As previously indicated, nurses in this study reported that they were aware of their patients’ and relative’s spiritual needs. These included the need for talking and listening to patients’ spiritual and religious beliefs, emotional needs, showing sensitivity to patients’ emotions, responding to religious needs; and responding to relatives’ spiritual needs included: supporting them with end of life decisions, supporting them when feeling being lost and unbalanced, encouraging exploration of meaning of life and providing space, time and privacy to talk. The nurses’ actions such as providing company and reassurance, providing explanation and practical support, showing sensitivity, creating positive caring environment and support for their relatives were indicative of effectiveness of their interventions. Nurses gave specific statement of outcomes to support their claims about such effectiveness. These included patients’ states such as ‘appearing calm and happy’ when nurses encouraged them to talk and acted as sounding board. However, they were also concerns that their interventions could be better. Such accounts reflected uncertainty about the effectiveness of their support. Some of these accounts included: