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

Regie de Jesus, Hansel Gadon

British Journal of Nursing Studies September 10, 2023 DOI: 10.32996/bjns.2023.3.2.2 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study (Glaserian grounded theory) Peer reviewed
Sample size 21
Population ICU nurses with five to fifteen years of clinical experience
Topics Near-death experience
Key findings The authors propose that ICU nurses acquire understanding of patients' near-death experiences through a staged process they label "Piecing the Puzzle," comprising five interwoven themes: Superficial Knowing, Experiential Acquisition, Substantiation, Reflection, and Deepened Understanding. They argue that a holistic nursing view encompassing physical, emotional, and spiritual aspects of near-death experiences is essential for comprehensive, compassionate care.

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.

Comparable studies

Other qualitative studies on near-death experience, most cited first.

Study Year Design Participants
Qualitative thematic analysis of the phenomenology of near-death experiences Cardiac arrest survivors 2018 Qualitative study n = 34
Do Suicide Survivors Report Near-Death Experiences? Persons who had been close to death as a result of a suicide attempt 1982 Qualitative study n = 36
The evolving self: finding meaning in near-death experiences using Interpretative Phenomenological Analysis Female participants who had near-death experiences 2008 Qualitative study n = 3
Investigation of the phenomenology, physiology and impact of spiritually transformative experiences - kundalini awakening. Persons having a spiritually transformative experience (e.g., spontaneous energetic... 2021 Qualitative study
Near-death experiences and religion: A further investigation Near-death experiencers 1984 Qualitative study n = 40

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