KUALITAS KOMUNIKASI INFORMED CONSENT PRA-OPERASI DI EDELWEISS HOSPITAL DAN IMPLIKASINYA PADA PELAYANAN RS TIPE-C
DOI:
https://doi.org/10.52423/jikuho.v11i4.2008Keywords:
Informed Consent, Kepercayaan Pasien, Kualitas Komunikasi, Rumah Sakit Tipe-CAbstract
Kecemasan pra-operasi merupakan masalah yang dapat memperburuk kondisi fisiologis dan psikologis pasien. Kualitas komunikasi dokter bedah berperan penting dalam mengurangi ketidakpastian dan kecemasan pasien sebelum operasi. Penelitian ini bertujuan menganalisis strategi komunikasi dokter bedah dalam mengurangi ketidakpastian pasien pra-operasi menggunakan Uncertainty Reduction Theory (URT) Charles Berger. Penelitian menggunakan metode kualitatif dengan pendekatan studi kasus. Data diperoleh melalui wawancara mendalam dengan tiga dokter bedah (ortopedi, obstetri dan ginekologi, serta bedah umum), masing-masing pasiennya, manajemen rumah sakit, serta Focus Group Discussion (FGD) yang melibatkan para dokter dan manajemen rumah sakit. Analisis dilakukan melalui klasifikasi dan kategorisasi pola komunikasi dokter. Hasil penelitian menunjukkan bahwa, meskipun memiliki gaya komunikasi yang berbeda, dokter menerapkan strategi interaktif URT yang didukung kejelasan informasi, keterbukaan, responsivitas, dan konsistensi komunikasi sehingga mampu membangun kepercayaan pasien serta mengurangi ketidakpastian dan kecemasan pra-operasi. Penelitian ini menghasilkan Model Kualitas Komunikasi Informed Consent yang dapat menjadi acuan dalam penyusunan standar komunikasi informed consent dan pengembangan pelayanan bedah yang berpusat pada pasien di rumah sakit tipe C
References
Appulembang, I. (2017). Provision of Informed Consent towards the Level of Anxiety in Pre-operative Patients at Mamuju District Public Hospital. Kesmas: National Public Health Journal, 12(1). https://doi.org/10.21109/kesmas.v12i1.1258
Asan, O., Yu, Z., & Crotty, B. H. (2021). How clinician-patient communication affects trust in health information sources: Temporal trends from a national cross-sectional survey. PLOS ONE, 16(2), e0247583. https://doi.org/10.1371/journal.pone.0247583
Bontempo, A. C. (2023). Patient attitudes toward clinicians’ communication of diagnostic uncertainty and its impact on patient trust. SSM - Qualitative Research in Health, 3, 100214. https://doi.org/10.1016/j.ssmqr.2022.100214
Budi, R. C., & Wibowo, A. (2023). A Well-understood Surgical Informed Consent : A Scoping Review. Unnes Journal of Public Health, 12(1), 21–32. https://doi.org/10.15294/ujph.v12i1.57731
Denzin, N. K., & Lincoln, Y. S. (2009). Handbook of Qualitative Research - Edisi Bahasa Indonesia (1st ed.). Pustaka Pelajar.
García-Izquierdo, I., & Bellés-Fortuño, B. (2024). Improving Clinical Communication: a qualitative study on the Informed Consent. Revista de Lingüística y Lenguas Aplicadas, 19, 71–83. https://doi.org/10.4995/rlyla.2024.19803
Goldschmitt, M., Gleim, P., Mandelartz, S., Kellmeyer, P., & Rigotti, T. (2025). Digitalizing informed consent in healthcare: a scoping review. BMC Health Services Research, 25(1), 893. https://doi.org/10.1186/s12913-025-12964-7
Griffin, E. (2006). A First Look at Communication Theory (6th ed.). McGraw-Hill.
Hong, H., & Oh, H. J. (2020). The Effects of Patient-Centered Communication: Exploring the Mediating Role of Trust in Healthcare Providers. Health Communication, 35(4), 502–511. https://doi.org/10.1080/10410236.2019.1570427
Isenberg, S. R., Aslakson, R. A., Dionne-Odom, J. N., Clegg Smith, K., Singh, S., Larson, S., Bridges, J. F. P., Smith, T. J., Wolff, J. L., & Roter, D. L. (2018). Family companions’ involvement during pre-surgical consent visits for major cancer surgery and its relationship to visit communication and satisfaction. Patient Education and Counseling, 101(6), 1066–1074. https://doi.org/10.1016/j.pec.2018.01.011
Jaroń, K., Grajek, M., & Kobza, J. (2024). Determinants of Doctor–Patient Communication in Terms of Patient Rights During the COVID-19 Pandemic. Healthcare, 12(21), 2198. https://doi.org/10.3390/healthcare12212198
Jensen, C. B., Sinco, B., Saucke, M. C., Bushaw, K. J., Antunez, A. G., Voils, C. I., & Pitt, S. C. (2025). The Effect of a Surgeon Communication Strategy on Treatment Preference for Thyroid Cancer: A Randomized Trial. Medical Decision Making, 45(4), 426–436. https://doi.org/10.1177/0272989X251325837
Joarder, T., George, A., Ahmed, S. M., Rashid, S. F., & Sarker, M. (2017). What constitutes responsiveness of physicians: A qualitative study in rural Bangladesh. PLOS ONE, 12(12), e0189962. https://doi.org/10.1371/journal.pone.0189962
Kementerian Kesehatan RI. (2022). PERMENKES No. 290/Menkes/ Per/ III/ 2008, Tentang Persetujuan Tindakan Kedokteran. Kementerian Kesehatan RI.
Kriyantono, Rachmat., & Bungin, Burhan. (2014). Teknik praktis riset komunikasi Rachmat Kriyantono; pengantar Burhan Bungin. Kencana Prenada Media Group.
Levinson, W. (2000). A Study of Patient Clues and Physician Responses in Primary Care and Surgical Settings. JAMA, 284(8), 1021. https://doi.org/10.1001/jama.284.8.1021
Liu, X., Zeng, J., Li, L., Wang, Q., Chen, J., & Ding, L. (2024). The Influence of Doctor-Patient Communication on Patients’ Trust: The Role of Patient-Physician Consistency and Perceived Threat of Disease. Psychology Research and Behavior Management, Volume 17, 2727–2737. https://doi.org/10.2147/PRBM.S460689
Manta, C. J., Ortiz, J., Moulton, B. W., & Sonnad, S. S. (2021). From the Patient Perspective, Consent Forms Fall Short of Providing Information to Guide Decision Making. Journal of Patient Safety, 17(3), e149–e154. https://doi.org/10.1097/PTS.0000000000000310
Matsuoka, K., Ishikawa, H., Nakayama, T., Honzawa, Y., Maemoto, A., Hirai, F., Ueno, F., Sato, N., Susuta, Y., & Hibi, T. (2021). Physician–patient communication affects patient satisfaction in treatment decision-making: a structural equation modelling analysis of a web-based survey in patients with ulcerative colitis. Journal of Gastroenterology, 56(9), 843–855. https://doi.org/10.1007/s00535-021-01811-1
Medendorp, N. M., Stiggelbout, A. M., Aalfs, C. M., Han, P. K. J., Smets, E. M. A., & Hillen, M. A. (2021). A scoping review of practice recommendations for clinicians’ communication of uncertainty. Health Expectations, 24(4), 1025–1043. https://doi.org/10.1111/hex.13255
Nsaful, J., Attah, D., Sefogah, P. E., Dedey, F., Bediako-Bowan, A., Amoako, J., Amoah, S. K., Donkoh, I. B., & Clegg-Lamptey, J.-N. (2026). The informed consent process for surgical procedures: perspectives of patients and next-of-kins in a lower middle-income country. BMC Medical Ethics, 27(1), 59. https://doi.org/10.1186/s12910-026-01407-5
Purnamasari, O., & Firmansyah, D. (2025). Bridging uncertainty: social support and health communication in assessing prospective ASD students for online learning. Frontiers in Communication, 10. https://doi.org/10.3389/fcomm.2025.1660794
Susilo, A. P., Marjadi, B., Dalen, J. van, & Scherpbier, A. (2019). Patients’ decision-making in the informed consent process in a hierarchical and communal culture. The Asia Pacific Scholar, 4(3), 57–66. https://doi.org/10.29060/TAPS.2019-4-3/OA2085
Susilo, L. E., Suryono, A., & Makbul, A. (2025). Informed Consent dalam Perspektif Perlindungan Hukum Pasien dalam Transaksi Terapeutik. Jurnal Ilmu Hukum, Humaniora Dan Politik, 6(1). https://doi.org/10.38035/jihhp.vi1
Tosoni, S., Voruganti, I., Lajkosz, K., Mustafa, S., Phillips, A., Kim, S. J., Wong, R. K. S., Willison, D., Virtanen, C., Heesters, A., & Liu, F.-F. (2022). Patient consent preferences on sharing personal health information during the COVID-19 pandemic: “the more informed we are, the more likely we are to help.” BMC Medical Ethics, 23(1), 53. https://doi.org/10.1186/s12910-022-00790-z
West Richard, & Turner Lynn H. (2008). Pengantar Teori Komunikasi Analisis dan Aplikasi (3rd ed.). Salemba Humanika.
Yu, Q. J., & Pun, J. (2023). Promoting Patient Engagement in Medical Informed Consent – A Qualitative Study of Chinese Doctors’ Communication Strategies. Health Communication, 38(1), 71–79. https://doi.org/10.1080/10410236.2021.1932287
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Wiwin Winarti, Budi Setiawan Jamhur, Muhammad Rendi Hakim, Dini Maryani

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









