I’ve been a critical care nurse for 41 years. I take care of our sickest patients on a one-to-one basis, which allows me the time and opportunity to be involved with patient care and to address the emotional needs of the patient’s family. I feel compelled to ask Twibell and colleagues11 why certain questions were not asked that would have yielded more accurate data in their study.

I am referring to the need for all bedside nurses to translate their philosophical precepts into time-motion priority every day with every assignment. Although many would embrace the opportunity to stand by their patient’s family and support them through a difficult process, thereby providing closure for all, there remain the urgent needs of their other patients and no influx of additional staff to cover them. Many “medical” people respond to...

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