• Sina Valiee, Reza Negarandeh, and Dehghan Nayeri Nahid N.
• School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
• Nurs Crit Care. 2012 Nov 1; 17 (6): 309-15.

BackgroundA challenge for intensive care nurses is providing the best possible care to patients in an end-of-life stage. The fact that some patients will die despite the efforts of the health care team can affect the psychological state of the nurses and families. Lack of attention to such an issue can bring about unpleasant consequences for both patients and nurses.AimUsing a qualitative design, the aim is this article explores the experiences of intensive care nurses providing care for end-of-life patients.MethodsThe data were collected through in-depth interviews with a purposive sample of 10 nurses working at intensive care units (ICUs). Interviews were transcribed and finally analysed through the conventional content analysis.FindingsTwo themes emerged out of the experience of providing care to the end-of-life patients. The findings revealed that for Iranian intensive care nurses providing care to such patients was accompanied by emotional burden and values and beliefs.ConclusionThe results of the study have increased the current knowledge over the experience of providing care to end-of-life patients at ICUs. It also has revealed the need for providing the nurses with psychological support, accommodating the possibility for offering a complete care, attending to and managing the conditions of the patient and their families and engaging nurses in decision making about end-of-life patients.Relevance To PracticeManagers ought to provide specialized units for providing care to end-of-life patients. Nurses working on these units will require emotional support.© 2012 The Authors. Nursing in Critical Care © 2012 British Association of Critical Care Nurses.

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