Nurses’ Experience in Palliative Care in the Intensive Care Unit


  • Nurdeenee Dereh 0856729466
  • Waraporn Kongsuwan Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
  • Kantaporn Yodchai Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.


Intensive care units, Nurses’ experiences, Palliative care


The present study was aimed at describing the experience of registered nurses in palliative care of two Intensive Care Units (ICUs) in a hospital using a qualitative Husserlian phenomenology. Data providers in the study were 10 registered nurses with experience in palliative care in ICU, working in ICU for at least 2 years. Data were collected by using individual in-depth interview and were analyzed by Colaizzi’s approach. The trustworthiness of this qualitative study was established by following Lincoln and Guba’s criteria.

The findings revealed that the definitions of providing palliative care in the ICUs, from nurses’ experiences, were given in 7 themes as follows: 1) caring as holistic care, 2) caring to reduce suffering and to increase quality of life, 3) incorporating family members and relatives into the care, 4) caring for both patients and their family, 5) caring is to cure, not to cause illness, 6) caring from the start and together with cure and 7) caring to focus on the end-of-life period. The findings of this study provide basic information of palliative care in the ICUs from nurses’ experiences, and can be further used to improve the quality of palliative care in ICUs.


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Author Biography

Nurdeenee Dereh, 0856729466



คณะพยาบาลศาสตร์ มหาวิทยาลัยนราธิวาสราชนครินทร์


Amanda, S., Lindsay, L., David, B, Zara, C., Daniel, O., John, H., et al. (2018). Beyond Pain: Nurses’ assessment of patient suffering, dignity, and dying in the intensive care unit. Journal of Pain and Symptom Management, 55(6), 1591-1598.

Angus, D. C., & Truog, R. D. (2016). Toward better ICU use at the end of life. The Journal of the American Medical Association, 315(3), 255-256.

Athitunyachaipong, P. (2016). Guidelines of Palliative Care in End of life (2nd ed.). Bangkok: Ministry of Public Health. (in Thai).

Buglass, E. (2010). Grief and bereavement theories. Nursing Standard, 24(41), 41-44.

Chaipeth, O., Nilmanat, K., & Kong-in, W. (2011). Nurses’ experience in Caring for Patient at The End of Life. Thai Journal of Nursing Council, 26(1), 41-55.

Chuchor, S. (2011). Nurses’ Experience of Caring for Critically Ill Muslim Patients at the End of Life. Master’s Thesis, Department of Nursing Science, Faculty of Nursing Science, Price of Songkla University. (In Thai).

Fadare, J. O. B., Olaogun, D. O., Afolayan, J. M., Olatunya, O., & Ogundipe, K. O. (2014). Perception of nurses about palliative care: Experience from South-West Nigeria. Annals of Medical and Health Sciences Research, 4(5), 723-727.

Fongkerd, S., Himananto, S., & Tantalanukul, S. (2016). Family-center: from theory to practice for end of life care of critical patients in intensive care unit based on Thai context. Journal of Phrapokklao Nursing College, 27, 170-178.

Ho, A. & Tsai, DF-C. (2016). Making good death more accessible: end-of-life care in the intensive care unit. Intensive care Medicine, 42, 1258-1260.

Iranmanesh, S., Razban, F., Tirgari, B., & Zahra, G. (2014). Nurses’ knowledge about palliative care in Southeast Iran. Palliative and Supportive Care, 12(1), 203-210.

Jiewprasat, K. (2015). Nursing roles and support in end-of-life decision making for critically ill patients: a case study. Thai Journal of Cardio-Thoracic Nursing, 26(2), 15-24.

Kongsuwan, W., Chaipetch, O., & Matchim, Y. (2012). Thai Buddhist families’ perspective of a peaceful death in ICUs. Nursing in Critical Care, 17(3), 151-159.

Kongsuwan, W., & Locsin, R. C. (2011). Thai nurses’ experience of caring for persons with life-sustaining technologies in intensive care setting: A phenomenological study. Intensive and Clinical Care Nursing, 27(1), 102-110.

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Newbury Park: Sage

Locsin, R. C., & Kongsuwan, W. (2013). Lived experience of patients being cared for in ICUs in southern Thailand. Nursing in Clinical Care, 18(4), 200-211.

Mahon, M. M., & McAuley, W. J. (2010). Oncology nurses' personal understandings about palliative care. Oncology Nursing Forum, 37(3), E141-E150.

McConnell-Henry, T., Chapman, Y., & Francis, K. (2009). Husserl and Heidegger: exploring the disparity. International Journal of Nursing Practice, 15, 7-15.

Mercadante, S., Gregoretti, C. & Cortegiani, A. (2018). Palliative care in intensive care units: why, where, what, when, how. BMC Anesthesiology, 18, 1-6.

Nirmal, S., Kongsuwan, W., & Nilmanat. K. (2014). Grief Experience of Thai Buddhist Wives of Dead Patients from Critical Illness: Practicing Buddhism Ways for Self-Healing. The Journal of faculty of Nursing Burapha University, 22(5), 47-57.

Nuekwen, P., Hanprasitkam, K., & Junda, T. (2016). Nurses’ perceptions and practice on palliative care. Thai Journal of Cardio-Thoracic Nursing, 27(1), 128-141.

Sastranuruk, S. & Pattrapakdikul, U. (2013). Palliative Care for Terminally Ill Patients Among Nurses and Caregivers in Songklanagarind Hospital. [electronic]. Songkla Medicine Journal, 31(5), 235-244.

Streubert, H. J., & Carpenter, D. R. (Eds.). (2007). Qualitative research in nursing advancing the humanistic imperative (4th ed.). Philadelphia: Lippincott william & Wilkins.

WHO. (2016). WHO Definition of Palliative Care. Retrieved March, 5, 2020 from cancer/palliative/definition/en/

WHO. (2018). Palliative care. Retrieved January, 10, 2020 from

Yongpattanajit, s., & Monkong, S. (2020). Caregivers’ stress and coping with stress from caring for terminally patients in palliative care unit. Journal of Thailand Nursing and Midwifery Council, 35(2), 116-131.

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How to Cite

Dereh, N., Kongsuwan, W., & Yodchai, K. . (2020). Nurses’ Experience in Palliative Care in the Intensive Care Unit. Princess of Naradhiwas University Journal, 12(3), 139–154. Retrieved from