Keywords
Legal;
Group therapy;
Psychiatric nursing;
Therapeutic groups;
How to Cite
Abstract
Mastery of ethical and legal aspects in therapeutic group therapy is crucial for nurses to protect patient rights and strengthen professional accountability. This literature review aims to identify the ethical and legal aspects of nursing in the implementation of therapeutic group therapy. A literature review was conducted across the LibUI, Google Scholar, and PubMed databases using a combination of keywords such as namely "ethics", "legal", "ethical principles", "legal principles", "group therapy" and "therapeutic group therapy". The inclusion criteria selected textbooks, journal articles, legislation, theses, and dissertations in Indonesian or English published within the last 10 years (2014-2024) that discuss the ethical and legal frameworks of group therapy. Non-full-text articles or studies focusing on individual therapy were excluded. Ten selected articles were analyzed using the narrative synthesis method. Ethical principles identified consist of autonomy, beneficence, non-maleficence, justice, fidelity, and veracity. Legal principles encompass the rights and obligations of both patients and nurses in the execution of therapeutic group therapy. The implementation of therapeutic group therapy must be grounded in the integration of six ethical principles and a legal framework governing the rights and responsibilities of nurses and patients. The synergy of these two aspects ensures that psychiatric-mental health nursing interventions are conducted professionally, legally secure, and with the utmost respect for human dignity.
References
Aiken, T. D. (2004). Legal, Ethical, and Political Issues in Nursing, 2nd ed. Journal For Healthcare Quality, 26(3). https://doi.org/10.1097/01445442-200405000-00012
Arisandy, W., & Sunarmi. (2018). Terapi aktivitas kelompok stimulasi persepsi berhubungan dengan kemampuan pasien dalam mengontrol perilaku kekerasan. Jurnal Keperawatan Dan Kebidanan Aisyiyah, 14(1), 83–90. https://doi.org/10.31101/jkk.553
Atmanegara, S. (2017). Keperawatan Kesehatan Jiwa Prinsip dan Praktik Asuhan Keperawatan Jiwa. Pustaka Baru Press.
Ayala, L. M., Wang, J., Anderson, S., Brevard, A., Ruiz, M., Bannerman, R., Robertson, B., Cheng, Y. I., & Hinds, P. (2015). Implementing a Community Bullying Awareness Intervention in an Adolescent Psychiatric Unit: A Feasibility Study. Archives of Psychiatric Nursing, 29(6), 426–433. https://doi.org/10.1016/j.apnu.2015.06.011
Dowie, I. (2017). Legal, ethical and professional aspects of duty of care for nurses. Nursing Standard, 32(16–19), 47–52. https://doi.org/10.7748/ns.2017.e10959
Fadhillah, H., Mustikasari, Aprisunadi, Mulyono, S., Suriadi, & Erwin. (2022). Pedoman Praktik Keperawatan Mandiri (PPNI (ed.); 2nd ed.). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia (DPP PPNI). https://perawat.org/wp-content/uploads/2022/07/Pedoman-Praktik-Keperawatan-Mandiri-Edisi-II.pdf
Fahrunnisa, & Fitriana, R. I. (2021). Supportive Group Therapy untuk Menurunkan Kecemasan Ibu Hamil di Wilayah Puskesmas Srandakan. Psyche 165 Journal, 14(3), 296–302. https://doi.org/10.35134/jpsy165.v14i3.111
Herlambang, S. (2011). Etika Profesi Kesehatan. Gosyen Publishing.
Keliat, B. A., & Pawirowiyono, A. (2016). Keperawatan Jiwa Terapi Aktivitas Kelompok (2nd ed.). EGC.
Kemenkes RI. (2021). Petunjuk teknis pencegahan dan pengendalian gangguan mental emosional. In kepmenkes RI. Kementerian Kesehatan RI. https://repository.kemkes.go.id/book/1258
Liani, N. A., & Mangesti, Y. A. (2023). Legalitas perawat dalam melakukan pelayanan kesehatan. The 6th Conference on Innovation and Application of Science and Technology (CIASTECH 2023), Ciastech, 309–315. https://publishing-widyagama.ac.id/ejournal-v2/index.php/ciastech/issue/view/236
Pulungan, Z. S. A., & Elisabhet, T. (2021). Teori dan Model Konseptual Kesehatan/Keperawatan Jiwa yang Relevan dengan Terapi Kelompok. J-HEST Journal of Health, Education, Economics, Science, and Technology, 4(1), 7–14. https://yapindo-cdn.b-cdn.net/article/60798/1728977225726.pdf
Pulungan, Z. S. A., Hamid, A. Y. S., Susanti, H., & Dewi, S. Y. (2025). Strengthening Promotive and Preventive Program: A Policy Review on Adolescent Mental Health in Prisons. Journal of the Liaquat University of Medical and Health Sciences, 2025(special issue), 61–67. https://doi.org/10.22442/jlumhs.2025.01259
Pulungan, Z. S. A., & Purnomo, E. (2022). Terapi Kelompok Terapeutik Sebagai Upaya Meningkatkan Perkembangan Intimasi Pada Usia Dewasa Muda. Journal of Health Education and Literacy, 5(1), 33–39. https://doi.org/10.31605/j-healt.v5i1.1666
Pulungan, Z. S. A., Keliat, B. A., & Hamid, A. Y. S. (2025). The Effect of Therapeutic Group Therapy and Family Psychoeducation on Adolescent Self-Identity. Poltekita : Jurnal Ilmu Kesehatan, 19(1), 220–230. https://ojs.polkespalupress.id/index.php/JIK/article/view/4281
Purba, J. M., Indriani, E., & Aritonang, Y. (2023). Peningkatan Kapasitas Ibu Balita dalam Upaya Pencegahan Gangguan Tumbuh Kembang pada Balita Melalui Terapi Kelompok Terapeutik di Wilayah Kerja Puskesmas Hamparan Perak. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(1), 302–312. https://doi.org/10.33024/jkpm.v6i1.7992
Rosalina (2025). Malpraktik Keperawatan dalam Tindakan Pemasangan Infus: Perspektif UU No. 17 Tahun 2023 Tentang Kesehatan dan Kode Etik Keperawatan Indonesia. Seminar Nasional FHISIP, 2(1). https://conference.ut.ac.id/index.php/semnasip/article/view/ 6284
Malpraktik Keperawatan dalam Tindakan Pemasangan Infus : Perspektif UU No. 17 tahun 2023 tentang Kesehatan dan Kode Etik Keperawatan Indonesia | Seminar Nasional Hukum Ilmu Sosial dan Ilmu Politik
Samino & Yanti, D. E. (2020). Analisis Hukum Malpraktik Perawat Jumraini. Jurnal Hukum Malahayati, 1(1). https://ejurnalmalahayati.ac.id/index.php/hukummalahayati/article/ view/3934
Saraswati, S. D., Prabandari, Y. S., & Sulistyarini, R. I. (2019). Pengaruh Terapi Kelompok Suportif untuk Meningkatkan Optimisme pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis. Jurnal Intervensi Psikologi, 11(1), 55–66. https://doi.org/10.20885/intervensipsikologi.vol11.iss1.art5
Sartika, Z., Purnomo, E., & Hamid, A. Y. S. (2023). The Readiness For Enhancement Of School-Age Children Development With Therapeutic Group Therapy: A Systematic Review. Jurnal Kesehatan Manarang, 9(2), 81. https://doi.org/10.33490/jkm.v9i2.572
Stuart, Gail W., Keliat, B. A., & Pasaribu, J. (2016). Prinsip dan Praktik Keperawatan Kesehatan Jiwa Stuart (Edisi Indo). Elsevier Singapore Pte Ltd.
Sudrajat, D. A., Irawati, D., & Mustikasari, M. (2008). Pemenuhan Hak-hak Pasien di Sebuah Rumah Sakit di Jakarta. Jurnal Keperawatan Indonesia, 12(2), 70–75. https://doi.org/10.7454/jki.v12i2.203
Townsend, M. C., & Morgan, K. I. (2018). Psychiatric mental health nursing: Concepts of care in evidence-based practice (9th ed.). FA Davis Company.
Undang-undang (UU) Nomor 17 Tahun 2023 tentang Kesehatan, (2023). https://peraturan.bpk.go.id/details/258028/uu-no-17-tahun-2023
Undang-undang (UU) Nomor 38 Tahun 2014 tentang Keperawatan, (2014). https://peraturan.bpk.go.id/Details/38782/uu-no-38-tahun-2014
Utami, N. W., Agustine, U., & Endah Happy, R. (2016). Etika Keperawatan dan Keperawatan Profesional dan Komperhensif. In PusDik SDM Kesehatan Kementrian Kesehatan Republik Indonesia (Issue 1).
Varcarolis, E. M., & Halter, M. J. (2018). Varcarolis’ foundations of psychiatric-mental health nursing: A clinical approach (8th Editio). Elsevier Inc.
Yanuar, & Amin. (2018). Buku Bahan Ajar Etika Profesi da Hukum Kesehatan. In 2017 (Vol. 1).
Yunita, R., Isnawati, I. A., & Addiarto, W. (2020). Pengaruh Self Help Group untuk Meningkatkan Kualitas Hidup Keluarga dalam Merawat Pasien Skizofrenia. Jurnal Kesehatan Mesencephalon, 6(2), 88–94. https://www.researchgate.net/publication/354465451_PENGARUH_SELF_HELP_GROUP_UNTUK_MENINGKATKAN_KUALITAS_HIDUP_KELUARGA_DALAM_MERAWAT_PASIEN_SKIZOFRENIA.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright (c) 2026 Zulhaini Sartika A. Pulungan, Edi Purnomo, Yasirul Muntaha