SERVICE IN CANCER PATIENTS palliative Hospital Dr. Sardjito
ABSTRACT: Background: Dr. Sardjito Hospital is a one of the referral hospital that perform palliative cancer services have a prevalence of cancer incidence in the higher increasingly. Prevalence of cases make some opportunities for physician-nurse to provide palliative care optimaly to improve the quality of life for the palliative cancer patients. Objective: provide an overview of palliative service is given and also the barriers perceived by physician-nurse. Methods: The qualitative research method with a fenomenology design in descriptive exploratory approach. Participants are doctor-nurse who have met the inclusion criteria with a purposive sampling approach. This study was conducted at IRNA I Sardjito Hospital at room Bougenvil 1, 3 and Cendana 1, 2 in October-December 2015. Data obtained by in-depth interviews and observations by the researchers themselves as an instrument of research, field notes and voice recorder. Analysis of data using Colaiz method with Open Code 3.6.2.0. Results: The interviews were conducted on 14 participant and obtained 6 themes. Palliative care is consist of 5 themes: 1) variation in definition of palliative patients by physician-nurse; 2) palliative services according to physicians and nurses perspective; 3) various problems and needs of palliative patients, perception of this themes will be a basic for palliative care and their definition; 4) medical and nursing care of palliative patients and 5) support systems, care given with regard family as a support system in support of the care provided. Constraints in palliative service in last theme (6) for realities in services and expectations of the service palliative care system. Conclusion: the palliative care in IRNA I RSUP Dr. Sardjito Yogyakarta given by physician-nurses are not based on a standard of palliative care but efforts to lead to the treatments already exist. The problem for barriers in the palliative care are causes by policy and care support resources.
