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  1. Pesut, Barbara PhD, RN
  2. McLeod, Barbara MSN, BSN, RN
  3. Hole, Rachelle PhD, MSW
  4. Dalhuisen, Miranda BSN, RN


Secondary analysis of data from 2 studies examining palliative care in rural areas was conducted with the aim to better understand how a nursing palliative approach influences quality outcomes at end-of-life. Nurses' ways of being that brought connection and comfort at end-of-life included paying attention to time, privacy, and family support. The rural context with its geography, relationships, and unique resources influenced nurses' abilities to enact a palliative approach. Findings demonstrate that urban-centric models of palliative care do not fit well in rural nursing practice and highlight the importance of understanding the rural context.