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The main facilitating behaviors to improve nursing care were end-of-life training, volunteering, and family involvement. Spiritual needs were identified by nurses as the primary needs of patients at the end of life. Family-related barriers remain one of the main barriers to end-of-life care. Also, the behavior of physicians and their relationship with nurses remains one of the most sensitive issues in end-of-life care. Spiritual needs were identified by nurses as the primary needs of patients at the end of life. Family-related barriers r