Nurses have been found to report that their most uncomfortable situations arise from the prolongation of the dying process and some difficulties with ethical issues that this entails (Seal, 2007) . Studies have shown that implementing the RPC program and training nurses has increased nurses' confidence in discussing end-of-life plans (Austin, 2006). With confidence, the nurse is able to ask the right questions of the patient and make sure that the patient's wishes are respected in the way he wanted, for example not to resuscitate or ensure that his spiritual leader is present at the time of death ( Austin,