What is an ethical conflict in end-of-life care?
Disagreement about continuing vs stopping treatment
What is a common challenge balancing patient care?
Balancing patient wishes with family or provider opinions
What is moral distress for nurses?
Feeling powerless when unable to give care aligned with one’s values
What does “concern for patient dignity” mean at end of life?
Advocating for comfort, respect, privacy
Example of maintaining patient dignity during hygiene care?
Don’t wipe a patient with the door open; don’t rip off blankets
What should nurses do if unsure about cultural beliefs?
Ask the patient/family respectfully
What does maintaining professional distance mean?
Show empathy without absorbing the patient’s or family’s pain
Why avoid over-identification?
To care with compassion but prevent emotional exhaustion
Why set emotional boundaries?
Protects nurses from burnout and maintains professionalism
Why debrief with team members or mentors?
Helps process emotions and gain objective perspective
Should nurses be emotional with families?
No—remain supportive but professional
What self-care strategies help nurses?
Journaling, mindfulness, counseling
Why focus on patient-centered goals?
Ensures decisions reflect patient values, not personal feelings
Who can nurses seek support from?
Ethics committees, chaplaincy, employee assistance programs (EAP)
What topics should nurses avoid during end-of-life care?
Discussions about finance, religion, or politics
What organizational support improves nurse well-being?
Adequate staffing and supportive coworkers
Why are family meetings important?
Help establish and clarify plan of care
How can organizations help families after death?
Assist with funeral arrangements*
How can nursing organizations help the public?
Education about end-of-life care
How can organizations support nurses’ competence?
Providing professional development classes