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Conclusion The novel use of a VLE through developing characters, a story and vignettes is considered to be an effective and engaging method of learning for healthcare professionals enrolled on a palliative and end-of-life care module.Objectives Little is known about the experience of family caregivers of patients who require prolonged mechanical ventilation (PMV). We examined the perspectives of caregivers of patients who died after PMV to explore the role of palliative care and the quality of dying and death (QODD) in patients and understand the psychologi