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EXPLORING NURSES’ EXPERIENCES OF VENTILATOR WEANING IN THE ICU : A QUALITATIVE STUDY TO INFORM DEVELEPMENT PF A Q-METHONOLOGY-BASED NURSING INTERVENTION MODEL Dahlia, Debie
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 1 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i1.1040

Abstract

Background: Ventilator weaning is a critical stage in the ICU that requires not only technical competence but also communication skills, psychosocial support, and family involvement. This complexity demands nursing interventions that are comprehensive and grounded in the real experiences of patients and nurses.Objective: This study aimed to explore the experiences of  ICU nurses during the ventilator weaning process, an initial stage in developing a critical care nursing intervention model, using the Q-methodology approach.Methods: This phase employed a qualitative design, involving in-depth interviews with 10 participants in the ICU. Data were analyzed using thematic analysis to identify the main themes. The qualitative findings were then used to construct the concourse and Q-statements, which will be sorted through Q-sort and factor analysis in the subsequent stage.Results: Seven main themes emerged from the analysis: (1) comprehensive nursing care, (2) therapeutic communication, (3) patient comfort, (4) family support, (5) patients’ psychological experiences, (6) nurses’ role in ventilator weaning, and (7) barriers in practice. The results of the exploration of 10 ICU nurse participants revealed seven major themes related to nurses' experiences in caring for patients in the ICU, namely: 1) Comprehensive nursing care; 2) Therapeutic communication; 3) Patient comfort; 4) The role of family support; 5) The patient's psychological experience; 6) The role of nurses in ventilator weaning; 7) Obstacles and challenges. From these themes, 40 Q-statements were developed to reflect the perceptions, expectations, and experiences of participants. The findings highlight that technical interventions accompanied by empathy, therapeutic communication, and family involvement contribute significantly to the success of weaning and to patient comfort.Conclusion:  qualitative exploratory phase emphasizes that the role of nurses in ventilator weaning is multidimensional, encompassing technical, communicative, psychosocial, and spiritual aspects.Recommendation: The findings serve as a foundation for the Q-sort and factor analysis stage using Q-methodology, with the aim of formulating a critical care nursing intervention model that is more comprehensive, humanistic, and experience-based, and which can be implemented in ICUs across Indonesia.Keywords: ventilator weaning, ICU, nurses, therapeutic communication, Q-methodology
Co-Authors Aat Djanatunisah Aat Djanatunisah Achir Yani S. Hamid Achmad Fauzi Kamal Agung Waluyo Anastania, Yeane Anis Ika Nur Rohmah Apriyanti, Efa Ardiyati, Adelina Vidya Arisanty, irma Puspita Aryani, Denissa Faradita Besral . Dandi Oka Subantara Dayan Hisni Denissa Faradita Aryani Dewi Gayatri Dewi Irawaty Dewi Irawaty Dhika Ayu Kurnia Dian Ayubi Dikha Ayu Kurnia Dikha Ayu Kurnia Elly Nurachmah Eti - Sumartiyah Etty Rekawati Evi Martha Fauzi Kamal, Achmad Fina Mahardini Gatra Satria Gultom, Yunisar Gupta, Prateek Helen, Helen I Made Kariasa I Putu Adi Suryawan I Putu Adi Suryawan I Putu Adi Suryawan Idia Indar Anggraeni Irmariani Irbar Kurnia, Dhika Ayu Lestari Sukmarini Lestari Sukmarini Liya Arista Maria, Riri Maria, Riri Melawati, Wati Muchtaruddin Mansyur Muhammad Mulyadi Pranata Nafi'ah, Rizka Hayyu Nekka Juliani Nila Indrayati Noor Diani Noor, M. Fakhruddin Nori Widiowati Widiowati Pandan Enggarwati Pertiwi, Ni Wayan Astiti Pradana Soewondo Priyanto Priyanto Priyanto Priyanto Priyanto Ratna Aryani Ratna Aryani Ratna Aryani Retnoningrum, Dwi Ria Desnita Ridho Kunto Prabowo Rifatul Fani Rima Novia Putri Rinda Apriani Riri Maria Rosina Tarigan Rr. Tutik Sri Hariyati S., Chiyar Edison Sali Rahadi Asih Salim Harris Sandra Sandra Sany, Puti Rahmitha Saptawati Bardosono Sari, Lia Novita Setyowaty Sianturi, Natallina Sihombing, Yulia Siska Rahmadiya Sri Hartati Pratiwi Sri Yona Sucipto Dwitanta Sukma Wicaturatmashudi Syafa'atun Mirzanah Toar J.M. Lalisang Tommy Indra Tri Antika Rizki Kusuma Putri Wicaturatmashudi, Sukma Yeni Rustina Yunisar Gultom Yunizar Gultom