Implementation of Nursing Ethical Principles in Action Services at Hewokloang Health Center: Qualitative Case Study

Authors

  • Gabriel Mane STIKES St. Elisabeth Keuskupan Maumere
  • Kristoforus Samson STIKES St. Elisabeth Keuskupan Maumere
  • Sisila Bernadetha Kristaviani3 STIKES St. Elisabeth Keuskupan Maumere

DOI:

https://doi.org/10.31004/joecy.v6i1.6732

Keywords:

ethical principles, nurses, patient autonomy, health centers, nursing care

Abstract

The application of ethical principles is the main foundation in nursing practice to ensure patient safety, service quality, and protection of patients' rights, especially in first-level health services. However, findings suggest that the application of ethical principles, especially patient autonomy, still faces obstacles in daily nursing practice.

The study purpose was to describe the application of the principles of nurse ethics in the action room of the Hewokloang Health Center.

Materials and methods. The research used a Qualitative case study approach with in-depth thematic analysis. The informants consisted of six people consisting of three patients as the main informant and three nurses as supporting informants. Data was collected through in-depth interviews and in-depth thematic analysis, with stages of data reduction, data presentation, and conclusion drawn.

Results. The results of the study showed that the application of most of the ethical principles of nurses in the action room of the Hewokloang Health Center was relatively good (>80%), especially beneficence, non-maleficence, justice, as well as aspects of professional responsibility and honesty. However, the principle of patient autonomy is still not optimal due to the limitations of therapeutic communication, so it is necessary to strengthen information provision and patient involvement in nursing decision-making.

Conclusions. The application of the principles of nurse ethics in the Hewokloang Health Center action room is generally good, but it is still necessary to strengthen therapeutic communication to increase respect for patient autonomy and the quality of ethical nursing services.

References

Beauchamp, T. L., & Childress, J. F. (2019). Principles of biomedical ethics (8th ed.). Oxford University Press.

Bita Aty, M. (2022). Deontological ethics and nurses’ ethical decision-making in hospital settings in eastern Indonesia. Journal of Public Health Research, 11(4), 22799036221123500. https://doi.org/10.1177/22799036221123500

Bolado, G. O., Fernández-Cuadrado, J., Martín-Delgado, M. C., & González-García, M. (2024). Healthcare professionals’ knowledge, attitudes, and practices regarding informed consent: A cross-sectional study. BMC Medical Ethics, 25(1), 12. https://doi.org/10.1186/s12910-024-01052-9

Entwistle, V. A., Cribb, A., & Watt, I. S. (2020). Shared decision-making: Enhancing patient autonomy and healthcare quality. Journal of Medical Ethics, 46(6), 368–374. https://doi.org/10.1136/medethics-2019-105782

Hertzberg, A., Ekman, I., & Karlsson, S. (2023). Ethical challenges related to patient autonomy in nursing practice: A qualitative study. Nursing Ethics, 30(2), 279–291. https://doi.org/10.1177/09697330221119636

Kwame, A., & Petrucka, P. M. (2021). Communication in nurse–patient interaction in healthcare settings: A systematic review. International Journal of Africa Nursing Sciences, 15, 100374. https://doi.org/10.1016/j.ijans.2021.100374

Mane, G., Samson, K., & Conterius, A. W. S. (2025). Implementation of nursing ethical principles in the treatment room of a primary health care center: A qualitative study [Manuscript submitted for publication].

Putri, R. S., Nursalam, N., & Efendi, F. (2021). Implementation of patient-centered care by nurses in Indonesian hospitals: A cross-sectional study. Journal of Nursing Scholarship, 53(5), 593–602. https://doi.org/10.1111/jnu.12669

Yang, Y., Lee, H., & Kim, J. (2022). Nurses’ health literacy competence and its relationship with patient-centered care. BMC Nursing, 21(1), 210. https://doi.org/10.1186/s12912-022-00959-4

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Published

16-01-2026

How to Cite

Mane, G. ., Samson, K. ., & Kristaviani3, S. B. . (2026). Implementation of Nursing Ethical Principles in Action Services at Hewokloang Health Center: Qualitative Case Study. Journal of Innovative and Creativity, 6(1), 2811–2815. https://doi.org/10.31004/joecy.v6i1.6732

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Articles