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Introduction

Nurses play a crucial role in providing care to patients, particularly at the end of life. However, the complex decision-making involved in end-of-life care can often lead to moral distress among nurses. Moral distress occurs when a nurse knows the right course of action but is unable to act due to various constraints, such as institutional policies, lack of resources, or ethical dilemmas. Understanding nursesʼ experiences with moral distress in end-of-life care decision-making is essential for improving the quality of care provided to dying patients and their families.

Chapter 1: Introduction
1.1 Introduction
1.2 Background of study
1.3 Problem Statement
1.4 Objective of study
1.5 Limitation of study
1.6 Scope of study
1.7 Significance of study
1.8 Structure of the Thesis
1.9 Definition of terms

Chapter 2: Literature Review
2.1 Definition and Conceptualization of Moral Distress
2.2 Factors Contributing to Moral Distress in Nurses
2.3 Effects of Moral Distress on Nurses
2.4 Coping Strategies for Moral Distress
2.5 End-of-Life Care Decision-Making
2.6 Nursesʼ Role in End-of-Life Care
2.7 Ethical Issues in End-of-Life Care
2.8 Communication Challenges in End-of-Life Care
2.9 Support for Nurses in End-of-Life Care
2.10 Interventions to Address Moral Distress in Nurses

Chapter 3: Research Methodology
3.1 Research Design
3.2 Sampling and Data Collection
3.3 Data Analysis
3.4 Ethical Considerations
3.5 Validity and Reliability
3.6 Research Limitations
3.7 Study Participants
3.8 Data Interpretation

Chapter 4: Discussion of Findings
4.1 Nursesʼ Experiences with Moral Distress in End-of-Life Care Decision-Making
4.2 Factors Contributing to Moral Distress among Nurses
4.3 Impact of Moral Distress on Nursesʼ Well-being
4.4 Coping Mechanisms Employed by Nurses
4.5 Ethical Considerations in End-of-Life Care Decision-Making
4.6 Recommendations for Addressing Moral Distress in Nurses

Chapter 5: Conclusion and Summary
5.1 Summary of Findings
5.2 Implications for Nursing Practice
5.3 Recommendations for Future Research
5.4 Conclusion

Thesis Overview:

Nurses play a vital role in end-of-life care decision-making, but the ethical dilemmas and moral distress they face in these situations can have a significant impact on their well-being and the quality of care provided to patients. This thesis aims to explore nursesʼ experiences with moral distress in end-of-life care decision-making, focusing on the factors contributing to moral distress, the effects on nurses, coping strategies employed, and interventions to address moral distress. By examining these issues, this study seeks to enhance understanding of how moral distress affects nurses in end-of-life care settings and to propose recommendations for supporting nurses and improving the quality of care provided to dying patients and their families.

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