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Experiences of Hindu Nurses in Providing End-of-Life Care for Pacang Seda Patients in Bali, Indonesia: A Phenomenological Study

Nurse Media Journal of Nursing · Vol. 15 No. 3 (2025) · hlm. 469–483

DOI
10.14710/nmjn.v15i3.70740
ISSN
2406-8799, 2087-7811
Terbit
2025-12-31
Penerbit
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0

Abstrak

Background: The quality of nursing care for dying patients is influenced by nurses’ understanding of the signs of dying, which in Balinese Hinduism are contextualized through the concept of Pacang Seda, a near-death phase metaphorically described as emphasizing the attainment of a peaceful final moment. Empirical accounts of nurses’ experiences in caring for Pacang Seda patients remain limited, highlighting the need for more comprehensive and culturally informed insights.Purpose: This study aimed to explore the experiences of Hindu nurses in providing end-of-life care for Pacang Seda patients using a descriptive phenomenological approach.Methods: The study employed a qualitative research design with a descriptive-phenomenological approach. Purposeful sampling was conducted by interviewing Hindu nurses (n = 10) with specific experience caring for Pacang Seda patients. The interviews took place in their homes without any third party present to avoid bias. Data analysis followed the Colaizzi method, and data validation was conducted through follow-up discussions.Results: The analysis revealed four main themes derived from the experiences of Hindu nurses: (a) emotional responses, (b) the relationship between medical treatment and Pacang Seda, (c) strengthening families, and (d) the integration of spiritual aspects into nursing practice. Nurses displayed emotional responses and facilitated connections between medical treatment and Pacang Seda. They actively provided information to strengthen patients’ families and engaged in Pacang Seda care to facilitate a peaceful journey toward death.Conclusion: The study’s outcomes provide valuable insights into the experiences of Hindu nurses delivering end-of-life care in Bali, underscoring the significance of emotional responses, the interconnection between medical treatment and Pacang Seda, the pivotal role of nurses in supporting families, and the specific practices associated with Pacang Seda care. These findings contribute to a broader understanding of cultural influences on nursing care, underscoring the need for tailored approaches to end-of-life care.

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  • University of Indonesia
  • Sekolah Tinggi Ilmu Kesehatan Buleleng
  • Muhammadiyah University of Yogyakarta
  • Oita University of Nursing and Health Sciences
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Rekan penulisOrganisasiArtikel bersama
Takayuki KageyamaOita University of Nursing and Health Sciences1
Budi Anna KeliatUniversity of Indonesia1
Herni SusantiUniversity of Indonesia1

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Sumber metadata: OAI-PMH (metadata jurnal) https://ejournal.undip.ac.id/index.php/medianers/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc)
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	<dc:title xml:lang="en-US">Experiences of Hindu Nurses in Providing End-of-Life Care for Pacang Seda Patients in Bali, Indonesia: A Phenomenological Study</dc:title>
	<dc:creator>Pratama, Agus Ari</dc:creator>
	<dc:creator>Wardaningsih, Shanti</dc:creator>
	<dc:subject xml:lang="en-US">Dying patients; end-of-life care; nursing experience; Pacang Seda; peaceful death</dc:subject>
	<dc:description xml:lang="en-US">Background: The quality of nursing care for dying patients is influenced by nurses’ understanding of the signs of dying, which in Balinese Hinduism are contextualized through the concept of Pacang Seda, a near-death phase metaphorically described as emphasizing the attainment of a peaceful final moment. Empirical accounts of nurses’ experiences in caring for Pacang Seda patients remain limited, highlighting the need for more comprehensive and culturally informed insights.Purpose: This study aimed to explore the experiences of Hindu nurses in providing end-of-life care for Pacang Seda patients using a descriptive phenomenological approach.Methods: The study employed a qualitative research design with a descriptive-phenomenological approach. Purposeful sampling was conducted by interviewing Hindu nurses (n = 10) with specific experience caring for Pacang Seda patients. The interviews took place in their homes without any third party present to avoid bias. Data analysis followed the Colaizzi method, and data validation was conducted through follow-up discussions.Results: The analysis revealed four main themes derived from the experiences of Hindu nurses: (a) emotional responses, (b) the relationship between medical treatment and Pacang Seda, (c) strengthening families, and (d) the integration of spiritual aspects into nursing practice. Nurses displayed emotional responses and facilitated connections between medical treatment and Pacang Seda. They actively provided information to strengthen patients’ families and engaged in Pacang Seda care to facilitate a peaceful journey toward death.Conclusion: The study’s outcomes provide valuable insights into the experiences of Hindu nurses delivering end-of-life care in Bali, underscoring the significance of emotional responses, the interconnection between medical treatment and Pacang Seda, the pivotal role of nurses in supporting families, and the specific practices associated with Pacang Seda care. These findings contribute to a broader understanding of cultural influences on nursing care, underscoring the need for tailored approaches to end-of-life care.</dc:description>
	<dc:publisher xml:lang="en-US">Department of Nursing, Faculty of Medicine, Universitas Diponegoro</dc:publisher>
	<dc:date>2025-12-31</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
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	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://ejournal.undip.ac.id/index.php/medianers/article/view/70740</dc:identifier>
	<dc:identifier>10.14710/nmjn.v15i3.70740</dc:identifier>
	<dc:source xml:lang="en-US">Nurse Media Journal of Nursing; Vol 15, No 3 (2025): (December 2025); 469-483</dc:source>
	<dc:source>2406-8799</dc:source>
	<dc:source>2087-7811</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://ejournal.undip.ac.id/index.php/medianers/article/view/70740/30208</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2025 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
</oai_dc:dc>