ArticleNursing in critical care2026
Near-Death Experiences in Adult ICU Patients: A Scoping Review.
Article in Nursing in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
Funding
Abstract
backgroundNear-death experiences occur in approximately 15% of intensive care unit survivors. Despite their profound impact on post-intensive care syndrome and long-term psychological recovery, near-death experiences remain under-addressed in clinical settings.
aimTo systematically map and synthesize evidence regarding the subjective experiences, influencing factors, assessment tools, and prognostic impacts of near-death experiences in adult intensive care unit patients, aiming to provide a comprehensive overview and solid reference for clinical identification and future research. STUDY
designScoping review. Guided by a scoping review framework, a systematic literature search was conducted across PubMed, Embase, Web of Science, CINAHL, the Cochrane Library, PsycINFO, China National Knowledge Infrastructure, Wanfang Database, and VIP Database, from database inception to April 17, 2026. Data from the included literature were subsequently extracted and synthesized.
resultsSeven included studies (five prospective cohorts, one qualitative, one mixed-methods) revealed that adult intensive care unit patients experience multidimensional near-death experiences (cognitive, affective, supernatural, and transcendental). The Greyson near-death experience scale is the primary, albeit limited, assessment tool. Prognostically, near-death experiences produce vivid, stable long-term memories and elevate spiritual needs; however, their impacts on psychosocial states and death attitudes remain heterogeneous.
conclusionThe near-death experiences of adult intensive care unit survivors constitute a unique and multidimensional subjective experience, the understanding of which requires both optimized assessment tools and a deeper integration of neurobiological and psychological frameworks. While increased religious interest and memory stability are evident, the persistent contradictions in psychosocial outcomes suggest that specific disease trajectories and cultural factors play a critical moderating role. RELEVANCE TO CLINICAL PRACTICE: Within clinical intensive care unit practice, it is paramount to promptly identify near-death experiences by evaluating patients' multifaceted subjective experiences and providing proactive, effective support, as this plays a critical role in facilitating psychological recovery and improving long-term prognosis.
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