“…Previous studies have shown that in general, the quality of EOLC in hospital settings is inadequate and that standards of care are not always achieved: patients dying in these settings have often not received the best evidence-based palliative care (Gott et al 2011). These studies have found that the most important factors contributing to poor quality of EOLC are nurses' level of knowledge and attitudes regarding EOLC (Bloomer et al 2013), difficulties in diagnosing dying patients, the changing role of nursing staff, hospital culture (Gagnon & Duggleby 2014), lack of open communication (McCourt et al 2013), lack of information about the patient's situation and prognosis (Beccaro et al 2010), lack of dignity (Dzul-Church et al 2010), lack of privacy and an inadequate hospital environment (Bloomer et al 2013).…”