Palliative care has identified the need for integrated components of comprehensive, intensive care for all critically ill patients concerning patient prognosis and family welfare. Critical care nurses are essential in increasing application systems integration, including decision-making with family members regarding care goals. The objectives are to determine the frequency of nurses' participation in palliative care (PC) and to identify the barriers nurses perceive to their involvement in palliative care. Convenience sampling was conducted, samples from 157 nurses working in the critical care unit at the public hospital using a self-administered questionnaire. The findings reflect the deep desire of critical care nurses to be involved in palliative care in ICUs in this part of the world. It will help to strengthen the practice of multidisciplinary PC treatment in the Critical Care Unit. The result of the study is intended to be shared knowledge that will lead to changes in the treatment of dying in all of these countries.

Nursing students are extremely valued human resources. Identifying possible stress among nursing students is critical since stress can lead to decreased productivity, reduced quality of life, and suicidal tendencies. Following the signing of the stress issue in education, this study was conducted to identify the factors that cause stress among nursing students at the Sungai Petani Nursing College when facing their final examination. A descriptive cross-sectional study was carried out, which involved 60 respondents using stratified random sampling method. The inclusion criteria were year one, two and three of nursing students. The questionnaire instrument contains two parts, namely, part A which consists of demographic questions with four closed-ended questions and two comprehension questions about stress, and part B comprises 25 closed-ended questions on the factors that cause stress among student nurses. The study's findings found that the three factors (intra-personal, environmental, and basic convenience) that contribute to stress among nursing students are due to semester exams influenced by insufficient time for revision, tight daily schedule, and unconducive environmental factors. The findings are useful for nurse educators and clinical staff in assessing students'

Globally, the quality of work-life (QoWL) of nurses is significantly affected. They are the largest health care groups and the leading front liners in the clinical settings. When the nurse's quality of work life is compromised, the work environment's dynamic changes will also be affected. At current, the focus issues in nursing include excessive workload and poor work conditions. This study aimed to determine the prevalence of quality of work-life among public hospital nurses in Sarawak General Hospital (SGH), Kuching, Malaysia. Methods: Descriptive study with a purposive sampling technique was used in recruiting 461 nurses working at SGH. A composite scale was used for the assessment of QoWL in nurses. Data were collected using adapted questionnaires that focused on nine different areas. The questionnaires were distributed to the nurses via an online survey. This study revealed that 52.9% of the respondents were not satisfied with their QoWL, while 47.1% were satisfied. Three areas were identified to record a higher percentage of unsatisfactory QoWL: relation and cooperation, autonomy of work, and resources adequacy. There are significant differences between the nurses' quality of work-life and socio demographic characteristics (p-value≤0.01). Female nurses; those involved in clinical; working and staying at the same hospital for a long time; and those working shifts, having satisfactory QoWL. In sum, the nurse's quality of work-life is at a moderate level. This research further indicates that the socio-demographic features of nurses and QoWL are substantially linked. Result-driven research is also needed to examine the effectiveness, efficacy, and cost benefits of specific strategies to improve quality of life. The health care authorities should implement policies to strengthen nurses' working standards and their QoWL to provide excellent and effective care for their clients.

Critical care nursing is an area specifically dealing with patients experiencing highdependency and life -threatening conditions. Their role was complex as they were the essential partner in conjunction with the Intensive Care Unit (ICU) multidisciplinary team and the need to undertake family liaison duties, such as providing support and education to both the patient and the patient's family. These circumstances expose to high risk of compassion fatigue (CF) which will affect their job performance and satisfaction, harm emotional and physical health not only to themselves but to the patients. Therefore, this study was conducted to identify the level of CF and compassion satisfaction (CS) among critical care nurses. A total of 106 critical care nurses at public hospital were surveyed by using Professional Quality of Life (ProQOL) scale. The nurses had moderate burnout (BO), secondary traumatic stress (STS) and CS. Nurses who worked in Pediatric Intensive Care Unit (PICU) had high STS compared to those worked in other units. The presence of compassion fatigue among nurses in critical care requires strategies which prevent, identify and mitigate compassion fatigue among these nurses.

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