Latar Belakang: Proses asuhan di rumah sakit tentunya melibatkan banyak

prosedur, prosedur berisiko rendah maupun prosedur yang berisiko tinggi

(tindakan invasif) untuk mendukung kesembuhan pasien. Tindakan invasif inilah

yang memerlukan implementasi informed consent.

Tujuan: Mengetahui faktor determinan dalam pengimplementasian informed

consent di rumah sakit.

Metode: Studi literature review. Menggunakan empat data base yaitu: Google

Scholar, Pubmed, Portal Garuda, dan Science Direct tahun 2010-2020. Desain

penelitian kuantitatif cross sectional dan kualitatif dengan populasi dokter atau

perawat atau pasien atau keluarga. Artikel dianalisis menggunakan intrumen JBI

Critical Appraisal Tools-Cheklist for Analytical Cross Sectional Studies dan JBI

Critical Appraisal Tools-Cheklist for Qualitative research memenuhi kriteria akan

disintesis naratif.

Hasil: 10 artikel yang didapatkan faktor determinan dari pengimplementasian

informed consent yaitu pengetahuan, evaluator, sarana dan prasarana,

kesadaran, sosialisasi, SOP belum maksimal, hubungan kemitraan, keterbatasan

waktu dan kesibukan, keterbatasan SDM, komunikasi, ketergantungan, reward

dan punishment, prioritas IC, tidak adanya tindak lanjut dan analisis IC,

keterlamabatan pengembalian dokumen rekam medis, belum adanya SK

pendelegasian IC, gaya kepemimpinan, dan sikap.

Pembahasan: Terdapat 18 faktor. Penting bagi perawat, dokter maupun rumah

sakit untuk memperhatikan faktor determinan pengimplementasian informed

conset untuk peningkatan pelayanan rumah sakit.

Kata kunci: informed consent, pasien, rumah sakit

Background: The process of care in the hospital involves many procedures,

both low-risk and high-risk (invasive measures) to support patient recovery. As

invasive measures require the implementation of Informed Consent (IC)

Aims: To determine the determinants of IC implementation in hospitals.

Methods: Literature review using 4 databases, namely: Google Scholar, Pubmed,

Garuda Portal, and Science Direct 2010-2020. The research design was crosssectional

and qualitative with a population of doctors/nurses/patients/families.

Articles were analyze using JBI Critical Appraisal Tools-Checklist for Analytical

Cross-Sectional Studies and JBI Critical Appraisal Tools-Checklist for Qualitative

research instruments and articles that meet the criteria will be synthesized in a

narrative.

Results: 10 articles show the determinants of IC implementation, namely

knowledge, evaluators, facilities, and infrastructure, awareness, socialization,

SOPs that have not been maximized, partnership relationships, limited time and

busyness, limited human resources, communication, dependence, reward, and

punishment, IC priorities, lack of follow-up and IC analysis, delay in returning

medical record documents, there is no IC delegation decree, leadership style,

and attitude.

Discussion: There are 18 factors. Nurses, doctors, and hospitals need to pay

attention to the determinants of IC implementation to improve hospital services.

Keywords: informed consent, hospital, patient