Considering that few nurses
receive formal training in end-of-life care, nurses may perceive the care they provide for their patients and families as
inadequate or less than optimal.Furthermore, the focus of the ICU environment is on life-preserving efforts, making it
difficult for health care providers to shift their treatment goals from curative to palliative or comfort measures. The
transition from curative to comfort care requires excellent clinical and communication skills from all caregivers. Because
nurses are the caregivers who provide the most direct care and spend the most time with patients and their families, it is
essential they feel empowered and are given the necessary education and support to provide optimal end-of-life care