Courageous Conversations in the End of Life: Implications for Critical Care Nursing
Abstract
End of Life (EOL) conversations are complex entities that effect individuals, families, surrogates, and care
providers across the lifespan as well as across the care continuum. The sensitive nature of these courageous
conversations can be difficult for all parties involved. In this review of the literature (ROL), best practice and
clinical practice protocols instituted within the last five years will be identified in an effort to provide critical care
nurses and advanced practice nurses with the current practice guidelines. Both qualitative and quantitative studies
will be identified. Definitions of EOL including a good and dignified death will be explored. Challenges
surrounding EOL conversations as well as facilitators for providing EOL care including educational resources
will be highlighted. Interprofessional collaboration is essential for providing care that is guided in humanism as
well as evidenced based care.