• Tracey Wilson, Cathy Haut, and Bimbola Akintade.
• Tracey Wilson is Nurse Practitioner Specialist, Medical Intensive Care Unit, University of Maryland Medical Center, Baltimore, MD 21201 (twilson@umm.edu). Cathy Haut is Pediatric Nurse Practitioner, The Herman & Walter Samuelson Children's Hospital at Sinai, Baltimore, Maryland. Bimbola Akintade is Specialty Director, Trauma Critical Care at University of Maryland School of Nursing, Baltimore, Maryland.
• AACN Adv Crit Care. 2017 Jan 1; 28 (2): 124-132.

AbstractCritical care providers are responsible for many aspects of patient care, primarily focusing on preserving life. However, nearly 40% of patients who are admitted to an adult critical care unit will not survive. Initiating a conversation about end-of-life decision-making is a daunting task. Often, health care providers are not trained, experienced, or comfortable facilitating these conversations. This article describes a quality improvement project that identified current views on end-of-life communication in the intensive care unit and potential barriers that obstruct open discussion, and offering strategies for improvement.©2017 American Association of Critical-Care Nurses.

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