I’m writing in response to the article “Moral Distress and Psychological Empowerment in Critical Care Nurses Caring for Adults at End of Life,” by Annette M. Browning.

Nurses spend more time at the bedside with patients and families and are more likely to discuss end-of-life options with them, whereas physicians initiate discussion when the prognosis becomes poor or the patient’s health status deteriorates. Families have reported nurses are more likely than physicians to discuss symptom relief and minimizing suffering rather than specific medical treatments.

However, many nurses lack formal education on navigation of end-of-life issues and many traditionally trained critical care nurses feel inadequate to provide this different type of care. Incorporating trained and educated bedside nurses and advanced practice nurses as part of the interdisciplinary team in end-of-life discussions may lead to earlier discussion and can provide the emotional support and reassurance that the family...

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