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All Journal COPING (Community of Publishing in Nursing) Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal Ners Indonesia Jurnal Konseling dan Pendidikan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Penelitian Kesehatan Suara Forikes Belitung Nursing Journal AcTion: Aceh Nutrition Journal Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) JURNAL KESEHATAN INDRA HUSADA Journals of Ners Community International Journal of Nursing and Health Services (IJNHS) Jurnal Ilmu Keperawatan Medikal Bedah Jurnal Ilmiah Keperawatan Indonesia (JIKI) JKEP : Jurnal Keperawatan Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal JURNAL KESEHATAN BHAKTI HUSADA Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Jurnal Menara Medika Nursing Sciences Journal Caring : Indonesian Journal of Nursing Science Journal of Holistics and Health Sciences (JHHS) Narra J An Idea Health Journal Proceedings of the International Conference on Nursing and Health Sciences Jurnal Endurance: Kajian Ilmiah Problema Kesehatan Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Keperawatan Holistik Jurnal Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Debie Dahlia
Department Of Medical Surgical Nursing, Nursing Faculty, Universitas Indonesia, Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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EXPLORING NURSES’ EXPERIENCES OF VENTILATOR WEANING IN THE ICU: A QUALITATIVE STUDY TO INFORM THE DEVELOPMENT OF A Q-METHODOLOGY-BASED NURSING INTERVENTION MODEL Debie Dahlia; Denissa Faradita Aryani; Dita Aditianingsih; Elly Nurrachmah; Prima Agustia Nova
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
Komunikasi terapeutik dalam keperawatan kardiovaskular: Sebuah tinjauan sistematis dan meta analisis hasil fisiologis dan psikologis Muhammad Iqbal; Debie Dahlia
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3141

Abstract

Background: Cardiovascular nursing practice often prioritizes mechanical hemodynamic monitoring while neglecting interpersonal engagement. Qualitative findings support the value of therapeutic communication; however, there remains a lack of quantitative synthesis regarding its effect size on physiological stability. Purpose: To measure the impact of therapeutic communication on cardiac anxiety and heart rate variability (HRV) Method: This literature review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The article search was designed using the PICOS framework: P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), O (outcome), and S (study). The literature search was conducted in PubMed, Scopus, and CINAHL using the keywords “therapeutic communication” AND “nurse-patient communication” AND “cardiovascular patients” AND “cardiac anxiety” AND “heart rate variability” AND “psychological outcomes” AND “physiological outcomes.” The publication timeframe was from 2020 to 2026, and the search included articles in both English and Indonesian. The search yielded 15 relevant and usable articles. Results: The study demonstrated a significant reduction in cardiac anxiety (SMD = -0.89, 95% CI -1.15 to 0.63) alongside a significant improvement in physiological indicators. The observed heterogeneity (I²) of 83% was primarily attributed to cultural and environmental moderators. Conclusion: Therapeutic communication serves as a highly promising clinical intervention equivalent to adjunctive pharmacological stabilization, effectively reducing the cardiotoxic effects of increased sympathetic activity.   Keywords: Anxiety; Cardiovascular Nursing; Heart Diseases; Therapeutic Communication.
Kepatuhan Diet dengan Kejadian Rawat Inap Ulang Pasien Pascalaparoskopi Kolesistektomi Rif'atul Fani; Debie Dahlia; Lestari Sukmarini
Jurnal Keperawatan Vol 7 No 2 (2022): November
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jkep.v7i2.1042

Abstract

Kepatuhan diet pasien pascalaparoskopi kolesistektomi penting dilakukan karena pasien tidak lagi memiliki kandung empedu yang berfungsi dalam pencernaan lemak. Kepatuhan diet rendah lemak merupakan indikator keberhasilan perawatan di rumah. Jika pasien tidak patuh, dapat menyebabkan kejadian gastritis,diare, mual, dan muntah yang menjadi alasan pasien menjalani rawat inap ulang. Tujuan penelitian untuk mengetahui hubungan kepatuhan diet dengan kejadian rawat inap ulang pada pasien pascalaparoskopi kolesistektomi. Penelitian ini menggunakan desain cross-sectional dengan pendekatan retrospektif. Jumlah sampel 80 responden yang didapatkan dengan tehnik consecutive sampling. Metode pengumpulan data dengan kuesioner dan lembar pengumpulan data. Analisis hasil penelitian menggunakan uji korelasi Spearman. Hasil penelitian didapatkan nilai p = 0,0001 (α < 0,05) yang menunjukkan ada hubungan signifikan antara kepatuhan diet dengan kejadian rawat inap ulang pasien pascalaparoskopi kolesistektomi. Hubungan kepatuhan diet dengan kejadian rawat inap ulang menunjukkan kekuatan hubungan sedang (r=0,465) dan berpola positif yang artinya semakin tidak baik kepatuhan diet maka kecenderungan untuk terjadi rawat inap ulang akan lebih tinggi dibandingkan pasien dengan kepatuhan diet yang baik. Edukasi tentang diet rendah lemak harus menjadi perhatian perawat untuk menurunkan kejadian rawat inap ulang.
Co-Authors Aat Djanatunisah Aat Djanatunisah Achir Yani S. Hamid Achmad Fauzi Kamal Agung Waluyo Anis Ika Nur Rohmah Ardiyati, Adelina Vidya Arisanty, irma Puspita Besral Chiyar Edison 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 Dita Aditianingsih Elly Nurachmah Elly Nurrachmah 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 M. Fakhruddin Noor Muchtaruddin Mansyur Muhammad Iqbal Muhammad Mulyadi Pranata Nafi'ah, Rizka Hayyu Natallina Sianturi Nekka Juliani Ni Wayan Astiti Pertiwi Nila Indrayati Noor Diani Noor Diani Noor, M. Fakhruddin Nori Widiowati Widiowati Novrin Senselia Putri Ziliwu Pandan Enggarwati Pradana Soewondo Prima Agustia Nova Priyanto Priyanto Priyanto Priyanto Priyanto Ratna Aryani Ratna Aryani Ratna Aryani Ria Desnita Ridho Kunto Prabowo Rifatul Fani Rima Novia Putri Rinda Apriani Riri Maria Riri Maria Rizka Hayyu Nafi’ah 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 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 Wati Melawati Wicaturatmashudi, Sukma Yeane Anastania Yeni Rustina Yulia Sihombing Yunisar Gultom Yunizar Gultom