Roy (2009), in her recent work, takes into account that the twenty-first century is a time of spiritual vision, transition, and transformation. It is a reorientation of self, self in roles and self in relation to significant others. Humans, by their decisions, are accountable for the integration of creative process (Roy, 2009). In the face of a critical illness requiring care in an ICU, transformation, which involves self-analysis, re-evaluation, self-restructuring, self- integration, and self-re-organisation, indicates an integrated and high level of adaptation. Adaptation in an ICU, based on the experiences of patients, their family members, and nurses integrates physical/physiological, psychosocial support and family as a unit, resulting in transformation. These processes of transformation were noted in the three categories of participants: namely, the patients, their family members, and the nurses. Each category of