Existential Reflections Expressed by Patients in Need of Hospital Care: A Qualitative Study.

aimThis study aims to describe the existential reflections of patients in need of hospital care. Illness that requires hospitalisation can evoke existential reflections-such as uncertainty and altered self-perception-which confront patients with their vulnerability. This study seeks to provide insights into how patients experience and navigate these reflections, highlighting the importance of including existential reflections in caring.

designA phenomenological study using a reflective lifeworld research approach was conducted, following the consolidated criteria for reporting qualitative research checklist.

methodTwelve patients were interviewed, and data were analysed using the reflective lifeworld research approach. ETHICS: The study was approved by the Swedish Ethical Review Authority and adhered to the Helsinki Declaration.

findingsThe essence is described as being in a vulnerable state while navigating towards existential security, as patients confront mortality and shifting roles. Feeling alone, waiting alone in a hospital room heightens emotional processing, amplifying reflections on illness and personal responsibility. Despite uncertainty, patients draw strength from past experiences, guiding them towards a new reality. Existential reflections emerge both indirectly and through direct contemplation.

conclusionsA caring relationship that acknowledges existential reflections is crucial for the patient's possibility to adapt and live authentically. Prioritising existential reflections in health care enhances patients' well-being, resilience and purpose.