cancer in an Acute Palliative Care Setting: Qatar’s Experience. American Journal of Hospice and palliative Medicine. AM J HOSP PALLIAT CARE 30:25.

Kirk. (2014). Hospice Ethics Policy and Practice in Palliative Care. Oxford University Press. New York

Lewis. (2011). Medical Surgical Nursing. Assesment and Managemnet of Clinical Problems (ed 8). st. Louis: Elsevier

Lindley. (2012). Trends in services Among Pediatric Hospice Providers During 2002 to 2008. American Journal of Hospice and Palliative Medicine. AM J HOSP PALLIAT CARE 30:68.

Manuaba. (2008). Masalah Penanganan Kanker di Indonesia. Orasi Ilmiah: Pidato Pengukuhan Jabatan Guru Besar Tetap dalam Bidang Ilmu Bedah Fakultas Kedokteran Universitas Udayana

Mellanie. (2011). Theoretical basis for nursing. China: Wolters Kluwer

National Medical Policy. (2015). Hospice Care. Policy Number: NMP238. Health Net.

NCI. (2014). Coping With Advanced Cancer. NIH: USA

Next Step In Care. (2013). Family Caregiver’s Guide to Hospice and Palliative Care. United Hospital Fund.

NHPCO. (2012). NHPCO’s Facts and Figures Hospice Care in America. NHPCO: USA

NHPCO. (2013). NHPCO’s Facts and Figures Hospice Care in America. NHPCO: USA

NHPCO. (2014). NHPCO’s Facts and Figures Hospice Care in America. NHPCO: USA

Norman. (2008). When Skeptics Ask: A Handbook on Christian Evidences, Baker, ISBN 978-0-80101498-7.

O’Callaghan. (2014). Guidelines For The Physiotherapy Management Of Motor Neuron Disease (Mnd). Mnd Guideline Development Group. Phoenix Centre, Longford

PALIATIVE AND SUPPORTIVEE INSTITUTE. (2013). Health Care Guideline Palliative Care.

Pandey. (2015). Quality of Life of Patients Undergoing Cancer Treatment in B.P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal. American Journal of cancer Prevention, Vol. 3 No. 2, 35-44.

Polit & Beck. (2012). Nursing research: generating and Assessing Evidence For Nursing Practice. Philadelpia: Lippincott William & Wilkins

Ravitch & Riggan. (2011). Reason & Rigor: How Conceptual Frameworks guide Research. Thousand Oaks: Sage Pub

Richards & Morse. (2013). Read me first for a user’s guide to qualitative methods. 3rd Ed. Thousand Oaks: Sage Pub

RisKesDas. (2013). Laporan Hasil Riset Kesehatan Dasar.

Robson. (2011). Real World Research, 3rd ed. West Sussex: Wiley

Saldana. (2009). The coding manual for qualitative researcher. Thousand Oaks: Sage Pub

Simms. (2007). Palliative and Hospice care. Oxford University Press: New York

Susilo et all. (2015). Riset Kualitatif & Aplikasi Penelitian Ilmu Keperawatan. Trans Info Media: Jakarta.

Taekyu. (2012). Comparison of Medical Expenditure According to Types of hospice Care in Patients With Terminal Cancer. American Journal of Hospice and Palliative Medicine. AM J HOSP PALLIAT CARE 30:50

Talebreza. (2014). The Hospice Referral. University of Utah School of Medicine. Salt Lake City

Teresa. (2013). Importance and Timing of End of Life care Discussion Among Gynecologic Oncology Patients. American Journal of Hospice and palliative Medicine. AM J HOSP PALLIAT CARE 30:59.

Trinh. (2014). Effects of supervised exercise on Motivational Outcomes in Breast Cancer Survivors at 5-years Follow-Up. European Journal of Oncology Nursing. Elsevier 557-563.

UPMC. (2013). The Difference Between Palliative And Hospice Care.PSI: USA

WHO. (2013). WHOLibrary Cataloguing-in-Publication

WHO. (2015). WHO Library Cataloguing-in-Publication

Williams. (2013). Introduction to Probability and Statistics. Duxbury Press. England

Williams & Hopper. (2007). Medical Of Nursing. Elsevier. Missauri. USA

Williams & Hopper. (2015). Understanding Medical Surgical Nursing. Philadelphia: F.A. Davis.

Wira. (2012). Hubungan Kualitas Hidup Dengan Kebutuhan Perawatan Paliatif Pada Pasien Kanker Di Rsup Sanglah Denpasar. Proquest

Witjaksono. (2013).Artikel Hospis: Rumah bagi Pasien Stadium Terminal.CDK-210/ vol. 40 no. 11.Jakarta

Zahrani et all. (2012). Pattern of Cancer Deaths in a Saudi Tertiary Care Hospital. American Journal of Hospice and palliative Medicine. AM J HOSP PALLIAT CARE 30:21.

Zanartu. (2012). Prognostication I: Improving Accuracy to Support Care and Hospice Access. Institute for Innovation In Palliative care. USA

Zeinah. (2012). Middle East Experience in Palliative Care. American Journal of Hospice and Palliative Medicine. AM J HOSP PALLIAT CARE 30:94.



  • There are currently no refbacks.

Copyright (c) 2019 Jurnal Ilmiah Keperawatan Stikes Hang Tuah Surbaya


Contact Person

Name: Muh. Zul Azhri Rustam, S.KM., M.Kes.

Telp: +6285256544844


Addres: Jl. Gadung No. 1 Kota Surabaya, Jawa Timur, Indonesia