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Asriadi Prihandika Widianto
Poltekkes Kemenkes Semarang

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Tinjauan Sistematis Evidence-Based Practice: Mengkritisi Misinformasi Penolakan Ventilasi Mekanis Melalui Peningkatan Literasi Media dan Komunikasi Keperawatan Kritis Asriadi Prihandika Widianto; Devi Titik Aprilia; Sudirman Sudirman
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56585

Abstract

The infodemic phenomenon in the digital era has triggered the massive spread of misinformation regarding critical medical interventions, particularly the mistaken perception that mechanical ventilation is the cause of death in patients with respiratory failure. This has resulted in family refusal of the procedure, increased mortality, and moral distress among nurses. This study aims to analyze the impact of this misinformation and formulate mitigation strategies through media literacy and nursing communication. This research method is a systematic review based on Evidence-Based Practice (EBP). The literature search was conducted in the Scimago, PubMed, and ScienceDirect databases spanning 2021 to 2026. Inclusion criteria included studies on ventilator misinformation, lung-protective ventilation strategies, and the role of nurses in addressing communication barriers in intensive care units. Results: The analysis showed that ventilator misinformation is rooted in a failure to understand the pathophysiology of Acute Respiratory Distress Syndrome (ARDS) by laypersons. The implementation of lung-protective ventilation has been clinically proven to reduce mortality, but its efficacy is often hampered by conflicts with patient autonomy based on manipulative information. This study identified that the Family-Centered Care (FCC) approach combined with prebunking (psychological inoculation) and empathetic debunking techniques was effective in reducing family resistance. Conclusion: Managing the infodemic in critical care settings requires transforming the role of nurses into digital literacy agents. The use of the SIFT (Stop, Investigate, Find, Trace) method and strengthening therapeutic communication are key to restoring public trust in the healthcare system. Integration of media literacy into the nursing curriculum is highly recommended to equip healthcare workers to face future information challenges
Analysis Of Lifestyle Risk Factors On The Occurrence Of Type 2 Diabetes Mellitus: A Systematic Literature Review Devi Titik Aprila; Asriadi Prihandika Widianto; Budi Widiyanto
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59419

Abstract

Type 2 Diabetes Mellitus (T2DM) is becoming increasingly prevalent over the world, posing a serious challenge to public health systems. This rise in prevalence not only affects morbidity and death, but it also imposes a significant economic burden due to treatment expenses, long-term consequences, and reduced productivity. The goal of this study is to discover and assess the most important lifestyle factors in the development of T2DM. Methods: A Systematic Literature Review (SLR) was conducted to consolidate and critically analyze recent epidemiological evidence from 2022 to 2026 regarding lifestyle-related risk factors for Type 2 Diabetes Mellitus. Results: The synthesis reveals that Type 2 Diabetes Mellitus is influenced by a variety of factors, including metabolic and anthropometric factors such as obesity, dietary features such as sugar intake, physical activity, smoking and alcohol consumption, and sleep quality. Conclusion: Obesity, particularly abdominal adiposity, is the most common lifestyle factor contributing to the development of Type 2 Diabetes Mellitus, followed by an unhealthy diet, a lack of physical activity, smoking and alcohol intake, and inadequate sleep quality.