Research Discussion Instructions

Title: Ethical Challenges in End-of-Life Care: Critical Care Nurses’ Experiences
Setting: Philippines

What to Do

Write the Discussion chapter of this research.

1. Introduction/Background

• Start with the global situation: what ethical issues are common in end-of-life (EOL) care worldwide.
• Then explain the Philippine situation: culture, religion, family-centered decisions, lack of advance directives, and limited palliative care.
• Show how this affects Filipino critical care nurses.

2. Discussion of Themes

Use these themes as main sections. For each theme:

• Apply it to the Philippine context (culture, system, family roles).

Themes:

1. Walking the Tightrope — Balancing life-prolonging treatment vs. comfort care
2. Voices in Conflict — Family wishes vs. patient dignity
3. Silent Suffering — Emotional and moral distress among critical care nurses
4. Seeking Clarity in the Gray — Communication and ethical support

3. Conclusion

• Summarize what the study shows.
• Highlight implications for Philippine ICUs

4. References

• Use at least 20 reputable sources (peer-reviewed journals, WHO, DOH Philippines, Philippine nursing/critical care groups).
• Use APA 7th style.
• Include both international and Philippine sources.