Experiences and Expressions of Spirituality at the End of Life in the Intensive Care Unit.

Rationale: The austere setting of the intensive care unit (ICU) can suppress expressions of spirituality.

Objectives: To describe how family members and clinicians experience and express spirituality during the dying process in a 21-bed medical-surgical ICU.

Methods: Reflecting the care of 70 dying patients, we conducted 208 semistructured qualitative interviews with 76 family members and 150 clinicians participating in the Three Wishes Project.