The effectiveness of Quranic audio therapy in reducing occupational stress among ICU and ED nurses, Jember, Indonesia: a multiple case study

Abstract

Background & aim

Occupational stress among nurses remains a significant concern, particularly in high-intensity environments such as Intensive Care Units (ICU) and Emergency Departments (ED). While various coping strategies exist, spiritually-based interventions are still underutilized. This qualitative multiple-case study explores the potential of Quranic audio therapy specifically the recitation of Surah Ar-Rahman as a culturally embedded strategy for reducing occupational stress among Muslim nurses in Jember, Indonesia.

Methods

Two nurses experiencing moderate-to-severe stress, as identified through the Depression Anxiety Stress Scales (DASS-21), were selected via purposive sampling. Each participant engaged in a 20–25 min audio session of Surah Ar-Rahman for seven consecutive days. Pre- and post-intervention stress scores were recorded using DASS-21, alongside reflective narrative journals and observational field notes. Thematic analysis was applied to qualitative data.

Results

Thematic findings revealed improvements in emotional regulation, a deepened sense of calm, and enhanced spiritual reflection. These outcomes were supported by decreases in DASS-21 stress subscale scores for both participants.

Conclusion

Quranic audio therapy may offer a culturally relevant approach to support emotional regulation and stress reduction among Muslim nurses. While findings are promising, they remain exploratory; further research is needed to validate these outcomes in broader clinical contexts.