Piecing the Puzzle: Towards Intensive Care Unit Nurses’ Understanding of Patients’ Near-Death Experiences

Abstract

This study aims to construct a model that elucidates the process by which nurses acquire an understanding of near-death experiences (NDE) in intensive care units (ICU). The researcher utilized a classic Glaserian grounded theory inquiry design approach. Employing theoretical sampling, twenty-one ICU nurses with clinical experience ranging from five to fifteen years were recruited. Subsequently, the researchers gathered data through in-depth interviews, observations, and memos. Generated data were transcribed verbatim and subjected to line-per-line analysis. Consequently, coding was performed on a contextual basis, followed by categorizing based on the obvious fit. The process of developing an understanding of patients’ near-death experiences is summarized in the formulated core category “Piecing the Puzzle,” which reflects five interwoven emergent themes, namely Superficial Knowing, Experiential Acquisition, Substantiation, Reflection, and Deepened Understanding. Just as a puzzle's final image emerges from fitting pieces together, nurses gradually unravel the intricate tapestry of a patient's near-death experience, leading to deeper insights into their emotional and spiritual journey. Based on study findings, a holistic nursing view that encompasses the physical, emotional, and spiritual aspects of patients' NDE experiences is paramount for nurses to provide comprehensive and compassionate care that facilitates healing and well-being.