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(2) Lack of resources, systems and capacity. (3) EOL care as a rewarding act or an emotional burden. CONCLUSION The review identified a need for (1) Additional training for nurses. (2) The development of clear guidelines in the form of pathways and protocols. (3) Having a separate space for the dying. (4) Providing a supportive environment for staff dealing with high emotional burden and challenging workloads. In order to improve EOL care, organisations must work on the barriers that hinder care provision. © Author(s) (or their employer

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