Pro: Crowe, S. (2017). End-of-life care in the ICU: Supporting nurses to provide high-quality care. Canadian Journal Of Critical Care Nursing, 28(1), 30-33.
End of life care is considered to be one of the toughest decisions to be made. The challenge of making decisions, the after care of a ended life, factors that support ending life and guidelines for the withdrawal of life are major themes throughout making this decision. These challenges can often be caused by many other factors. Throughout this literature barriers to providing good end of life care was documented throughout, one of which was the overall environment that nurses provide. Which was also described as the nurse's work load, physical layout of the facility, visitation restrictions, procedures, and
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Nurses lack of education, training, and lack of comfort in providing care was also seen as another barrier to good end of life care. Lack of knowing the patience preference or wishes regarding their care and treatment also created another obstacle for end life care. To make changes to these factors one of which that was made was the effective opening of communication, both with their team and with the patience family. Related to this is the use of a family care model and family involvement in clinical decision making. Nurses ability to act on previous experiences and their ability to support one another was also recognized as a positive factor to providing quality end of life care. Although the practice of providing end-of-life care in the ICU setting is becoming more prevalent, new ICU nurses or units that do not frequently engage in end-of-life care involving the withdrawal of life-sustaining therapies may benefit from additional resources to guide them through the