Navid No

Navid No

Existentialism in Nursing: A Narrative Review

Document Type : Review Article

Authors
1 PhD Candidate in Nursing, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/nnj.2026.93909.1535
Abstract
Background and Aims: Philosophy, through its exploration of the nature of existence, values, and meaning, plays a fundamental role in shaping ethical and caregiving approaches. In nursing, existentialism, with its emphasis on freedom, responsibility, and meaning in life, empowers nurses to provide person-centered care that is responsive to patients’ existential needs. This study aimed to review the applications of existentialism in clinical practice, nursing research, and nursing education.
Materials and Methods: This narrative, non-systematic review was conducted through a search of English-language literature in major databases, including Web of Science, Scopus, PubMed, and the Google Scholar search engine. After applying the inclusion criteria, 25 articles and books were selected for analysis.
Results: In clinical practice, concepts such as “being-with,” authentic presence, and compassionate care transform nurse–patient interactions into meaningful and empathetic experiences. In research, phenomenological and hermeneutic approaches enable an in-depth analysis of patients’ lived experiences and support the development of operational tools such as the “Hermes” model. In education, the existentialist framework focuses on existential growth, the formation of professional identity, and the enhancement of students’ humanistic competencies.
Conclusion: Existentialism provides a comprehensive framework for strengthening professional identity, ethical depth, and person-centered care. Through the development of practical educational programs, accessible interpretive resources, and hands-on workshops, philosophical principles can be translated into everyday professional practice. Future research should focus on existential interventions and the evaluation of clinical performance.
Keywords

[1]        Hackett SC. Oriental philosophy: A Westerner's guide to Eastern thought: Univ of Wisconsin Press; 1979.
[2]        Audi R. Epistemology: A contemporary introduction to the theory of knowledge: Routledge; 2010.
[3]        Cody WK. Questions in Nursing Philosophy and Theory. Philosophical and Theoretical Perspectives for Advanced Nursing Practice. 2006:1.
[4]        Watson J. Nursing: the Philosophy and Science of. Caring in nursing classics: An essential resource. 2012:237.
[5]        Benner P. From novice to expert excellence and power in clinical nursing practice. AJN The American Journal of Nursing. 1984;84(12):1479.
[6]        Todres L, Galvin K, Dahlberg K. Lifeworld-led healthcare: revisiting a humanising philosophy that integrates emerging trends. Medicine, health care and philosophy. 2007;10(1):53-63.
[7]        Dahlberg K, Todres L, Galvin K. Lifeworld-led healthcare is more than patient-led care: An existential view of well-being. Medicine, health care and philosophy. 2009;12(3):265-71.
[8]        Sartre J-P. Existentialism is a Humanism: Yale University Press; 2007.
[9]        Sasan JM. Existentialism and its influence on our understanding of knowledge, truth, morality, values, and religion. European Journal of Learning on History and Social Sciences. 2023;1(1):40-8.
[10]      Heidegger M. On time and being: University of Chicago Press; 2002.
[11]      Boston P, Bruce A, Schreiber R. Existential suffering in the palliative care setting: an integrated literature review. Journal of pain and symptom management. 2011;41(3):604-18.
[12]      Schneider KJ. Existential-integrative psychotherapy: Guideposts to the core of practice: Routledge; 2011.
[13]      Tarbi EC, Broden EG, Rosa WE, Hayden A, Morgan BE. Existential Care in Daily Nursing Practice: An overview of key care priorities. The American journal of nursing. 2023;123(10):42.
[14]      Tornøe KA, Danbolt LJ, Kvigne K, Sørlie V. The power of consoling presence-hospice nurses’ lived experience with spiritual and existential care for the dying. BMC nursing. 2014;13(1):25.
[15]      Vehling S, Philipp R. Existential distress and meaning-focused interventions in cancer survivorship. Current Opinion in Supportive and Palliative Care. 2018;12(1):46-51.
[16]      Streparola A, Provasoli C, Cosmai S, Modena GM, Cattani D, Dacomi A, et al. Dignity therapy as a nursing intervention to address spiritual needs in palliative care: a narrative review. International Journal of Palliative Nursing. 2026;32(3):124-34.
[17]      Tornøe KA, Danbolt LJ, Kvigne K, Sørlie V. The challenge of consolation: nurses’ experiences with spiritual and existential care for the dying-a phenomenological hermeneutical study. BMC nursing. 2015;14(1):62.
[18]      Korhan EA, Üstün Ç, Yilmaz DU. Practices in human dignity in palliative care: a qualitative study. Holistic Nursing Practice. 2018;32(2):71-80.
[19]      Frankl VE. Man's search for meaning: Simon and Schuster; 1985.
[20]      Breitbart W, Poppito S, Rosenfeld B, Vickers AJ, Li Y, Abbey J, et al. Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. Journal of clinical oncology. 2012;30(12):1304-9.
[21]      McEwan M, Wills EM. Theoretical basis for nursing: Lippincott Williams & Wilkins; 2021.
[22]      Alligood MR. A Book Review of Knowledge Development in Nursing: Theory and Process by Peggy L. Chinn, Maeona K. Kramer, and Kathleen Sitzman (2022). Elsevier. Nursing Science Quarterly. 2023;36(2):203-6.
[23]      Traynor M. Critical resilience for nurses: An evidence-based guide to survival and change in the modern NHS: Routledge; 2017.
[24]      Benner PE, Wrubel J. The primacy of caring: Stress and coping in health and illness: Addison-Wesley/Addison Wesley Longman; 1989.
[25]      FinfgeldConnett D. Metasynthesis of caring in nursing. Journal of clinical nursing. 2008;17(2):196-204.
[26]      Van Manen M. Beyond assumptions: Shifting the limits of action research. Theory into practice. 1990;29(3):152-7.
[27]      Sinclair S, Norris JM, McConnell SJ, Chochinov HM, Hack TF, Hagen NA, et al. Compassion: a scoping review of the healthcare literature. BMC palliative care. 2016;15(1):6.
[28]      Merleau-Ponty M. Phenomenology of perception (C. Smith,(Trans.). Routledge.(Original work published 1945). 1962.
[29]      Park CL. Making sense of the meaning literature: an integrative review of meaning making and its effects on adjustment to stressful life events. Psychological bulletin. 2010;136(2):257.
[30]      Paley J. Husserl, phenomenology and nursing. Journal of advanced nursing. 1997;26(1):187-93.
[31]      Thomas SP, Pollio HR. Listening to patients: A phenomenological approach to nursing research and practice: Springer Publishing Company; 2002.
[32]      Kong B-H. The existential phenomenology in Parse's and Watson's theory of nursing. Journal of Korean Academy of Nursing Administration. 2000;6(3):431-49.
[33]      González-Soto CE, Menezes TMdO, Guerrero-Castañeda RF. Reflection on the phenomenology of Merleau-Ponty and its contributions to nursing research. Revista Gaúcha de Enfermagem. 2021;42:e20190439.
[34]      Gullick J, Wu J, Reid C, Tembo AC, Shishehgar S, Conlon L. Heideggerian structures of Being-with in the nurse–patient relationship: modelling phenomenological analysis through qualitative meta-synthesis: J. Gullick et al. Medicine, Health Care and Philosophy. 2020;23(4):645-64.
[35]      Zulueta Egea MdM, Jódar Anchía R, Bermejo Toro L, Prieto Ursúa M. Quality of palliative nursing care. Meaning, death anxiety, and the mediating role of psychological well-being. 2023.
[36]      Thórarinsdóttir K, Björnsdóttir K, Kristjánsson K. Development of Hermes, a new person-centered assessment tool in nursing rehabilitation, through action research. Advances in Nursing Science. 2017;40(2):207-21.
[37]      Sandvik A-H. Becoming a caring nurse: the heart of the matter in nurse education. 2015.
[38]      Lewis GM, Neville C, Ashkanasy NM. Emotional intelligence and affective events in nurse education: A narrative review. Nurse education today. 2017;53:34-40.
[39]      Cheng J, Wu Y, Huang L, Wu Y, Guan Y. Integrating Kolb’s experiential learning theory into nursing education: a four-stage intervention with case analysis, mind maps, reflective journals, and peer simulations for advanced health assessment. Frontiers in Medicine. 2025;12:1616392.
[40]      Parse RR. The human becoming school of thought: A perspective for nurses and other health professionals. 1998.
[41]      Dowell ED. Action Research Study on Effects of Educational Training Program on Transitioning to Renal Replacement Therapies: Capella University; 2017.