what then should be nurses’ involvement in end-of-life decision making? According to the American nurse Association (ANA), in a position statement revised in 1995, nurse have a responsibility to facilitate informed decision making to the discussion of advance. The ANA also recognizes that nurse have roles as educator about end-of-life care and as patient advocates to ensure that appropriate end-of-life care is provided. Thus, nursing responsibilities in end-of-life decision making may predominate at two times: when a plan for end-of-life care is being developed, and when a plan for end-of-life care is being implemented.