Facilitators and barriers in end of life care

<p dir="ltr"> The population consisted of 37 ICU qualified trained nurses, ICU experienced nurses, and enrolled nurses working in the specific ICU. The researcher purposively selected a sample of 14 participants. In this study, data was collected by means of face-to-face in-depth interviews, using an interview guide. Using semi-structured inter participants’ experience of facilitators and barriers to end-of-life care (EOLC) in the specific ICU. The researcher used Tesch’s eight-step method to analyze the data. The study found that Emotional stress; cultural differences; no clear directives/guidelines; poor communication; rigid visiting hours; no signed consent for DNR, and ineffective teamwork were barriers pertaining to end-of-life care. Communication; informed consent and shared decision-making in healthcare, particularly in end-of-life care; informed consent for EOLC; open visitation; allowing cultural practices; fair and transparent staff allocation; effective teamwork, and a multidisciplinary approach were facilitators pertaining to end-of-life care. The findings and recommendations should assist nurses caring for end-of-life patients in adult ICUs to prevent barriers and promote facilitators pertaining to end-of-life care to ensure quality care.</p>